Table 4.

Confirmatory Factor Analysis Results for the Trust in My Doctor (T-MD) Scale Using Full Sample (n=801)^a

Latent Variable	Factor/Item Name and Descriptionb	Factor Loadingc	Standard Error	Scale Reliabilityd
Trust in My Doctor (T-MD)	Communication Competency	0.97	0.005	0.90
	Fidelity	0.77	0.019
	Systems Trust	0.72	0.019
	Confidentiality	0.91	0.009
	Fairness	0.90	0.009
	Global Trust	0.93	0.007
Communication Competency	My doctor knows how to treat my medical problems	0.87	0.011	0.89
	My doctor explains the benefits and risks of treatments to me	0.87	0.010
	My doctor listens to me (Bova et al., 2006)	0.90	0.009
	My doctor believes me when I say something is wrong	0.81	0.014
	My doctor follows up with me when needed	0.83	0.012
Fidelitye	My doctor puts making money above my needs (Shea et al., 2008)	0.81	0.016	0.83
	My doctor recommends expensive treatments to make money	0.87	0.014
	My doctor might experiment on me without my knowledge (Shea et al., 2008)	0.77	0.020
	My doctor rushes through appointments	0.80	0.018
Systems Trust	My doctor would be held accountable if they made a mistake	0.91	0.008	0.92
	My doctor would be held accountable if they treated me unfairly	0.95	0.007
	My doctor would be held accountable if they discriminated against me	0.91	0.009
Confidentiality	My doctor keeps my medical records private (LaVeist et al., 2009; Rose et al., 2004)	0.90	0.010	0.88
	My doctor uses secure systems to store medical records	0.87	0.011
	My doctor respects my privacy	0.93	0.010
Fairness	My doctor would treat me fairly, regardless of my ability to pay	0.79	0.015	0.95
	My doctor would treat me fairly, regardless of my race or ethnicity (Shea et al., 2008)	0.93	0.006
	My doctor would treat me fairly, regardless of my gender (e.g., male, female, or nonbinary)	0.93	0.008
	My doctor would treat me fairly, regardless of my sexual orientation (e.g., straight, gay, lesbian, or bisexual)	0.90	0.009
	My doctor would treat me fairly, regardless of my weight	0.92	0.008
	My doctor would treat me fairly, regardless of my religion	0.92	0.008
	My doctor would treat me fairly, regardless of my education level	0.94	0.006
Global Trust	All things considered, I trust my doctor (Safran et al., 1998)	0.98	0.003	0.95
	I put my trust in my doctor (Carver et al., 1989)	0.95	0.005
	My doctor is trustworthy	0.95	0.006

^aModel Fit: χ2(269) = 811.32, p<0.001; RMSEA = 0.050, 90% CI: 0.046 – 0.054; CFI = 0.99; SRMR = 0.02

^bCitations depict items that were adapted from existing scales

^cAll factor loadings are standardized and significant at p<0.001

^dReliability for the second order model of the T-MD scale was calculated using an approach described by Raykov and colleagues (2018); reliability for the unidimensional subscales was calculated using Cronbach’s alpha

^eItems in this domain/factor are reverse coded