PDF(Pubmed)
Abstract：
Trust in one\'s physician drives positive health practices. However, the conceptualization and subsequent operationalization of trust have become clouded due to the multitude of approaches that have resulted in several different measures with varied dimensions and indicators. The objectives of this scoping review were: 1) to discover any new developments in the measurement of trust, 2) to identify those measures of trust, whether newly created or refined in the last ten years, that have known reliability and validity, and 3) to compare those instruments\' conceptualizations, dimensions, and indicators. This researcher conducted an electronic search of three databases (PubMed, SOCAB, and PsycINFO). Two reviewers screened those selected studies and identified the following six key measurement tools, of which three had shorter, more abbreviated derivatives: the Trust in Physician Scale and its modification, the Wake Forest Physician Trust Scale and its short form, the Health Care Relationship Trust Scale and its refinement, the Trust in Oncologist Scale and its shortened form, the Trust in Health Care Providers Scale, and the Trust in My Doctor Scale. Of these six distinct tools, only the Trust in Oncologist Scale was developed and validated in non-US populations. Also identified were ten dimensions of trust: fidelity, technical competence, communicative competence, interpersonal competence (i.e., caring), honesty, confidentiality, global, behavioral, fairness, and system trust/accountability. Interpersonal competence and fairness emerged as newer dimensions that deserve further study. A comparative analysis of the indicators of these trust dimensions revealed some discrepancies that deserve theoretical and psychometric attention. In addition, incorporating item-response theory to assess measurement invariance has enhanced the assessment of external validity. This review provides a resource for researchers that will lead to a more uniform understanding of trust, thereby setting the basis for future theoretical integration and measurement development.
摘要：
对医生的信任推动积极的健康实践。然而,由于多种方法导致了具有不同维度和指标的几种不同措施，信任的概念化和随后的操作化变得模糊。这次范围界定审查的目的是：1)发现信任衡量方面的任何新发展，2)确定信任的措施，无论是在过去十年中新建的还是精炼的，具有已知的信度和效度，和3)比较这些工具的概念化，尺寸,和指标。这位研究人员对三个数据库进行了电子搜索(PubMed，SOCAB,和PsycINFO）。两名评审员筛选了这些选定的研究，并确定了以下六个关键测量工具，其中三个较短，更多缩写的衍生工具：信任医生量表及其修改，威克森林医生信任量表及其简短形式，医疗保健关系信任量表及其细化，肿瘤学家信任量表及其缩短形式，对医疗保健提供者的信任量表，和对我的医生的信任量表。在这六种不同的工具中，仅在非美国人群中开发并验证了肿瘤学家信任量表.还确定了信任的十个维度：忠诚，技术能力,交际能力，人际交往能力(即，关怀)，诚实,保密性,全球,行为，公平,和系统信任/问责制。人际交往能力和公平性成为值得进一步研究的新维度。对这些信任维度指标的比较分析表明，存在一些差异，值得理论和心理关注。此外,结合项目反应理论来评估测量不变性增强了对外部效度的评估。这篇综述为研究人员提供了一个资源，这将导致对信任的更统一的理解，从而为未来的理论整合和测量发展奠定基础。
