Measuring Patient-Provider Trust in a Primary Care Population: Refinement of the Health Care Relationship Trust Scale

Res Nurs Health. 2012 Aug;35(4):397-408. doi: 10.1002/nur.21484. Epub 2012 Apr 17.


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.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Continental Population Groups / psychology
  • Continental Population Groups / statistics & numerical data
  • Factor Analysis, Statistical
  • Female
  • Health Status
  • Humans
  • Male
  • Middle Aged
  • Physician-Patient Relations*
  • Primary Health Care / statistics & numerical data
  • Psychological Tests / standards
  • Psychometrics
  • Reproducibility of Results
  • Sex Factors
  • Surveys and Questionnaires / standards*
  • Trust / psychology*
  • Young Adult