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Published on: June 20, 2020
Development of a Children's Trust in General Physicians Scale
K J Rotenberg1, J Cunningham, N Hayton
1School of Psychology, Keele University, Keele, Staffordshire, UK. k.j.rotenberg@keele.ac.uk
Insights
A new scale, the Children's Trust in General Physicians Scale (CTGPS), was developed. This scale measures children's trust in doctors and is linked to better adherence to medical treatments.
Area of Science:
- Pediatric Health
- Psychology
- Medical Sociology
Background:
- Adult trust in physicians is linked to health behaviors and physical health.
- Existing measures focus on adult trust beliefs.
- The need for a pediatric-specific measure of physician trust was identified.
Purpose of the Study:
- To develop the Children's Trust in General Physicians Scale (CTGPS).
- To assess the relationship between children's trust in physicians and their health behaviors, specifically adherence to medical regimes.
Main Methods:
- Two studies were conducted with elementary school children (Years 5 and 6) in the UK.
- Participants completed the nine-item CTGPS, reporting their trust in doctors.
- Study 2 included parent-reported data and assessed adherence to medical regimes.
Main Results:
- Factor analysis confirmed the CTGPS has three factors: Honesty, Emotional, and Reliability.
- The CTGPS demonstrated acceptable internal consistency and validity, correlating with reported trust in doctors.
- Study 2 results showed a significant association between CTGPS scores and adherence to medical regimes.
Conclusions:
- A valid and reliable Children's Trust in General Physicians Scale (CTGPS) was successfully developed.
- The CTGPS is associated with children's adherence to medical treatments.
- Findings support the importance of physician trust in pediatric health behavior.
Background:
Researchers have developed scales assessing adults' trust beliefs in physicians and found that those are associated with measures of health behaviour and physical health. The purpose of the research was to develop a Children's Trust in General Physicians Scale (CTGPS) and examine its relation to health behaviour: adherence to medical regimes.
Methods:
The participants were 128 children (68 girls and 60 boys) in Study 1 and 198 children (105 girls and 93 boys) in Study 2 who attended years 5 and 6 of elementary school in UK (mean ages = 10 years and 10 months and 10 years and 7 months respectively). The children completed the nine-item CTGPS and reported their trust in doctors and (in Study 2) adherence to medical regimes. Parents also reported those behaviours.
Results:
Principal components analysis and confirmatory factor analysis of the CTGPS yielded the expected three factors: Honesty, Emotional and Reliability. The CTGPS had acceptable internal consistency and, as evidence for its validity, was associated with reported trust in doctors. The results from Study 2 confirmed that the CTGPS was associated with adherence to medical regimes.
Conclusion:
A CTGPS was developed that is associated with adherence to medical regimes.
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