Similar to the working alliance, the perceived quality of the real relationship was related to using more methods to prepare the patients to the transition (r = .18, p < .05) and perceived positive patient experience (r = .24, p < .01). Age, years of clinical experience, number of patients seen weekly before the pandemic, previous video therapy experience, and views of video therapy before the pandemic were not associated with the perceived quality of alliance or the real relationship in online sessions.
Elite group self-doubt and you will nervousness
On average, therapists experienced professional self-doubt sometimes or frequently (M = 2.41, SD = .67, range: 1 local hookup sites that work.11–4.78) in video therapy during the pandemic, which is higher than the level of self-doubt experienced by therapists in a prior naturalistic study of PSD (Nissen-Lie et al., 2013 ; t(136) = , p < .0001), but still on the lower end of the 5-point Likert scale. Therapists felt less competent (M = 2.28, SD = .52, range: 1.00–3.00) and less confident (M = 2.15, SD = .56, range: 1.00–3.00) about their professional skills during online compared to in-person sessions. Higher levels of reported professional self-doubt were related to several demographic variables, such as younger age (r = ?.34, p < .001), less clinical experience (r = ?.33, p < .001), and worse perceived patient experience (r = ?.36, p < .001).
Therapists’ anxiety about using video therapy was moderate (M = 2.87, S.D. = .86, range: 1.00–4.83). Similar to professional self-doubt, higher anxiety was associated with female gender (t(137) = 3.24, p < .05), younger age (r = ?.30, p < .001), less clinical experience (r = ?.36, p < .001), smaller number of patients before the pandemic (r = ?.18, p < .05), no previous experience with video therapy (t(138) = 3.63, p < .001), not being licensed yet (t(136) = 3.28, p < .001), perceiving patients as having a negative video therapy experience (r = .27, p < .001).
Overall in our sample, therapists reported somewhat positive attitudes towards video therapy (M = 3.42, SD = 0.50, range: 2.31–4.69). Although their views about video therapy had become more positive since the start of the pandemic (t(140) = 2.06, p < .05); they still thought that video therapy was somewhat less effective compared to in-person therapy (M = 2.19, SD = 0.65, range: 1.00–4.00).
Therapists who held more positive attitudes towards video therapy tended to have previous experience with video therapy (t(142) = 3.53, p < .05) and to have positive perceptions of their patients' online experience (r = .30, p < .001). Higher rated working alliance and real relationship were associated with more positive attitudes towards video therapy (r = ?.34, p < .001 and r = ?.40, p < .001, respectively) whereas professional self-doubt was associated with more negative attitudes (r = ?.34, p < .001).
The sample of therapists as a whole was undecided as to whether they would like to continue using video therapy in the future (i.e. expressed a neutral response on the UTUAT Behavior Intention subscale), with large differences among therapists (M = 3.14, SD = 1.23, range: 1.00–5.00). Therapists who intended to use video therapy in the future were more likely to have prior experience with video therapy (t(138) = 2.91, p < .01), and tended to have positive perceptions of their patients' online experience (r = .32, p < .001).
Come across Dining table step 1 for an introduction to brand new correlations amongst the standardized measures. Brand new relational, elite and technical-related bills was correlated regarding the expected guidelines. Particularly, scores toward genuine dating and dealing alliance was absolutely synchronised, and you will top-notch care about-doubt and you may anxiety was seriously regarding each other however, negatively on the claimed working alliance and real matchmaking, proving you to therapists with low levels out of elite group care about-doubt and you can anxiety claimed a more powerful functioning alliance and you can genuine relationships with regards to on the web clients from inside the pandemic. The fresh new attitudes into the and you will purpose to make use of clips therapy throughout the coming had been definitely on the analysis of the doing work alliance, and you may actual relationships, and adversely associated with elite self-doubt and you may stress (select Desk step one).
In the present get across-sectional questionnaire data, we aligned to understand more about therapists’ feel regarding video medication switching of during the-person to movies instruction inside the pandemic. A whole lot more particularly, we checked-out: 1) Specialist thinking of healing matchmaking (performing alliance and you will actual relationships) when you look at the films classes than the past in-people procedures; 2) Therapist rely on for the top-notch proficiency (elite thinking-doubt) and experienced nervousness about bringing video therapy; 3) Counselor thinking with the clips medication technology generally, along with intentions to keep using movies cures on coming.
On the present decide to try, the interior structure estimate is actually Cronbach’s ? = .86. To evaluate the newest educated improvement in the actual relationships since the switch to video therapy, another product are extra: “Compared to during the-people lessons, in my own on the web lessons new therapeutic relationship experienced … ” become answered with the a great around three-area Likert measure (step 1 = significantly more genuine compared to-person, dos = an equivalent, step three = shorter authentic than in-person).
Results
Women reported higher working alliance in online sessions compared to men (t(137) = 2.18, p < .05), licensed practitioners reported higher alliance score than trainees (t(136) = 2.33, p < .05), and practitioners in North America (USA and Canada) compared to those in Europe (t(137) = 2.08, p < .05). Within the sample, higher online alliance was also reported by those who used a greater variety of methods (as opposed to fewer methods) to prepare patients for the transition (r = .26, p < .01), and those who perceived their patients' experience with video therapy more positively (as opposed to less positively) (r = .32, p < .001).