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-doubt and you will anxiety

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 Table step 1 getting an overview of the brand new correlations between the standard methods. The new relational, professional and you may technology-relevant scales was indeed correlated from the asked recommendations. Especially, results into genuine relationship and dealing alliance was indeed certainly coordinated, and you can top-notch notice-doubt and you may nervousness was basically surely related to both but negatively for the stated working alliance and you may genuine matchmaking, proving one therapists that have lower levels away from top-notch self-doubt and you will nervousness stated a more powerful doing work alliance and you can actual relationships employing on the internet people inside pandemic. This new attitudes into the and purpose to make use of video clips cures from the future was surely with the product reviews of one’s functioning alliance, and you can genuine matchmaking, and you will adversely related to elite notice-question and you can anxiety (come across Desk 1).

In the present cross-sectional questionnaire study, i lined up to understand more about therapists’ feel out of clips treatment after switching regarding into the-individual clips coaching inside pandemic. Way more especially, we tested: 1) Specialist thinking of one’s therapeutic matchmaking best black hookup app (working alliance and you can actual dating) in the movies instruction as compared to previous in the-individual medication; 2) Counselor rely on from inside the professional proficiency (elite group mind-doubt) and you will educated anxiety connected with getting clips procedures; 3) Counselor attitudes to the video clips medication tech overall, and additionally intentions to continue using films procedures in the future.

To your expose sample, the inner feel imagine was Cronbach’s ? = .86. To assess the educated improvement in the actual dating while the switch to films procedures, the second product is actually additional: “Compared to when you look at the-people instruction, during my on the web sessions new therapeutic dating thought … ” as responded towards the good three-part Likert level (step 1 = significantly more real than in-individual, 2 = an equivalent, 3 = faster real than in-person).

Overall 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).