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Русскоязычная адаптация шкалы доверия к врачу на выборке пациентов с хроническими заболеваниями
In the context of active digitalization of healthcare, patients’ trust in physicians becomes
particularly significant, as it directly influences their overall attitude toward medical
recommendations, the choice of treatment strategies, and adherence to prescribed regimens. This
issue is especially relevant for patients with chronic illnesses, who require long-term interaction
with healthcare professionals, active involvement in decision-making, and a high level of treatment
adherence. Under these conditions, trust in the physician becomes a key element of effective
medical communication and a predictor of positive clinical outcomes.
The aim of this study was to adapt the Trust in Physician Scale (TPS) into Russian and test it
on a sample of patients with chronic conditions.
The study involved 437 subscribers of the online community “Cancer is Curable” on the
social network VK (VKontakte), including 415 women and 22 men aged between 27 and 82 years
(M = 49.6; SD = 10.1). To assess the validity of the adapted instrument, three tools were used: the
Trust in Physician Scale (TPS), the “Compliance Level Questionnaire” measuring social, emotional,
and behavioral compliance, and the Cyberchondria Severity Scale (CSS), which assesses the excessiveness of online searches for medical information and the level of distrust toward
physicians.
The results showed that the Russian version of the Trust in Physician Scale (TPS)
demonstrated good internal consistency (α = 0.909; ω = 0.912) and an acceptable factor structure.
Trust in the physician was positively correlated with compliance (p < 0.01), indicating that patients
who have greater trust in their healthcare provider are more likely to follow medical advice and
engage in open communication. Additionally, trust in the physician was negatively associated with
cyberchondria (p < 0.01).
The findings emphasize the importance of trust as a factor contributing to medical adherence.
Developing strategies aimed at enhancing trust may help reduce the severity of cyberchondria and
improve the overall effectiveness of patient–physician interactions.