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.
Elite worry about-doubt and you can anxiety
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).
Pick Desk step 1 getting an overview of brand new correlations involving the standard steps. This https://hookupranking.com/ new relational, top-notch and tech-relevant balances was basically coordinated throughout the requested advice. Specifically, score into the genuine relationship and dealing alliance have been certainly coordinated, and you can professional thinking-question and you can stress have been certainly related to each other however, negatively into claimed working alliance and real relationships, proving one practitioners having low levels off top-notch self-doubt and you can anxiety stated a more powerful operating alliance and you will actual dating the help of its online people from inside the pandemic. Brand new perceptions into the and purpose to use video clips therapy regarding the upcoming had been surely of this critiques of the operating alliance, and you can actual matchmaking, and adversely about elite group care about-question and you may nervousness (look for Table 1).
In today’s mix-sectional survey data, i aligned to explore therapists’ event off video therapy making the switch off when you look at the-person to videos courses when you look at the pandemic. Significantly more specifically, we checked: 1) Therapist perceptions of your healing relationship (operating alliance and you can genuine matchmaking) for the movies training than the previous from inside the-person therapy; 2) Therapist trust within the elite proficiency (top-notch thinking-doubt) and you can knowledgeable anxiety connected with delivering videos cures; 3) Counselor attitudes to the video clips treatment technology in general, also intentions to keep using films procedures throughout the coming.
On the expose try, the internal surface imagine are Cronbach’s ? = .86. To assess the knowledgeable change in the genuine relationships given that change to videos medication, another items try additional: “Compared to the when you look at the-people instructions, within my online training the newest healing relationship believed … ” to get responded towards the an excellent around three-part Likert size (step one = a lot more authentic than in-people, dos = an identical, step 3 = reduced authentic compared to-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).