Kimberson Tanco1, Wadih Rhondali2, Minjeong Park3, Diane Liu3, Eduardo Bruera1. 1. 1 Department of Palliative Care and Rehabilitation Medicine, The University of Texas MD Anderson Cancer Center , Houston, Texas. 2. 2 Psycho-oncology Unit, CLINEA-Clinique Mon Repos , Marseille, France . 3. 3 Department of Biostatistics, The University of Texas MD Anderson Cancer Center , Houston, Texas.
Abstract
BACKGROUND: Trust influences healthcare through the willingness to seek care, disclose sensitive information, adhere to treatment, and satisfaction with care. Understanding factors that influence trust may help in physician-patient relationship particularly at end of life. OBJECTIVES: We explored the association between trust and other demographic and psychosocial factors. We also explored the performance of the single-item Degree of Trust scale (0 best to 10 worst) compared with the validated five-item Trust in Medical Profession scale (5 best to 25 worst). DESIGN: A secondary analysis of prospectively collected data was performed. Trust scores completed by 100 patients were correlated with age, gender, ethnicity, educational level, anxiety, depression, and hopefulness (Herth Hope Index [12 best to 48 worst]). SETTING/ SUBJECTS: The study was conducted on 100 patients in an outpatient Supportive Care Center in a cancer center in Houston, Texas. RESULTS: Median age was 57 years (49-65), depression was 6 (3-9), and hopefulness was 22 (20-25). Trust in Medical Profession score was 13, 11-14 (median, IQR) and Degree of Trust score was 2, 1-4 (median, IQR) with moderate correlation (r = 0.587, p < 0.001). On evaluating performance of Degree of Trust scale to the validated Trust in Medical Profession scale, a moderately high performance was found (Youden's J = 0.73; Topleft = 0.21). Older age (p = 0.02) lower depression scores (p < 0.01) and more hopefulness (p = 0.01) were associated with higher levels of trust. CONCLUSIONS: Trust was associated with older age, less depressed, and more hopeful patients. A single 0-10 item trust scale was found to perform adequately compared with a multiple-item questionnaire.
BACKGROUND: Trust influences healthcare through the willingness to seek care, disclose sensitive information, adhere to treatment, and satisfaction with care. Understanding factors that influence trust may help in physician-patient relationship particularly at end of life. OBJECTIVES: We explored the association between trust and other demographic and psychosocial factors. We also explored the performance of the single-item Degree of Trust scale (0 best to 10 worst) compared with the validated five-item Trust in Medical Profession scale (5 best to 25 worst). DESIGN: A secondary analysis of prospectively collected data was performed. Trust scores completed by 100 patients were correlated with age, gender, ethnicity, educational level, anxiety, depression, and hopefulness (Herth Hope Index [12 best to 48 worst]). SETTING/ SUBJECTS: The study was conducted on 100 patients in an outpatient Supportive Care Center in a cancer center in Houston, Texas. RESULTS: Median age was 57 years (49-65), depression was 6 (3-9), and hopefulness was 22 (20-25). Trust in Medical Profession score was 13, 11-14 (median, IQR) and Degree of Trust score was 2, 1-4 (median, IQR) with moderate correlation (r = 0.587, p < 0.001). On evaluating performance of Degree of Trust scale to the validated Trust in Medical Profession scale, a moderately high performance was found (Youden's J = 0.73; Topleft = 0.21). Older age (p = 0.02) lower depression scores (p < 0.01) and more hopefulness (p = 0.01) were associated with higher levels of trust. CONCLUSIONS: Trust was associated with older age, less depressed, and more hopeful patients. A single 0-10 item trust scale was found to perform adequately compared with a multiple-item questionnaire.
Authors: Marij A Hillen; Astrid T Onderwater; Myra C B van Zwieten; Hanneke C J M de Haes; Ellen M A Smets Journal: Psychooncology Date: 2011-01-30 Impact factor: 3.894
Authors: R P McKillip; B A Borden; P Galecki; S A Ham; L Patrick-Miller; J P Hall; S Hussain; K Danahey; M Siegler; M J Sorrentino; Y Sacro; A M Davis; D T Rubin; K Lipstreuer; T S Polonsky; R Nanda; W R Harper; J L Koyner; D L Burnet; W M Stadler; M J Ratain; D O Meltzer; P H O'Donnell Journal: Clin Pharmacol Ther Date: 2017-04-04 Impact factor: 6.875