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.
Top-notch thinking-question and you will nervousness
On average, therapists experienced professional self-doubt sometimes or frequently (M = 2.41, SD = .67, range: 1.11–4.78) 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 mature women looking for men.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).
Discover Desk step one having an introduction to the latest correlations between your standard methods. New relational, top-notch and you will technology-associated scales was coordinated from the requested guidance. Particularly, scores on the actual dating and dealing alliance was in fact certainly coordinated, and you can top-notch thinking-doubt and you can nervousness was undoubtedly related to each other but adversely on reported working alliance and you can genuine matchmaking, showing that therapists which have low levels from elite worry about-question and you can nervousness advertised a stronger functioning alliance and you can actual relationships making use of their online patients into the pandemic. The newest perceptions on and you can intent to utilize movies procedures from the upcoming have been certainly with the critiques of the performing alliance, and actual dating, and you can negatively associated with elite thinking-doubt and you can nervousness (look for Desk step 1).
In the modern mix-sectional survey research, i aimed to explore therapists’ feel out-of video clips cures making the switch off within the-individual video clips classes inside the pandemic. A whole lot more particularly, we looked at: 1) Counselor thinking of one’s healing relationship (operating alliance and you may real matchmaking) inside movies sessions than the early in the day for the-people therapy; 2) Therapist believe for the elite group skills (elite mind-doubt) and you will knowledgeable stress related to bringing films treatment; 3) Counselor perceptions for the clips procedures technology overall, as well as intentions to keep using clips medication regarding coming.
Into introduce decide to try, the inner feel imagine are Cronbach’s ? = .86. To assess the fresh educated change in the genuine relationship due to the fact switch to films medication, the second product is actually additional: “Compared to the from inside the-people coaching, in my own on the web sessions the latest therapeutic relationship experienced … ” become replied toward a beneficial three-area Likert size (1 = a great deal more real than in-people, 2 = an equivalent, step three = reduced authentic than in-person).
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).