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 mind-question and you can 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).
Discover Table step 1 to have an introduction to the fresh new correlations between your standard steps. The fresh relational, elite group and you can technical-related bills was in fact coordinated about questioned direction. Specifically, scores to the genuine matchmaking and working alliance have been certainly synchronised, and professional care about-doubt and you may nervousness had been surely associated with both but adversely towards said doing work alliance and you may actual relationship, exhibiting one practitioners with low levels of professional notice-doubt and you can anxiety said a more powerful performing alliance and you can real dating due to their on the web customers when you look at the pandemic. The perceptions to your and you can intent to use video clips medication throughout the coming were certainly of the evaluations of the functioning alliance, and you will genuine relationship, and you will negatively related to professional worry about-question and you may nervousness (look for Desk step 1).
In the modern cross-sectional survey study, i aligned to understand more about therapists’ experiences out of videos medication switching away from during the-person to videos courses inside the pandemic. A whole lot more particularly, we looked at: 1) Therapist perceptions of the therapeutic relationships (doing work alliance and you can actual relationship) during the movies instruction as compared to earlier during the-people medication; 2) Therapist confidence into the professional proficiency (professional care about-doubt) and you may educated anxiety about getting films therapy; 3) Therapist perceptions towards the clips treatment technology generally, including plans to continue using video cures on the future.
Toward establish Fort Wayne local hookup sites attempt, the interior structure imagine try Cronbach’s ? = .86. To assess brand new knowledgeable change in the actual matchmaking once the switch to video treatment, the following goods is actually added: “Than the from inside the-person courses, in my own online training the new healing relationship experienced … ” to get replied towards the an effective around three-area Likert size (1 = alot more authentic than in-people, 2 = the same, step 3 = reduced real compared to-person).
Efficiency
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).