The health care relationship (HCR) trust scale: Development and psychometric evaluation†
Version of Record online: 14 SEP 2006
Copyright © 2006 Wiley Periodicals, Inc.
Research in Nursing & Health
Volume 29, Issue 5, pages 477–488, October 2006
How to Cite
Bova, C., Fennie, K. P., Watrous, E., Dieckhaus, K. and Williams, A. B. (2006), The health care relationship (HCR) trust scale: Development and psychometric evaluation. Res. Nurs. Health, 29: 477–488. doi: 10.1002/nur.20158
The Program for the Study of Health Care Relationships, a partnership between Yale University and the University of Connecticut, sponsored by the Donaghue Medical Research Foundation.
- Issue online: 14 SEP 2006
- Version of Record online: 14 SEP 2006
- Manuscript Accepted: 1 APR 2006
- patient trust;
- instrument development;
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, 2006