Nonverbal immediacy cues and impression formation in video therapy

ABSTRACT The increased use of video-mediated communication (VMC) due to the COVID-19 pandemic has led to widespread acceptance of mediated healthcare appointments. Mental health care is one area in which researchers might examine the effects of VMC. Therefore, the current study employed an experiment to test the relative influence of video therapists’ eye contact and gesture on a patient. Each participant was assigned to one of the four possible video conditions using a 2 (Gestures present versus absent) x 2 (Eye contact present versus absent) factorial design. Study participants (n= 359) rated actors portraying themselves as video therapists on items related to impression formation (i.e. likable, warm, understanding). Findings suggest that participants in the eye contact condition reported more positive impressions than in the no eye contact condition. Similarly, participants in the gesture condition reported more positive impressions than in the no gesture condition. However, gestures had a larger effect on impression formation than eye contact, and there was no interaction effect considering the combined impact of gestures and eye contact. These results contribute to understanding how nonverbal cues impact health outcomes in VMC. .