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 mind-doubt 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 https://hookupranking.com/black-hookup-apps/ 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 having an introduction to the newest correlations between your standard steps. The latest relational, elite and you may tech-relevant balances have been synchronised regarding the requested guidance. Particularly, ratings on the actual matchmaking and working alliance had been positively correlated, and elite care about-doubt and you may stress had been positively linked to both but adversely with the claimed doing work alliance and you will genuine relationship, appearing that practitioners that have lower levels regarding elite care about-question and you may anxiety reported a stronger working alliance and you may genuine dating due to their on the web clients for the pandemic. Brand new attitudes toward and you can purpose to utilize video clips cures regarding upcoming were seriously in the studies of doing work alliance, and actual dating, and adversely related to top-notch notice-question and you may stress (find Dining table 1).
In the present mix-sectional questionnaire data, i lined up to understand more about therapists’ event out of videos procedures making the switch away from for the-person to clips classes inside the pandemic. A whole lot more particularly, i checked: 1) Specialist perceptions of therapeutic relationships (operating alliance and you may real matchmaking) inside videos instructions compared to prior in-person procedures; 2) Therapist confidence from inside the elite group skills (elite group care about-doubt) and you may knowledgeable nervousness pertaining to getting video medication; 3) Therapist perceptions towards video procedures tech as a whole, and intends to continue using clips therapy from the coming.
Into introduce take to, the internal texture estimate try Cronbach’s ? = .86. To assess the latest experienced change in the real dating while the change to video clips cures, next product was extra: “Compared to from inside the-people sessions, in my on the web sessions new healing relationship believed … ” to-be answered towards the an effective about three-part Likert measure (step 1 = so much more authentic compared to-individual, dos = the same, 3 = shorter real than in-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).