Perceptions to the playing with video treatment and you will purpose for action when you look at the the long run
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 self-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).
Find Dining table step 1 getting an overview of the brand new correlations involving the standard procedures. The relational, elite and you will technical-related balances was basically correlated in the asked advice. Specifically, results to your actual relationship and dealing alliance was basically absolutely coordinated, and you can professional thinking-doubt and you will anxiety had been certainly pertaining to one another but adversely into the advertised functioning alliance and you can genuine dating, exhibiting that practitioners with low levels out-of professional care about-doubt and you will stress stated a more powerful operating alliance and actual relationship the help of its on the internet patients from inside the pandemic. The latest attitudes into the and you can purpose to use films procedures on the future have been surely regarding the product reviews of your own doing work alliance, and you may actual relationship, and you may adversely regarding top-notch self-doubt and you can anxiety (find Dining table step 1).
In the modern get across-sectional survey investigation, i lined up to explore therapists’ enjoy regarding video treatment making the switch from from inside the-person to videos coaching in pandemic. Far more specifically, we checked: 1) Therapist attitudes of your healing relationship (performing alliance and real matchmaking) in films coaching compared to the earlier into the-individual medication; 2) Counselor count on in the professional skills (top-notch self-doubt) and you can experienced anxiety associated with delivering films cures; 3) Specialist perceptions toward movies medication tech in general, in addition to intends to keep using best married hookup apps video procedures regarding the upcoming.
Into the present attempt, the internal feel guess is actually Cronbach’s ? = .86. To assess new educated change in the actual relationships because the change to video clips medication, the second item are added: “Compared to from inside the-people courses, during my on the web training the fresh new healing relationship experienced … ” becoming replied into an excellent about three-point Likert level (step one = a whole lot more real compared to-individual, dos = a comparable, step three = less 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).