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Accepted for/Published in: Journal of Medical Internet Research

Date Submitted: Sep 25, 2024
Open Peer Review Period: Sep 30, 2024 - Nov 25, 2024
Date Accepted: Feb 19, 2025
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

Exploring Technical Features to Enhance Control in Videoconferencing Psychotherapy: Quantitative Study on Clinicians’ Perspectives

Cataldo F, Chang S, Mendoza A, Buchanan G, Van Dam N

Exploring Technical Features to Enhance Control in Videoconferencing Psychotherapy: Quantitative Study on Clinicians’ Perspectives

J Med Internet Res 2025;27:e66904

DOI: 10.2196/66904

PMID: 40168042

PMCID: 12000784

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

A quantitative study on Videoconferencing Psychotherapy: the more control clinicians want, the more features they need.

  • Francesco Cataldo; 
  • Shanton Chang; 
  • Antonette Mendoza; 
  • Geroge Buchanan; 
  • Nicholas Van Dam

ABSTRACT

Background:

Covid-19 forced psychologists and other mental health professionals to use videoconference platforms. Previous research highlights therapists’ hesitation towards adopting the medium since they find it hard to establish control over Videoconference Psychotherapy.

Objective:

This study aims to investigate whether the introduction of new technical features might improve clinicians’ control over Videoconference Psychotherapy

Methods:

In total, 121 mental health professionals responded to our survey, but only 86 participants provided complete data. We used Exploratory Factor Analysis to scrutinise the data collected. Three factors were identified: Challenges in providing Videoconference Psychotherapy, Features to enhance Therapeutic Relationship and Enhancing Control. Path analysis was used to observe the relationship between factors on their own and with adjustment to participants’ areas of expertise and year in practice.

Results:

This study highlighted a relationship between the three factors identified. It emerges that the introduction of features reduces therapists’ challenges in the provision of Videoconferencing Psychotherapy. Moreover, the additional features help therapists to enhance control over their Videoconference Psychotherapy sessions.

Conclusions:

This study has shown how by augmenting therapists’ control over their Videoconference Psychotherapy, clinicians would be able to impact patients’ reality, and facilitate successful therapy outcomes. Moreover, this study confirms the Video as a third agent which prevents therapists from influencing clients’ reality due to technical and relational limits. Additionally, this study supports the General System Theory which permitted to incorporate the Video in our exploration and to explain its agency in Videoconference psychotherapy.


 Citation

Please cite as:

Cataldo F, Chang S, Mendoza A, Buchanan G, Van Dam N

Exploring Technical Features to Enhance Control in Videoconferencing Psychotherapy: Quantitative Study on Clinicians’ Perspectives

J Med Internet Res 2025;27:e66904

DOI: 10.2196/66904

PMID: 40168042

PMCID: 12000784

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