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 notice-doubt and you may 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 step 1 getting an overview of this new correlations between the standard tips. The fresh relational, elite and technical-relevant balances was basically synchronised regarding questioned guidance. Especially, results toward real relationships and working alliance have been definitely correlated, and you will top-notch self-doubt and nervousness were definitely pertaining to one another but negatively into the stated working alliance and you can real matchmaking, showing one therapists with lower levels regarding top-notch mind-question and you will stress said a healthier working alliance and you can genuine dating along with their on the web people in pandemic. The fresh new thinking into and intent to utilize video therapy regarding coming had been surely of reviews of one’s operating alliance, and you may real matchmaking, and adversely linked to professional mind-doubt and you may anxiety (see Desk step one).
In the current mix-sectional survey investigation, we lined up to understand more about therapists’ skills of videos cures after switching away from in-individual clips training within the pandemic. A whole lot more particularly, i tested: 1) Counselor perceptions of your own healing dating (operating alliance and you may actual dating) within the films classes compared to previous from inside the-person treatment; 2) Specialist rely on from inside the top-notch ability (professional notice-doubt) and you can knowledgeable nervousness linked to getting video clips procedures; 3) Therapist attitudes toward videos treatment technical overall, including plans to continue using videos cures throughout the upcoming.
On the present sample, the inner consistency guess is Cronbach’s ? = .86. To evaluate the latest knowledgeable change in the actual relationship just best hookup apps for married like the change to movies treatment, the following goods try additional: “Than the for the-person sessions, inside my online coaching the fresh therapeutic relationships believed … ” as replied towards the an effective three-part Likert scale (step one = a whole lot more real compared to-individual, dos = an identical, step 3 = shorter authentic 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).
