Table 3.

Three-Factor Solution Pattern Matrix.

	Patient-centered communication	Practice orientation	Self-assessment
Scale 3: Patient-Centered Communicationa
28. When there are a variety of treatment options, how often do you give the client and their family a choice when making a decision?	.891	.055	−.046
29. When there are a variety of treatment options, how often do you make an effort to give the client and their family control over their treatment?	.886	−.040	.102
30. When there are a variety of treatment options, how often you ask the client and their family to take responsibility for their treatment?	.721	.111	−.074
Scale 4: Practice Orientationb
31. The health care provider is the one who should decide what gets talked about during a visit	−.014	.770	−.091
32. It is often best for the client and their family that they do not have a full explanation of the client’s medical condition	.025	.634	.034
33. The client and their family should rely on their health care providers’ knowledge and not try to find out about their condition(s) on their own	.033	.833	−.179
34. When health care providers ask a lot of questions about a client and their family’s background, they are prying too much into personal matters	.033	.506	.129
35. If health care providers are truly good at diagnosis and treatment, the way they relate to client and their family is not that important	.039	.482	.357
36. The client and their family should be treated as if they are partners with the health care provider, equal in power and status	.167	.442	.153
37. When the client and their family disagree with their health provider, this is a sign that the health care provider does not have the client and their family’s respect and trust	−.195	.318	.167
38. A treatment plan cannot succeed if it is in conflict with a client and their family’s lifestyle or values	.004	.455	.008
39. It is not that important to know a client and their family’s culture and background to treat the client’s illness	−.071	.164	.340
Scale 5: Self-Assessmentc
40. As a health care provider, I understand how to lower communication barriers with clients and their families	.039	−.099	.587
41. I have a positive communication style with clients and their families	−.040	−.092	.813
42. As a health care provider, I am able to foster a friendly environment with my clients and their families	−.024	.041	.793
43. I attempt to demonstrate a high level of respect for clients and their families	−.043	.105	.826
44. As a health care provider, I consistently assess my skills as I work with diverse groups of clients and their families	.030	−.113	.715
45. I attempt to establish a genuine sense of trust with my clients and their families	−.010	.097	.791
46. I make every effort to understand the unique circumstances of each client and her or his family	.003	.033	.805
47. I value the life experience of each of my clients and their families	.047	.142	.751
48. The use of effective interpersonal skills is very important in working with my clients and their families	.018	.137	.794

Note. For all questions, respondents were also always given response options of not applicable.

^aScale 3: 5-item scale ranging from never to very often.

^bScale 4: 5-item scale ranging from strongly disagree to strongly agree.

^cScale 5: 5-item scale ranging from strongly disagree to strongly agree.