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 thinking-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).
See Table 1 having an overview of the fresh correlations amongst the standard actions. This new relational, professional and you will technical-relevant scales was in fact synchronised regarding asked recommendations. Especially, results on the actual dating and working alliance had been positively synchronised, and you will professional care about-question and anxiety was indeed surely about both but negatively into advertised functioning alliance and you will actual dating, demonstrating one therapists which have lower levels away from elite self-question and anxiety advertised a healthier doing work alliance and real matchmaking and their online clients into the pandemic. The brand new thinking to your and you will intention to use films treatment on the future had been surely of evaluations of your operating alliance, and you can real relationship, and you will negatively related to elite worry about-doubt and anxiety (find Desk 1).
In the modern cross-sectional survey investigation, i lined up to understand more about therapists’ experience out-of videos medication switching of during the-person to videos courses in pandemic. Significantly more especially, we tested: 1) Counselor attitudes of the healing matchmaking (operating alliance and genuine relationships) in films lessons compared to the early in the day for the-person therapy; 2) looking for hookup London Specialist depend on when you look at the elite competence (professional worry about-doubt) and you may educated anxiety associated with delivering clips therapy; 3) Specialist attitudes to your video procedures technology as a whole, including plans to continue using videos medication about future.
Into the expose shot, the interior consistency estimate try Cronbach’s ? = .86. To assess new educated change in the real relationships since switch to clips procedures, the following goods is actually added: “As compared to inside the-person sessions, during my online instructions the fresh new therapeutic dating noticed … ” to be replied on the an effective three-part Likert measure (step one = alot more real than in-people, dos = an identical, step 3 = faster real than in-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).