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 notice-question and 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).
Look for Dining table 1 getting an overview of brand new correlations involving the standard actions. The fresh relational, professional and you will tech-related scales was indeed coordinated on the requested guidance. Specifically, score to the actual relationships and dealing alliance was indeed surely correlated, and you can top-notch self-question and you may nervousness was in fact undoubtedly related to both however, negatively towards the claimed working alliance and real dating, showing you to therapists with low levels out of professional thinking-question and anxiety stated a more powerful working alliance and genuine dating the help of its online clients for the pandemic. Brand new thinking https://datingranking.net/local-hookup/wichita/ with the and you can intent to make use of films therapy from the upcoming was basically surely associated with analysis of the operating alliance, and you may real relationship, and negatively connected with elite worry about-question and you will stress (come across Dining table 1).
In today’s get across-sectional questionnaire analysis, we aligned to understand more about therapists’ knowledge out of video clips treatment making the switch from into the-individual clips sessions into the pandemic. Way more particularly, we tested: 1) Counselor thinking of one’s healing matchmaking (functioning alliance and you may genuine relationships) during the video clips courses as compared to earlier within the-person procedures; 2) Therapist depend on within the elite proficiency (top-notch notice-doubt) and you will knowledgeable nervousness connected with delivering movies procedures; 3) Specialist perceptions with the clips medication tech as a whole, along with plans to keep using videos procedures regarding future.
On expose shot, the inner surface imagine is actually Cronbach’s ? = .86. To evaluate the fresh new educated improvement in the true dating just like the change to movies cures, another item are extra: “As compared to inside the-person instructions, in my own on the web sessions this new healing dating experienced … ” as responded towards an excellent three-point Likert size (step 1 = a great deal more authentic compared to-person, dos = an identical, 3 = reduced 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).