Başgöz Bilgin Bahadır, Çetin Mustafa, Köker Gökhan, Solmaz İhsan, Yıldırım Mehmet Serdar, Naharcı Mehmet İlkin
Gülhane School of Medicine, Department of Internal Medicine, University of Health Sciences, Ankara, Turkey.
Department of Internal Medicine, University of Health Sciences, Gazi Yasargil Training and Research Hospital, Diyarbakır, Turkey.
BMC Geriatr. 2025 Jun 5;25(1):409. doi: 10.1186/s12877-025-06070-w.
Trust is at the core of the patient-physician relationship. The Trust in Physician Scale (TPS) was specifically developed to measure such interpersonal trust and has high validity and reliability. In this study, we aimed to assess the reliability and validity of the Turkish TPS (TPS-TR) among community-dwelling older adults.
This prospective study enrolled community-dwelling older adults aged 65 years and older. The TPS-TR and other scales of generalized anxiety disorder-7 scale (GAD-7), and multidimensional trust in health care systems scale (MTHCSS) subscale-1 "trust in health care providers" were administered to all participants. We assessed the internal consistency, item-total correlations, temporal stability, factor analysis, convergent and discriminant validity of TPS-TR.
The study included 230 individuals. TPS-TR demonstrated high internal consistency (Cronbach's α = 0.866) and remarkable test-retest reliability (ICC = 0.903). The lowest item-to-total correlation was observed for item 5, with a value of 0.375, which was also considered acceptable (> 0.20). TPS-TR was strongly correlated with the MTHCSS subscale-1 (p < 0.001), suggesting high convergent validity, and showed no correlation with GAD-7 (p = 0.087) indicating adequate discriminative validity.
The results of our study showed that the TPS-TR has high reliability and validity in measuring the interpersonal trust of community-dwelling older adults in their physicians.
Not applicable.
信任是医患关系的核心。信任医生量表（TPS）专门用于测量这种人际信任，具有较高的效度和信度。在本研究中，我们旨在评估土耳其语版信任医生量表（TPS-TR）在社区居住的老年人中的信度和效度。
这项前瞻性研究纳入了65岁及以上的社区居住老年人。对所有参与者施测TPS-TR、广泛性焦虑障碍-7量表（GAD-7）以及医疗保健系统多维信任量表（MTHCSS）子量表1“对医疗保健提供者的信任”。我们评估了TPS-TR的内部一致性、项目与总分的相关性、时间稳定性、因子分析、聚合效度和区分效度。
该研究纳入了230名个体。TPS-TR表现出较高的内部一致性（Cronbach's α = 0.866）和显著的重测信度（ICC = 0.903）。第5项的项目与总分相关性最低，值为0.375，也被认为是可接受的（> 0.20）。TPS-TR与MTHCSS子量表1密切相关（p < 0.001），表明具有较高的聚合效度，与GAD-7无相关性（p = 0.087），表明具有足够的区分效度。
我们的研究结果表明，TPS-TR在测量社区居住老年人对其医生的人际信任方面具有较高的信度和效度。
不适用。
