Psychotherapists’ Acceptance of Telepsychotherapy: A Machine Learning Approach

Introduction Therapists’ forced transition to provide psychotherapy remotely during the COVID-19 pandemic offers a unique opportunity to examine therapists’ views and challenges with teletherapy. Objectives We aimed to develop predictive models of three aspects of psychotherapists’ acceptance of t...

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Main Authors: V. Békés, K. Aafjes-Van Doorn, S. Zilcha-Mano, T. Prout, L. Hoffman
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933822004473/type/journal_article
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author V. Békés
K. Aafjes-Van Doorn
S. Zilcha-Mano
T. Prout
L. Hoffman
author_facet V. Békés
K. Aafjes-Van Doorn
S. Zilcha-Mano
T. Prout
L. Hoffman
author_sort V. Békés
collection DOAJ
description Introduction Therapists’ forced transition to provide psychotherapy remotely during the COVID-19 pandemic offers a unique opportunity to examine therapists’ views and challenges with teletherapy. Objectives We aimed to develop predictive models of three aspects of psychotherapists’ acceptance of teletherapy during the COVID-19 pandemic; attitudes towards teletherapy, concerns about using teletherapy, and intention to use it in the future. Methods In an international survey, therapists (N = 795) completed a survey about their experiences during the pandemic, including quality of therapeutic relationship, professional self-doubt, vicarious trauma, and telepsychotherapy acceptance. Regression decision trees machine learning analyses were used to build prediction models for each aspects of telepsychotherapy acceptance. Results Attitudes toward telepsychotherapy were most positive for therapists who reported neutral or strong online working alliance, especially if they experienced little professional self-doubt and were younger than 40 years old. Therapists who were most concerned about telepsychotherapy, were those who reported higher levels of professional self-doubt, particularly if they also reported vicarious trauma experiences. Therapists who reported low working alliance were the least likely to use telepsychotherapy in the future. Conclusions Therapists’ professional self-doubt and the quality of their working alliance with their telepsychotherapy patients appear to be the most pertinent factors associated with therapists’ acceptance of telepsychotherapy during COVID-19, and should be addressed in future training and research. Disclosure No significant relationships.
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spelling doaj.art-03b0cfd33e854850ab07f0d93bf86d5d2023-11-17T05:05:15ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S168S16810.1192/j.eurpsy.2022.447Psychotherapists’ Acceptance of Telepsychotherapy: A Machine Learning ApproachV. Békés0K. Aafjes-Van Doorn1S. Zilcha-Mano2T. Prout3L. Hoffman4Yeshiva University, Ferkauf Graduate School Of Psychology, Bronx, United States of AmericaYeshiva University, Ferkauf Graduate School Of Psychology, Bronx, United States of AmericaUniversity of Haifa, Department Of Psychology, Haifa, IsraelYeshiva University, Ferkauf Graduate School Of Psychology, Bronx, United States of AmericaNew York Psychoanalytic Institute, N/a, New York, United States of America Introduction Therapists’ forced transition to provide psychotherapy remotely during the COVID-19 pandemic offers a unique opportunity to examine therapists’ views and challenges with teletherapy. Objectives We aimed to develop predictive models of three aspects of psychotherapists’ acceptance of teletherapy during the COVID-19 pandemic; attitudes towards teletherapy, concerns about using teletherapy, and intention to use it in the future. Methods In an international survey, therapists (N = 795) completed a survey about their experiences during the pandemic, including quality of therapeutic relationship, professional self-doubt, vicarious trauma, and telepsychotherapy acceptance. Regression decision trees machine learning analyses were used to build prediction models for each aspects of telepsychotherapy acceptance. Results Attitudes toward telepsychotherapy were most positive for therapists who reported neutral or strong online working alliance, especially if they experienced little professional self-doubt and were younger than 40 years old. Therapists who were most concerned about telepsychotherapy, were those who reported higher levels of professional self-doubt, particularly if they also reported vicarious trauma experiences. Therapists who reported low working alliance were the least likely to use telepsychotherapy in the future. Conclusions Therapists’ professional self-doubt and the quality of their working alliance with their telepsychotherapy patients appear to be the most pertinent factors associated with therapists’ acceptance of telepsychotherapy during COVID-19, and should be addressed in future training and research. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822004473/type/journal_articleCovid-19Telepsychotherapyattitudesmachine learning
spellingShingle V. Békés
K. Aafjes-Van Doorn
S. Zilcha-Mano
T. Prout
L. Hoffman
Psychotherapists’ Acceptance of Telepsychotherapy: A Machine Learning Approach
European Psychiatry
Covid-19
Telepsychotherapy
attitudes
machine learning
title Psychotherapists’ Acceptance of Telepsychotherapy: A Machine Learning Approach
title_full Psychotherapists’ Acceptance of Telepsychotherapy: A Machine Learning Approach
title_fullStr Psychotherapists’ Acceptance of Telepsychotherapy: A Machine Learning Approach
title_full_unstemmed Psychotherapists’ Acceptance of Telepsychotherapy: A Machine Learning Approach
title_short Psychotherapists’ Acceptance of Telepsychotherapy: A Machine Learning Approach
title_sort psychotherapists acceptance of telepsychotherapy a machine learning approach
topic Covid-19
Telepsychotherapy
attitudes
machine learning
url https://www.cambridge.org/core/product/identifier/S0924933822004473/type/journal_article
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AT szilchamano psychotherapistsacceptanceoftelepsychotherapyamachinelearningapproach
AT tprout psychotherapistsacceptanceoftelepsychotherapyamachinelearningapproach
AT lhoffman psychotherapistsacceptanceoftelepsychotherapyamachinelearningapproach