Parents' trust in their child's physician: using an adapted Trust in Physician Scale.

Child Health Evaluation and Research Unit, Division of General Pediatrics, University of Michigan Health System, Ann Arbor, MI 48109-0456, USA.
Ambulatory Pediatrics (Impact Factor: 2.49). 01/2006; 6(1):58-61. DOI: 10.1016/j.ambp.2005.08.001
Source: PubMed

ABSTRACT To assess the performance of the Pediatric Trust in Physician Scale (Pedi-TiPS) that refers to a child's physician and is a modified version of the Trust in Physician Scale (TiPS), and to explore the association of trust to demographic variables.
We performed a cross-sectional survey of parents in pediatric specialty and primary care sites. Parents completed an anonymous questionnaire that included the Pedi-TiPS. Our main outcome variable was total Pedi-TiPS score (higher scores = higher trust). Reliability was determined by Cronbach's alpha. Bivariate comparisons and linear regression modeling explored potential associations between demographic variables and total score.
Five hundred twenty-six parents completed surveys (73% response rate). The mean total score was 45.4 (SD 6), with good internal consistency (alpha = .84). In bivariate analysis, lower scores were associated with being a father (P = 0.03), older parent age (P = 0.02), private insurance status (P < 0.01), parent education greater than high school (P = 0.04), and not having a child age <3 years (P = 0.03). In a regression model adjusted for other factors, parents who were either African American (P = 0.05), or "other" race (P < 0.01), parents with private insurance (P = 0.02), and parents who had no children <3 years of age (P = 0.04) had lower trust.
The Pedi-TiPS has properties similar to the original instrument. We found associations between trust and demographic factors that should be confirmed with further studies.

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    • "The adult literature also demonstrates that medical mistrust is a robust predictor of underutilization of health services (LaVeist et al., 2009). Among adults, the continuity of physician relationship and provider communication style have been linked with patient trust (Moseley et al., 2006). Our participants also reported these factors affected trust. "
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