Thinking on the having fun with video medication and you can intention for action during the the future
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 notice-question 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., https://hookupranking.com/gay-hookup-apps/ 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).
Pick Table step one having an introduction to the brand new correlations between the standardized measures. Brand new relational, professional and technology-associated balances was in fact correlated in the requested assistance. Particularly, results on the real matchmaking and dealing alliance was basically certainly coordinated, and elite group self-doubt and you may nervousness was undoubtedly pertaining to one another but adversely towards the stated operating alliance and you may real matchmaking, indicating you to therapists which have low levels out of professional notice-question and you can nervousness reported a stronger operating alliance and real matchmaking employing on the web people in the pandemic. The latest thinking into the and intention to use clips procedures regarding the future was basically absolutely on the product reviews of your performing alliance, and you may actual relationship, and you may adversely linked to elite group mind-question and you can nervousness (get a hold of Dining table step one).
In today’s cross-sectional survey data, i aligned to understand more about therapists’ knowledge from videos treatment switching from inside-individual movies instruction into the pandemic. Alot more particularly, i checked out: 1) Counselor thinking of the healing relationships (doing work alliance and you can genuine matchmaking) inside the clips coaching versus previous when you look at the-people medication; 2) Counselor count on inside the elite competence (elite group worry about-doubt) and you will experienced anxiety pertaining to delivering video clips cures; 3) Therapist attitudes towards the video cures tech as a whole, plus intends to continue using video clips treatment throughout the future.
Towards expose test, the internal structure guess was Cronbach’s ? = .86. To assess the new experienced change in the real relationships given that change to clips therapy, the following goods try extra: “Compared to the in-people lessons, within my on the web training the fresh new therapeutic matchmaking sensed … ” is responded toward a great about three-part Likert level (step 1 = much more authentic than in-person, dos = the same, 3 = reduced authentic compared to-person).
Performance
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).