Culture and Patient-Provider Trust Among People with HIV: Psychometric Properties of the HCR Trust Scale-Revised in Haitian Creole and Spanish.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Racial and Ethnic Health Disparities Pub Date : 2024-12-09 DOI:10.1007/s40615-024-02241-4

Aaliyah Gray, Tatyana Moise, Michèle Jean-Gilles, Diana M Sheehan, Kristopher P Fennie, Mary Jo Trepka

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Abstract

Patient-provider trust is associated with optimal HIV care engagement and ART adherence. However, cross-cultural examination of trust in providers in this diverse population is limited. The current study examines data from 1272 Miami-Dade County Ryan White Program clients. Study objectives were to explore the psychometric properties of the HCR Trust Scale-Revised translated in Haitian Creole and Spanish and to evaluate similarities and differences in responses to the HCR Trust Scale-Revised across Non-Hispanic Black, Haitian, and Hispanic participants and the English, Haitian Creole, and Spanish translations of the scale. Results indicated that the HCR Trust Scale-Revised has a single structure with good reliability for all groups except Haitian participants, for which response patterns were characterized by low variance and high endorsement of alternative response options. We draw on previous literature examining patient-provider experiences to discuss the importance of considering culture in the measurement of patient-provider trust.

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艾滋病病毒感染者的文化和医患信任：HCR信任量表的心理测量特征-海地克里奥尔语和西班牙语修订。

患者-提供者信任与最佳艾滋病毒护理参与和抗逆转录病毒治疗依从性有关。然而，在这种不同的人群中，对提供者信任的跨文化检查是有限的。目前的研究调查了1272名迈阿密戴德县瑞安怀特项目客户的数据。研究目的是探讨经修订的HCR信任量表海地克里奥尔语和西班牙语译本的心理测量特性，并评估非西班牙裔黑人、海地人和西班牙裔参与者对经修订的HCR信任量表的反应的异同，以及该量表的英语、海地克里奥尔语和西班牙语译本。结果表明：HCR信任量表修订版的结构单一，除海地被试外，其余被试的信度均较好，海地被试的反应模式表现为低方差和对备选反应选项的高度认可。我们借鉴以前的文献检查病人-提供者的经验，讨论考虑文化的重要性，在测量病人-提供者的信任。

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来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.