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-doubt and you will 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).
Find Desk step one getting an introduction to brand new correlations between the standard actions. The brand new relational, top-notch and you may technology-associated scales was synchronised on asked direction. Particularly, score into the actual relationships and dealing alliance was indeed surely correlated, and you may elite mind-question and you may nervousness were certainly regarding one another but adversely towards the advertised functioning alliance and you can genuine relationship, indicating one to practitioners having low levels out of elite notice-question and you can nervousness claimed a healthier working alliance and you may genuine relationships with their on the internet clients within the pandemic. The brand new thinking to the and you can intent to make use of films medication throughout the future was seriously associated with the recommendations of working alliance, and genuine matchmaking, and adversely linked to professional mind-doubt and you may anxiety (find Table step 1).
In the present get across-sectional questionnaire research, we lined up to understand more about therapists’ experiences away from video clips medication after switching out-of in-individual videos instructions from inside the pandemic. A whole lot more especially, we checked: 1) Specialist thinking of your own therapeutic matchmaking (performing alliance and real dating) into the video instructions as compared to earlier in the day check out the post right here when you look at the-person procedures; 2) Therapist rely on in the top-notch ability (elite group worry about-doubt) and you will educated nervousness related to bringing films therapy; 3) Therapist perceptions towards films therapy technical overall, as well as intends to keep using videos therapy on upcoming.
To your establish take to, the internal feel guess are Cronbach’s ? = .86. To assess this new experienced change in the real matchmaking while the switch to films cures, the next item is actually added: “Compared to during the-person instructions, inside my on line lessons the brand new healing relationships experienced … ” are answered on the good about three-point Likert size (step one = a whole lot more genuine compared to-people, 2 = a comparable, 3 = quicker real compared to-person).
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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).