A Pilot Study of a Measure of Parental Trust in Pediatric Emergency Department Care Teams.
To modify and test an existing measure of trust validated in a primary care setting for use in a pediatric emergency department (PED). The study population was parents/guardians who brought their child to an urban PED with a chief complaint of abdominal pain or head injury. We used a 2-phase design...
| Publicado en: | Academic Pediatrics Vol. 21; no. 3; pp. 504 - 513 |
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| Autores principales: | , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Apr2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=149312696&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149312696 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18762859 8NBK jtl: Academic Pediatrics issn: 18762859 maglogo: N pubinfo: dt: Apr2021 vid: 21 iid: 3 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 149312696 149312696 149312696 10.1016/j.acap.2020.09.005 149312696 ppf: 504 ppct: 9 formats: fmt: @attributes: type: P tig: atl: A Pilot Study of a Measure of Parental Trust in Pediatric Emergency Department Care Teams. aug: au: Byczkowski, Terri L. Kennebeck, Stephanie S. Grupp-Phelan, Jacqueline affil: Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, Ohio sug: subj: Parental Attitudes Evaluation Trust Evaluation Pediatric Care Primary Health Care Emergency Care Human Pilot Studies Abdominal Pain Head Injuries Field Studies Coefficient alpha Descriptive Statistics Family Centered Care Communication Professional-Family Relations ab: To modify and test an existing measure of trust validated in a primary care setting for use in a pediatric emergency department (PED). The study population was parents/guardians who brought their child to an urban PED with a chief complaint of abdominal pain or head injury. We used a 2-phase design with modifications resulting from cognitive interviews with 15 participants followed by a field test with 150 participants. We measured usefulness by percent missing responses and ceiling effects. Cronbach's alpha and greatest lower bound measured reliability. As evidence of validity, we calculated a total trust score by summing the item scale values and correlating the score with measures of constructs shown to be positively associated with trust in other settings. We conducted a similar analysis to test a published shortened version of the same scale. Four items were modified prior to field testing. Ceiling effects for each item ranged from 53% to 67%. Missing data were minimal affecting only 2 items. The modified measure exhibited high reliability (Cronbach's alpha =.88, greatest lower bound = 0.93). Total trust scores ranged from 27 to 50 with mean (standard deviation) = 45.1 (4.9). The trust score exhibited a high positive correlation with communication and overall satisfaction, and moderate correlation with intent to adhere to physician recommendations. The short version of the scale performed similarly. This study provides evidence that the modified Wake Forest measure of trust is applicable and useful in the PED setting for this patient population. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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