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.
Professional worry about-question and 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) = 2.06, 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 Table step one to have an overview of the correlations amongst the standardized strategies. The brand new relational, top-notch and you may technical-relevant scales was basically correlated regarding the questioned recommendations. Especially, scores with the actual relationships and dealing alliance had been undoubtedly coordinated, and you may elite thinking-question and you will anxiety have been absolutely related to one another however, https://www.datingranking.net/local-hookup/charlotte/ adversely into stated operating alliance and genuine relationships, appearing you to practitioners that have low levels from elite notice-doubt and you may stress stated a stronger performing alliance and you will real dating through its online customers inside the pandemic. The fresh perceptions to the and intent to use movies therapy regarding upcoming was basically seriously of this product reviews of one’s operating alliance, and you will genuine dating, and negatively regarding professional care about-question and you can anxiety (find Desk step 1).
In the current mix-sectional survey study, we aimed to understand more about therapists’ knowledge away from videos cures after switching off for the-person to video sessions when you look at the pandemic. Far more particularly, we checked: 1) Counselor attitudes of one’s therapeutic relationships (doing work alliance and you can genuine matchmaking) in the films courses versus earlier in the day when you look at the-people treatment; 2) Specialist count on within the elite group proficiency (professional mind-doubt) and knowledgeable stress related to getting video clips cures; 3) Therapist thinking to your films cures tech overall, also intends to continue using video therapy throughout the upcoming.
To your expose try, the interior texture imagine try Cronbach’s ? = .86. To evaluate the fresh new experienced improvement in the true dating as the switch to video treatment, next item is additional: “Versus inside-person sessions, inside my online instructions the fresh new healing matchmaking felt … ” to be answered towards an excellent around three-area Likert scale (step one = a great deal more real than in-individual, dos = a comparable, 3 = less real compared to-person).
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).
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