An explanatory sequential investigation of the working alliance as a change process in videoconferencing psychotherapy

Objectives and Design Debate exists as to patient experience, the importance, of working alliance (WA) in videoconferencing psychotherapy (VCP). This study used a two-phase explanatory sequential design investigate WA change process VCP. Methods Phase I: sessional VCP outcome data were analysed using multilevel modelling (n = 46). II: participants 12) from I recruited semi-structured interviews, thematic framework analysis. Results Conclusions demonstrate: (1) significant correlation between (F(1, 15.19) 25.01, p < 0.001), (2) previous session significantly predicted next 355.61) 4.47, 0.05), (3) 55.3) 15.19, with three core themes explaining experience (engaging medium, connection therapist, via medium). are discussed future research recommended.