BACKGROUND Trust and respect may be an important component of client-provider relationships. This study aimed to develop and report preliminary psychometric analyses of a new brief measure to evaluate a patient's level of trust and respect for their clinician. The scale was designed to be applicable in multiple healthcare contexts, with a particular focus on mental healthcare. METHODS Adult patients completed the study survey in an academic outpatient psychiatric clinic waiting room. Classical and Item Response Theory (IRT) analyses were utilized to examine the adequacy of scale items. Validity was examined in relation to the patient-therapist alliance and to willingness to share private information (social media content) with one's clinician. RESULTS Beginning with 10 items, a final 8-item version of the measure was created with an internal consistency reliability of .91. Principal components analysis indicated that the scale was best viewed as capturing one overall dimension. A Graded Response Model IRT model indicated that all items contributed information on the latent dimension, and all item curves were not flat at any region. The correlation of the trust/respect total score with the alliance was .53 when respect-related items were deleted from the alliance score. The trust/respect scale was significantly associated with patient willingness to share social media posts with their clinician but the alliance was not. CONCLUSIONS The brief measure of patient trust and respect towards their clinician was unidimensional, showed good internal consistency, and was not redundant with existing measures of the alliance. The scale has the potential to be used in a wide variety of healthcare settings.

中文翻译：

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医患关系中的信任和尊重：新量表的初步开发。

背景技术信任和尊重可能是客户-提供者关系的重要组成部分。本研究旨在开发并报告一项新的简短措施的初步心理测量分析，以评估患者对临床医生的信任和尊重程度。该量表旨在适用于多种医疗保健环境，特别关注心理保健。方法 成年患者在学术门诊精神科候诊室完成研究调查。利用经典和项目反应理论（IRT）分析来检查量表项目的充分性。检查患者与治疗师联盟以及与临床医生分享私人信息（社交媒体内容）的意愿的有效性。结果 从 10 个项目开始，创建了最终的 8 项目版本的测量，内部一致性信度为 0.91。主成分分析表明，该量表最好被视为捕获一个整体维度。分级响应模型 IRT 模型表明所有项目都贡献了潜在维度的信息，并且所有项目曲线在任何区域都不平坦。当从联盟得分中删除与尊重相关的项目时，信任/尊重总分与联盟的相关性为0.53。信任/尊重量表与患者愿意与临床医生分享社交媒体帖子的意愿显着相关，但联盟则不然。结论 患者对临床医生的信任和尊重的简短衡量标准是一维的，显示出良好的内部一致性，并且与联盟的现有衡量标准并不多余。该量表有潜力用于各种医疗保健环境。