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 group notice-doubt and you may 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).
See Dining table step 1 getting an introduction to brand new correlations between the standard steps. The new relational, elite and you will technical-associated bills have been coordinated throughout the requested recommendations. Particularly, results for the real relationship and dealing alliance was indeed definitely synchronised, and you may professional mind-question and you can nervousness was indeed positively associated with one another however, negatively on stated doing work alliance and you can actual matchmaking, exhibiting that practitioners that have low levels away from professional thinking-question and stress stated a more powerful working alliance and you can real relationships using their online clients inside pandemic. The new thinking into and you can purpose to use video procedures from the coming were definitely associated with reviews of your functioning alliance, and you will actual relationships, and adversely connected with elite worry about-question and you can anxiety (find Dining table 1).
In today’s mix-sectional survey analysis, we aligned to understand more about therapists’ experience out-of videos therapy switching away from when you look at the-individual movies coaching in the pandemic. Significantly more particularly, i tested: 1) Specialist perceptions of the healing relationships (functioning alliance and you will actual matchmaking) in videos courses versus previous inside-people therapy; 2) Counselor depend on inside top-notch ability (top-notch notice-doubt) and you will knowledgeable nervousness regarding getting video clips treatment; 3) Therapist thinking into video therapy tech generally, including plans to keep using video therapy on future.
Towards the present test, the inner surface imagine was Cronbach’s ? = .86. To evaluate the experienced improvement in the genuine relationship once the switch to video clips treatment, the hookup bars near me Brighton following goods try extra: “Compared to the when you look at the-people classes, in my own on line classes this new therapeutic dating experienced … ” to get answered into the a beneficial three-area Likert measure (step one = far more authentic compared to-people, 2 = an identical, 3 = reduced real compared to-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).