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 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).
See Table step most popular hookup apps Green Bay 1 having an introduction to brand new correlations between the standard methods. This new relational, top-notch and technical-related bills was synchronised in the expected assistance. Specifically, ratings towards the real dating and working alliance was in fact absolutely coordinated, and elite group mind-doubt and you may nervousness have been seriously associated with one another however, adversely towards the reported doing work alliance and you will actual relationships, showing that practitioners with lower levels from top-notch notice-question and you will nervousness advertised a healthier working alliance and you may real matchmaking with the on the internet clients when you look at the pandemic. New attitudes towards and you will intention to utilize video clips therapy on coming was in fact absolutely associated with ratings of your own doing work alliance, and you can actual matchmaking, and you will negatively regarding elite care about-question and you may stress (see Desk 1).
In the modern mix-sectional survey analysis, we lined up to explore therapists‘ enjoy out of movies therapy making the switch away from for the-person to videos courses into the pandemic. So much more especially, we looked at: 1) Specialist attitudes of your own healing matchmaking (functioning alliance and you may real dating) in the video coaching as compared to earlier into the-people procedures; 2) Counselor trust in top-notch ability (elite notice-doubt) and you can experienced anxiety connected with getting videos medication; 3) Counselor attitudes on the videos medication technology as a whole, and intends to keep using clips treatment in the future.
Towards establish try, the internal feel guess is actually Cronbach’s ? = .86. To evaluate the brand new knowledgeable improvement in the true relationship since switch to videos cures, the second items are extra: “Versus for the-people classes, in my own on the web training the fresh new therapeutic relationships believed … ” to be answered towards a beneficial around three-area Likert level (1 = far more authentic compared to-person, dos = the same, step three = faster genuine than in-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).