Perceptions towards the playing with movies medication and you may intent for action when you look at the the long term

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 worry about-question and you can nervousness

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).

Come across Desk step one to own an overview of this new correlations within standard procedures. New relational, professional and you may technical-associated scales was synchronised about questioned guidance. Particularly, ratings with the real matchmaking and dealing alliance have been absolutely synchronised, and you may top-notch care about-question and anxiety were seriously linked to each other however, adversely to the reported operating alliance and you may real relationships, demonstrating you to therapists which have lower levels from elite self-question and anxiety advertised a stronger working alliance and you can actual relationships with their online clients in pandemic. The brand new thinking into the and purpose to use video clips therapy regarding upcoming was seriously of product reviews of the working alliance, and you can genuine relationships, and negatively connected with elite thinking-question and you can nervousness (see Dining table step 1).

In the current get across-sectional questionnaire data, i aimed to understand more about therapists’ knowledge from videos procedures making the switch from into the-person to films instructions inside pandemic. A whole lot more specifically, i checked: 1) Specialist thinking of one’s healing relationships (working alliance and you can actual matchmaking) in the video courses versus early in the day during the-individual medication; 2) Therapist confidence from inside the top-notch competence (elite mind-doubt) and you may educated nervousness associated with delivering films procedures; 3) Specialist thinking on the videos medication technical overall, and additionally intentions to continue using clips treatment regarding future.

Toward expose sample, the internal texture imagine try Cronbach’s ? = .86. To assess this new educated change in the actual dating once the switch to clips cures, the second product is actually added: “Compared to the for the-individual sessions, in my on the internet training the newest healing relationships sensed … ” is responded toward a three-point Likert measure (1 = a lot more real than in-individual, dos = a similar, step 3 = shorter authentic compared to-person).

Results

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).