Turkish Validity and Reliability Study of the Trust in the Health Care Team Scale

Year 2025, Volume: 15 Issue: 1, 157 - 163

Emel Filiz , Handan Ertaş , Seda Ünal , Şeyma Kahveci

https://doi.org/10.33808/clinexphealthsci.1495337

Abstract

Objective: This study aimed to conduct the Turkish validity and reliability study of the Trust in Health Care Team Scale and to contribute to the literature by proposing a valid, reliable and easy-to-use measurement tool for researchers.
Method: This methodological study was conducted between March and May 2022, using the survey method, among 1013 people over the age of 18 who live in Konya and can read and write Turkish. The research was designed within the scope of the quantitative research model in terms of method. The first part consists of demographic characteristics and the second part consists of adapted version of the items. The data were analyzed using the SPSS and AMOS programs. First, the construct validity of the scale was performed followed by the content validity.
Results: As a result of the construct validity, it was found that the fit indices of the scale were at an acceptable level (X2/df=2.215; GFI=0.998; AGFI=0.997; NFI=0.998; RFI=0.997; RMR=0.043; SRMR=0.029). As a result of the reliability analysis, the Cronbach's alpha value was 0.975.
Conclusion: The results indicated that the Trust in the Health Care Team Scale has an adequate level of validity and reliability in Turkish culture to measure the level of trust in the health care team.

Keywords

Health Communication, Health Professional-Patient Relationship, Trust, Validation Studies

Ethical Statement

This study was approved by Ethics Committee of Selcuk University, Noninvasive Clinic Ethics Committee (Approval date:31/03/2022.; Number: 2022/275)

References

• Gilson L. Trust and the development of health care as a social institution. Soc Sci Med. 2003;56(7):1453-1468. https://doi.org/10.1016/S0277-9536(02)00142-9
• Brennan N, Barnes R, Calnan M, Corrigan O, Dieppe P, Entwistle V. Trust in the health-care provider–patient relationship: A systematic mapping review of the evidence base. Int J Qual Health Care. 2013;25(6):682-688. https://doi.org/10.1093/intqhc/mzt063
• Lee YY, Lin JL. How much does trust really matter? A study of the longitudinal effects of trust and decision-making preferences on diabetic patient outcomes. Patient Educ Couns. 2011;85(3):406-412. https://doi.org/10.1016/j.pec.2010.12.005
• Kelley JM, Kraft-Todd G, Schapira L, Kossowsky J, Riess H. The influence of the patient-clinician relationship on healthcare outcomes: A systematic review and meta-analysis of randomized controlled trials. PLoS One. 2014;9(6). https://doi.org/10.1371/journal.pone.0094207
• Giordano GN, Lindström M. Trust and health: Testing the reverse causality hypothesis. J Epidemiol Community Health. 2016;70(1):10-16. https://doi.org/10.1136/jech-2015-205822
• Hall MA, Zheng B, Dugan E, Camacho F, Kidd KE, Mishra A, Balkrishnan R. Measuring patients’ trust in their primary care providers. Med Care Res Rev. 2002;59(3):293-318. https://doi.org/10.1177/1077558702059003004
• Nikodem K, Ćurković M, Borovečki A. Trust in the healthcare system and physicians in Croatia: A survey of the general population. Int J Environ Res Public Health. 2022;19(2):993. https://doi.org/10.3390/ijerph19020993
• Gülcemal E, Keklik B. A study on the investigation of factors affecting patients' confidence in physicians: The case of Isparta Province. Mehmet Akif Ersoy University Journal of Social Sciences Institute. 2016;8(14):64-87. https://doi.org/10.20875/sb.66346
• Braksmajer A, Fedor TM, Chen SR, Corales R, Holt S, Valenti W, McMahon JM. Willingness to take PrEP for HIV prevention: The combined effects of race/ethnicity and provider trust. AIDS Educ Prev. 2018;30(1):1-12. https://doi.org/10.1521/aeap.2018.30.1.1
• Gupta S, Brenner AT, Ratanawongsa N, Inadomi JM. Patient trust in physician influences colorectal cancer screening in low-income patients. Am J Prev Med. 2014;47(4):417-423. https://doi.org/10.1016/j.amepre.2014.04.020
• Ratanawongsa N, Karter AJ, Parker MM, Lyles CR, Heisler M, Moffet HH, Schillinger D. Communication and medication refill adherence: The diabetes study of Northern California. JAMA Intern Med. 2013;173(3):210-218. https://doi.org/10.1001/jamainternmed.2013.1216
• Schoenthaler A, Montague E, Baier Manwell R, Brown R, Schwartz MD, Linzer M. Patient–physician racial/ethnic concordance and blood pressure control: The role of trust and medication adherence. Ethnicity & Health. 2014;19(5):565-578. https://doi.org/10.1080/13557858.2013.857764
• Fernandez A, Seligman H, Quan J, Stern RJ, Jacobs EA. Associations between aspects of culturally competent care and clinical outcomes among patients with diabetes. Med Care. 2012;74-79. https://doi.org/10.1097/MLR.0b013e3182641110
• Hillen MA, Butow PN, Tattersall MH, Hruby G, Boyle FM, Vardy J, Smets EM. Validation of the English version of the Trust in Oncologist Scale (TIOS). Patient Educ Couns. 2013;91(1):25-28. https://doi.org/10.1016/j.pec.2012.11.004
• LaVeist TA, Isaac LA, Williams KP. Mistrust of health care organizations is associated with underutilization of health services. Health Serv Res. 2009;44(6):2093-2105. https://doi.org/10.1111/j.1475-6773.2009.01017.x
• Gezergün A, Şahin B, Tengilimoğlu D, Demir C, Bayer E. Physician-patient relationship and communication from the perspective of patients: Example of a teaching hospital. Anadolu University Journal of Social Sciences 2006;6(1):129-144.
• Mazinani A. Building trust between patients and physicians. Multidisciplinary Cancer Investigation. 2017;1(3):25-26. https://doi.org/10.21859/mci-01033
• Shaya B, Al Homsi, Eid K, Haidar Z, Khalil A, Merheb K, Akl EA. Factors associated with the public’s trust in physicians in the context of the Lebanese healthcare system: A qualitative study. BMC Health Serv Res. 2019;19(1):1-9. https://doi.org/10.1186/s12913-019-4354-0
• Müller E, Zill JM, Dirmaier J, Härter M, Scholl I. Assessment of trust in physician: A systematic review of measures. PLoS One. 2014;9(9). https://doi.org/10.1371/journal.pone.0106844
• Ozawa S, Sripad P. How do you measure trust in the health system? A systematic review of literature. Soc Sci Med. 2013; 91:10-14. https://doi.org/10.1016/j.socscimed.2013.05.005
• Williamson LD, Bigman CA. A systematic review of medical mistrust measures. Patient Educ Couns. 2018;101(10):1786-1794. https://doi.org/10.1016/j.pec.2018.05.007
• Greene J, Ramos C. A mixed methods examination of health care provider behaviors that build patients’ trust. Patient Educ Couns. 2021;104(5):1222-1228. https://doi.org/10.1016/j.pec.2020.09.003
• Richmond J, Boynton MH, Ozawa S, Muessig KE, Cykert S, Ribisl KM. Development and validation of the Trust in My Doctor, Trust in Doctors in General, and Trust in the Health Care Team Scales. Soc Sci Med. 2022; 298:114827. https://doi.org/10.1016/j.socscimed.2022.114827
• Wood GL, Haber J. Desenhos não-experimentais. In: Wood GL, Haber J, editors. Pesquisa em enfermagem: Métodos, avaliação crítica e utilização. Rio de Janeiro (RJ): Guanabara Koogan; 2001. p. 110-21.
• Alpar R. Spor, sağlık ve eğitim bilimlerinden örneklerle uygulamalı istatistik ve geçerlik-güvenirlik. Ankara: Detay Yayıncılık; 2016. (Turkish)
• Karakoç A, Dönmez P. Basic principles of scale development. World of Medical Education 2014;13(40):39–49. https://doi.org/10.25282/ted.228738
• Hooper D, Coughlan J, Mullen MR. Structural equation modelling: Guidelines for determining model fit. Electron J Business Res Methods. 2008;6(1):53-60.
• Karagöz Y. SPSS and AMOS applied quantitative-qualitative-mixed scientific research methods and publication ethics. Istanbul: Nobel Akademik Yayıncılık; 2017. (Turkish)
• Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate data analysis. Upper Saddle River, NJ: Pearson; 2014.
• Özdamar K. Ölçek ve test geliştirme yapısal eşitlik modelleme IBM SPSS, IBM SPSS AMOS ve MINITAB uygulamalı. Eskişehir: Nisan Kitabevi; 2017. (Turkish)
• Halıcı M, Soyuk S, Gün İ. Organizational trust in healthcare professionals. J Manage Econ. 2015;13(3):180-198.
• Cortina JM. What is coefficient alpha? An examination of theory and applications. J Appl Psychol. 1993;78(1):98. https://doi.org/10.1037/0021-9010.78.1.98