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 worry about-question and you can stress
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) = 2.06, 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 for an introduction to the newest correlations between the standard actions. This new relational, professional and you will technology-related bills was in fact coordinated regarding the requested guidance. Especially, ratings into the real relationship and dealing alliance have been seriously synchronised, and you will elite worry about-question and you can anxiety have been absolutely connected with each other but adversely with the claimed https://datingranking.net/local-hookup/houston/ working alliance and genuine dating, demonstrating one to practitioners with low levels away from professional worry about-doubt and you can nervousness reported a more powerful functioning alliance and you can actual matchmaking employing online people in pandemic. New attitudes for the and you will purpose to utilize video clips therapy regarding future had been surely from the studies of the functioning alliance, and genuine relationships, and negatively about elite group notice-question and you will nervousness (pick Table step 1).
In the present mix-sectional questionnaire analysis, we aimed to understand more about therapists’ feel out-of video medication switching out-of from inside the-person to video clips sessions into the pandemic. Alot more especially, i looked at: 1) Specialist perceptions of the therapeutic matchmaking (performing alliance and you may genuine relationships) from inside the videos courses as compared to earlier in the-person treatment; 2) Counselor count on in top-notch proficiency (elite group self-doubt) and you can educated nervousness regarding delivering movies procedures; 3) Specialist attitudes into video clips cures tech in general, including intentions to keep using videos procedures throughout the future.
With the expose try, the interior structure estimate are Cronbach’s ? = .86. To evaluate the fresh new knowledgeable change in the true matchmaking given that switch to films treatment, the following item is additional: “Than the within the-individual lessons, in my online courses the brand new healing relationships sensed … ” is replied towards a three-section Likert level (1 = much more authentic compared to-individual, dos = an equivalent, step 3 = smaller real than in-person).
Overall performance
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).
