{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T14:50:25Z","timestamp":1785855025960,"version":"3.56.0"},"reference-count":76,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Internet Res"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The COVID-19 pandemic required psychologists and other mental health professionals to use videoconferencing platforms. Previous research has highlighted therapists\u2019 hesitation toward adopting the medium since they find it hard to establish control over videoconferencing psychotherapy (VCP). An earlier study provided a set of potential features that may help enhance psychologists\u2019 control in their videoconference sessions, such as screen control functionality, emergency call functionality, eye contact functionality, zooming in and out functionality, and an interactive interface with other apps and software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to investigate whether introducing technical features might improve clinicians\u2019 control over their video sessions. Additionally, it seeks to understand the role of the video in therapists\u2019 VCP experience from a technical and relationship point of view.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 121 mental health professionals responded to the survey, but only 86 participants provided complete data. Exploratory Factor Analysis was used to scrutinize the data collected. A total of three factors were identified: (1) \u201cchallenges in providing VCP,\u201d (2) \u201cfeatures to enhance the therapeutic relationship,\u201d and (3) \u201cenhancing control.\u201d Path analysis was used to observe the relationship between factors on their own and with adjustment to participants\u2019 areas of expertise and year in practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>This study highlighted a relationship between the three identified factors. It was found that introducing certain features reduced therapists' challenges in the provision of VCP. Moreover, the additional features provided therapists with enhanced control over their VCP sessions. A path analysis was conducted to investigate the relationships between the factors loaded. The results of the analysis revealed a significant relationship between \u201cchallenges in VCP\u201d and \u201cfeatures to enhance the therapeutic relationship\u201d (adjusted beta [Adj\u03b2]=\u20130.54, 95% CI 0.29-0.79; P&lt;.001). Additionally, a significant positive relationship was found between \u201cfeatures to enhance the therapeutic relationship\u201d and \u201cenhancing control\u201d (Adj\u03b2=0.25, 95% CI 0.15-0.35; P&lt;.001). Furthermore, there was an indirect effect of \u201cchallenges in providing VCP\u201d on \u201cenhancing control\u201d (Adj\u03b2=0.13, 95% CI 0.05-0.22; P=.001) mediated by \u201cfeatures to enhance TR.\u201d The analysis identified the factor \u201cfeatures to enhance TR\u201d (effect size=0.25) as key for improving clinicians\u2019 performance and control.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study demonstrates that technology may help improve therapists\u2019 VCP experiences by implementing features that respond to their need for enhanced control. By augmenting therapists\u2019 control, clinicians can effectively serve their patients and facilitate successful therapy outcomes. Moreover, this study confirms the video as a third agent that prevents therapists from affecting clients\u2019 reality due to technical and relational limits. Additionally, this study supports the general system theory, which allowed for the incorporation of video in our exploration and helped explain its agency in VCP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/66904","type":"journal-article","created":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T05:45:06Z","timestamp":1739943906000},"page":"e66904","source":"Crossref","is-referenced-by-count":2,"title":["Exploring Technical Features to Enhance Control in Videoconferencing Psychotherapy: Quantitative Study on Clinicians\u2019 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