The Turkish validity and reliability study of the Chronic Conditions Physician-Patient Relationship Scale in family...

This study aimed to adapt the Chronic Conditions Physician-Patient Relationship Scale (CC-PPR) into Turkish and to examine its validity and reliability among patients with chronic diseases receiving care from family physicians.

A methodological study was conducted with 254 adult patients attending the Family Medicine Centers between May 01-October 01, 2025. The adaptation process followed World Health Organization guidelines. Construct validity was examined using confirmatory factor analysis (CFA), and reliability was assessed through internal consistency (Cronbach's α, McDonald's ω) and item-total correlations.

The CFA supported the original one-factor, 22-item structure with an excellent model fit (χ²[209] = 59.847, p = 1.000; comparative fit index [CFI] = 1.000; Tucker-Lewis index [TLI] = 1.016; root mean square error of approximation [RMSEA] = 0.000; standardized root mean square residual [SRMR] = 0.048). Sampling adequacy was good (Kaiser-Meyer-Olkin [KMO] = 0.970; Bartlett's χ²[231] = 5934.429, p < 0.001). All standardized factor loadings were high (0.63-0.81, p < 0.001). Internal consistency was excellent (Cronbach's α = 0.977; McDonald's ω = 0.976), and corrected item-total correlations ranged from 0.74 to 0.86. Marital status, employment status, and type of health institution were significantly associated with relationship scores (p < 0.05).

The Turkish version of the CC-PPR is a psychometrically robust, unidimensional, and reliable tool for evaluating the quality of family physician-patient relationships among individuals with chronic conditions. It can be used to assess communication and relational competencies of family physicians, support patient-centred care initiatives in chronic disease management.