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.

Top-notch notice-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: find men seeking women hookup 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).

Select Desk 1 for an introduction to the fresh correlations involving the standardized methods. The relational, professional and tech-associated bills had been synchronised on the expected assistance. Specifically, ratings toward actual relationship and dealing alliance have been surely synchronised, and you will elite care about-question and stress was undoubtedly pertaining to both but adversely towards the stated working alliance and you will actual relationship, showing one to therapists that have low levels out of professional thinking-doubt and you may nervousness reported a stronger performing alliance and you can genuine relationship along with their on line patients during the pandemic. The fresh thinking into and you may intent to use films treatment about coming were positively for the recommendations of performing alliance, and you can genuine relationships, and negatively linked to top-notch mind-question and you may nervousness (get a hold of Table step 1).

In the current get across-sectional questionnaire data, we aimed to understand more about therapists’ enjoy from videos therapy making the switch of when you look at the-person to movies classes for the pandemic. Much more especially, i looked at: 1) Specialist attitudes of therapeutic dating (operating alliance and actual matchmaking) within the videos coaching compared to early in the day inside the-person therapy; 2) Specialist trust into the top-notch competence (top-notch notice-doubt) and you can experienced stress connected with delivering video medication; 3) Therapist thinking with the videos therapy technology in general, in addition to plans to keep using films therapy on the upcoming.

Into establish test, the inner surface estimate are Cronbach’s ? = .86. To evaluate the fresh new knowledgeable improvement in the real matchmaking given that switch to video therapy, the second item try added: “As compared to from inside the-people lessons, in my online lessons the healing matchmaking experienced … ” is replied into the a great around three-part Likert size (step 1 = so much more genuine than in-individual, dos = a comparable, step 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).