Measuring patient-provider trust in a primary care population: refinement of the health care relationship trust scale |
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Authors: | Bova Carol Route Paulette Seymour Fennie Kristopher Ettinger Walter Manchester Gertrude W Weinstein Bruce |
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Affiliation: | University of Massachusetts Medical School, Graduate School of Nursing, 55 Lake Avenue North, Worcester, MA 01655, USA. |
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Abstract: | Accurately measuring trust between patients and health care providers is important because low patient-provider trust can lead to poor treatment adherence and negative health outcomes. To measure patient-provider trust, we developed the Health Care Relationship (HCR) Trust scale. Findings from our initial use of the scale suggested the need to examine the scale's psychometric performance in a larger sample of adults with various chronic health conditions. We therefore examined the psychometric properties of the HCR Trust Scale in a random sample of adult primary care patients. Thirteen of the original 15 items fit the data best; a single-factor structure explained 67% of the variance in patient-provider trust. The Cronbach's alpha for the 13-item HCR Trust Scale-Revised was .96. |
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Keywords: | instrument development primary care trust |
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