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 self-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 having an overview of the correlations between your standardized actions. The new relational, elite group and technology-related scales was indeed correlated on asked guidance. Particularly, ratings toward actual relationship and working alliance was undoubtedly coordinated, and you can elite notice-doubt and you may anxiety was basically surely about one another but adversely toward said operating alliance and you will genuine dating, proving that practitioners which have lower levels out of elite group care about-doubt and you will stress said a stronger operating alliance and real dating through its on line people inside the pandemic. The latest attitudes into the and intent to make use of video clips procedures regarding the upcoming were undoubtedly for the ratings of the working alliance, and real relationship, and you can adversely related to elite group self-question Memphis hookup sites and you will stress (get a hold of Dining table step 1).

In the present cross-sectional survey studies, i lined up to understand more about therapists’ knowledge regarding video clips cures making the switch out-of within the-individual videos lessons inside the pandemic. A lot more specifically, i looked at: 1) Counselor perceptions of the healing matchmaking (functioning alliance and you will actual relationships) in videos training versus earlier in the day from inside the-individual cures; 2) Counselor rely on during the elite group skills (elite care about-doubt) and you can knowledgeable nervousness linked to delivering films therapy; 3) Counselor thinking on video treatment technical in general, and additionally intentions to keep using movies cures from the upcoming.

Towards establish decide to try, the internal structure estimate try Cronbach’s ? = .86. To assess the knowledgeable improvement in the true relationships while the change to films cures, the next items is actually additional: “Versus into the-person instructions, in my own on line sessions new therapeutic relationship considered … ” to-be responded toward good about three-area Likert size (step 1 = alot more genuine compared to-individual, 2 = an equivalent, step three = less authentic than in-person).

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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).