Gray Aaliyah, Moise Tatyana, Jean-Gilles Michèle, Sheehan Diana M, Fennie Kristopher P, Trepka Mary Jo
Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA.
Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA.
J Racial Ethn Health Disparities. 2024 Dec 9. doi: 10.1007/s40615-024-02241-4.
Patient-provider trust is associated with optimal HIV care engagement and ART adherence. However, cross-cultural examination of trust in providers in this diverse population is limited. The current study examines data from 1272 Miami-Dade County Ryan White Program clients. Study objectives were to explore the psychometric properties of the HCR Trust Scale-Revised translated in Haitian Creole and Spanish and to evaluate similarities and differences in responses to the HCR Trust Scale-Revised across Non-Hispanic Black, Haitian, and Hispanic participants and the English, Haitian Creole, and Spanish translations of the scale. Results indicated that the HCR Trust Scale-Revised has a single structure with good reliability for all groups except Haitian participants, for which response patterns were characterized by low variance and high endorsement of alternative response options. We draw on previous literature examining patient-provider experiences to discuss the importance of considering culture in the measurement of patient-provider trust.
患者与医疗服务提供者之间的信任与最佳的艾滋病毒治疗参与度和抗逆转录病毒治疗依从性相关。然而,对这个多样化群体中对医疗服务提供者信任的跨文化研究有限。当前的研究调查了来自迈阿密-戴德县瑞安·怀特项目的1272名客户的数据。研究目标是探索用海地克里奥尔语和西班牙语翻译的《医疗服务提供者信任量表修订版》(HCR Trust Scale-Revised)的心理测量特性,并评估非西班牙裔黑人、海地人和西班牙裔参与者对《医疗服务提供者信任量表修订版》的反应以及该量表的英语、海地克里奥尔语和西班牙语翻译之间的异同。结果表明,除了海地参与者外,《医疗服务提供者信任量表修订版》对所有群体都具有单一结构且可靠性良好,海地参与者的反应模式特点是方差低且对替代反应选项的认可率高。我们借鉴以往研究患者与医疗服务提供者经历的文献,讨论在测量患者与医疗服务提供者信任时考虑文化因素的重要性。
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