Measuring patient-provider trust in a primary care population: refinement of the health care relationship trust scale
Graduate School of Nursing; Department of Medicine
Health Psychology | Health Services Administration | Health Services Research | Nursing | Primary Care
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.
instrument development, primary care, trust
DOI of Published Version
Res Nurs Health. 2012 Aug;35(4):397-408. doi: 10.1002/nur.21484. Epub 2012 Apr 17. Link to article on publisher's site
Research in nursing and health
Bova, Carol A.; Seymour Route, Paulette; Fennie, Kristopher; Ettinger, Walter H.; Manchester, Gertrude W.; and Weinstein, Bruce, "Measuring patient-provider trust in a primary care population: refinement of the health care relationship trust scale" (2012). Graduate School of Nursing Publications and Presentations. 72.