The health care relationship (HCR) trust scale: Development and psychometric evaluation
- 14 September 2006
- journal article
- research article
- Published by Wiley in Research in Nursing & Health
- Vol. 29 (5), 477-488
- https://doi.org/10.1002/nur.20158
Abstract
A sequential multi-method approach using focus groups, individual interviews, and quantitative instrument development procedures was used to develop and evaluate a scale to measure patient trust in health care providers (HCPs). The resulting 15-item Health Care Relationship (HCR) Trust Scale was tested for internal consistency, test–retest reliability, and construct validity. The Cronbach alphas were .92 (time 1) and .95 (time 2), respectively. Test–retest reliability was .59 (p < .01). The HCR Trust Scale did not correlate with the Marlowe–Crowne Social Desirability Scale (r = .20, p = .07) or the Rapid Estimate of Adult Literacy in Medicine scale (r = −.21, p = .13). Principal component factor analysis with varimax rotation revealed a three-factor solution that explained 69% of the estimated common variance in the HCR trust scale. Cronbach alphas for the 3 factors ranged from .81 to .89. Findings of this study support the use of the HCR Trust Scale for measuring trust in various HCPs by diverse patient populations. More work is needed to test the usefulness of the scale with a greater number of patients and in other chronic illness populations. © 2006 Wiley Periodicals, Inc. Res Nurs Health 29: 477–488, 2006Keywords
This publication has 27 references indexed in Scilit:
- Whatever happened to qualitative description?Research in Nursing & Health, 2000
- Trust Between Family and Health Care ProviderJournal of Family Nursing, 2000
- Patients’ trust in physicians: Many theories, few measures, and little dataJournal of General Internal Medicine, 2000
- Further Validation and Reliability Testing of the Trust in Physician ScaleMedical Care, 1999
- Measuring the stress associated with caring for clients with HIV/AIDSAIDS Care, 1999
- The Primary Care Assessment SurveyMedical Care, 1998
- A concept analysis of trustJournal of Advanced Nursing, 1996
- The MOS 36-ltem Short-Form Health Survey (SF-36): III. Tests of Data Quality, Scaling Assumptions, and Reliability Across Diverse Patient GroupsMedical Care, 1994
- An analysis of the concept of trustJournal of Advanced Nursing, 1984
- The CES-D ScaleApplied Psychological Measurement, 1977