Creation and Validation of a Scale to Measure the Reluctance to Video Record Individual Dialectical Behavior Therapy (DBT) sessions

Abstract

This study created a scale, using exploratory factor analysis (EFA), to examine the reluctance to video record individual Dialectical Behavior Therapy (DBT) sessions. The purpose of this study was to investigate the reluctance of DBT providers to video record individual DBT sessions. Certified DBT providers in the state of Minnesota (N = 286) were surveyed. The response rate was 65%, with n = 186 individuals responding. The 29-item survey consisted of a 21-item scale assessing reluctance to video record DBT sessions, 7 clinician characteristics, and 1 qualitative question. The qualitative question asked: What additional factors, if any, contribute to your reluctance to video record DBT sessions? Data was analyzed using EFA; principal components analysis using an orthogonal rotation resulted in the identification of four factors, comprised of 18 observed variables. One factor and five observed variables were dropped due to problems with internal consistency and poor factor loadings. The final scale resulted in three factors, comprised of 16 observed variables, accounting for 40.40% of the cumulative variance. The three factors were: Clinicians’ Self-Image Concerns, Motivation Concerns, and Client Privacy Concerns. For the clinician characteristics, MANOVA tests were conducted to assess the effects on the identified scales. Each participant received a score on each of the three respective scales where the scale score was an average of the participant’s responses to the observed variables that comprised a particular scale. Higher scores on a scale were indicative of more reluctance to video record sessions with respect to the concerns or issues represented by the items that comprised a particular scale. Results of the MANOVA indicated two clinician characteristics yielded statistically significant mean differences. One of the two statistically significant clinician characteristics was: Have you previously recorded your individual DBT sessions? T-tests indicated statistically significant differences between means for the Clinicians’ Self-Image scale, [t(184) = 3.88, p < .001], and the Client Privacy Concerns scale, [t(184) = 3.43, p < .001]. Specifically, both scales resulted in higher means for individuals who had not previously video recorded individual DBT therapy sessions. The second clinician characteristic was: With what frequency do you currently video record your individual DBT sessions? T-tests resulted in statistically significant differences between means for the first scale [t(184) = -2.80, p = .006], Clinician’s Self-Image Concerns. Specifically, the scale mean was higher for participants who video recorded DBT sessions less than 20 percent of the time. Qualitative data provided supplemental information about additional factors contributing to the reluctance to video record DBT sessions, including time, technology, and cost of video recording equipment. Recommendations and results are discussed in the context of existing literature, future areas of research, and contributions of this study to the field of counseling.