title: Measuring patient-provider trust in a primary care population: refinement of the health care relationship trust scale.
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.
authors.affiliation: University of Massachusetts Medical School, Graduate School of Nursing, 55 Lake Avenue North, Worcester, MA 01655, USA.
authors.forename: Carol
authors.initials: C
authors.lastname: Bova
authors.forename: Paulette Seymour
authors.initials: PS
authors.lastname: Route
authors.forename: Kristopher
authors.initials: K
authors.lastname: Fennie
authors.forename: Walter
authors.initials: W
authors.lastname: Ettinger
authors.forename: Gertrude W
authors.initials: GW
authors.lastname: Manchester
authors.forename: Bruce
authors.initials: B
authors.lastname: Weinstein
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D005163:Factor Analysis, Statistical; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D010817:Physician-Patient Relations; D011320:Primary Health Care / Q000706:statistics & numerical data; D011581:Psychological Tests / Q000592:standards; D011594:Psychometrics; D044469:Racial Groups / Q000523:psychology / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D012737:Sex Factors; D011795:Surveys and Questionnaires / Q000592:standards*; D035502:Trust / Q000523:psychology*; D055815:Young Adult