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 will stress
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 Table 1 to possess an overview of this new correlations within standardized methods. The new relational, elite group and you will technology-related scales was synchronised about expected assistance. Especially, scores into actual relationships and working alliance was absolutely synchronised, and you may top-notch self-question and you can anxiety have been absolutely about each other but adversely with the said working alliance and you will actual dating, proving you to definitely practitioners which have lower levels away from professional mind-question and you will anxiety advertised a healthier doing work alliance and you can genuine dating with regards to on line customers into the pandemic. This new perceptions toward and you may intention to use films treatment throughout the future were undoubtedly of recommendations of the functioning alliance, and you will real relationship, and you may negatively pertaining to elite notice-doubt and you can anxiety (pick Dining table step 1).
In the present get across-sectional questionnaire investigation, we lined up to understand more about therapists’ skills regarding movies therapy after switching out-of into the-person to movies training within the pandemic. Alot more especially, we checked: 1) Specialist attitudes of the therapeutic relationship (operating alliance and you will actual relationships) within the movies instruction than the past from inside the-person procedures; 2) local hookup app Canberra Counselor count on during the elite group proficiency (elite group notice-doubt) and knowledgeable nervousness about providing movies procedures; 3) Therapist attitudes to your videos therapy technical generally speaking, along with intends to continue using movies medication on the future.
Into the expose shot, the interior consistency estimate is Cronbach’s ? = .86. To evaluate the fresh new experienced change in the genuine relationship as the switch to video clips medication, next item is actually added: “Compared to in-individual instructions, within my online training the fresh new healing dating thought … ” as answered to your an excellent around three-part Likert size (1 = alot more genuine compared to-individual, 2 = an identical, step three = quicker genuine 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).