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 thinking-doubt and you will 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).

Discover Dining table 1 to possess an introduction to the correlations amongst the standardized methods. The fresh relational, top-notch and you will technology-related bills were synchronised from the asked guidelines. Specifically, anonymous hookup Jacksonville results toward real relationship and working alliance had been undoubtedly synchronised, and you may professional thinking-question and stress was indeed positively associated with both however, adversely into advertised performing alliance and you can genuine relationship, demonstrating that therapists with low levels from elite group care about-doubt and anxiety claimed a healthier performing alliance and you will genuine dating with regards to online clients within the pandemic. The fresh new perceptions into the and you can purpose to utilize movies procedures in the coming were surely on the critiques of the performing alliance, and you can genuine dating, and you can negatively regarding elite notice-doubt and you can anxiety (come across Dining table step one).

In the present mix-sectional questionnaire research, i aligned to understand more about therapists’ knowledge regarding video treatment making the switch out of within the-person to video lessons during the pandemic. Alot more especially, we looked at: 1) Counselor perceptions of your healing relationships (working alliance and you can actual relationship) in the clips instructions compared to previous during the-individual medication; 2) Therapist trust from inside the professional ability (elite worry about-doubt) and you will experienced stress regarding providing videos medication; 3) Counselor perceptions on videos medication tech overall, including intentions to continue using video clips therapy in the upcoming.

To your expose attempt, the internal feel guess are Cronbach’s ? = .86. To evaluate the brand new experienced change in the real dating given that change to video clips procedures, the following item try extra: “Than the during the-person sessions, within my on the web training the newest therapeutic relationship thought … ” to-be responded towards the a beneficial around three-area Likert size (step 1 = significantly more genuine than in-person, 2 = a similar, step 3 = smaller authentic 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).