Table 6.

Confirmatory Factor Analysis Results for the Trust in the Health Care Team (T-HCT) Scale Using Full Sample (n=801)^a

Latent Variable	Factor/Item Name and Descriptionb	Factor Loadingc	Standard Error	Scale Reliabilityd
Trust in the Health Care Team (T-HCT)	Communication Competency	0.95	0.007	0.89
	Fidelity	0.75	0.016
	Systems Trust	0.70	0.019
	Confidentiality	0.88	0.010
	Fairness	0.89	0.008
	Stigma-based Discrimination	0.51	0.024
	Global Trust	0.86	0.011
Communication Competency	People who work in health care have good judgment (Thom et al., 1999)	0.81	0.015	0.87
	People who work in health care explain the benefits and risks of treatments to patients	0.80	0.015
	People who work in health care listen to patients (Bova et al., 2006)	0.91	0.008
	People who work in health care believe patients when they say something is wrong	0.76	0.016
	People who work in health care follow up with patients when needed	0.80	0.014
Fidelitye	People who work in health care put making money above patient needs (Shea et al., 2008)	0.86	0.014	0.87
	People who work in health care recommend expensive treatments to make money	0.84	0.014
	People who work in health care hide mistakes (Rose et al., 2004)	0.81	0.017
	People who work in health care might experiment on patients without their knowledge (Shea et al., 2008)	0.77	0.020
	People who work in health care rush through appointments	0.76	0.020
Systems Trust	People who work in health care are held accountable if they make a mistake	0.90	0.010	0.92
	People who work in health care are held accountable if they treat patients unfairly	0.93	0.009
	People who work in health care are held accountable if they discriminate against patients	0.92	0.009
Confidentiality	People who work in health care keep medical records private (LaVeist et al., 2009; Rose et al., 2004)	0.90	0.009	0.87
	People who work in health care use secure systems to store medical records	0.88	0.011
	People who work in health care respect patient privacy	0.89	0.013
Fairness	People who work in health care treat patients fairly, regardless of their ability to pay	0.79	0.015	0.93
	People who work in health care treat patients of all races and ethnicities fairly (Shea et al., 2008)	0.88	0.008
	People who work in health care treat patients fairly, regardless of their gender (e.g., male, female, or nonbinary)	0.89	0.008
	People who work in health care treat patients fairly, regardless of their sexual orientation (e.g., straight, gay, lesbian, or bisexual)	0.89	0.008
	People who work in health care treat patients fairly, regardless of their weight	0.88	0.009
	People who work in health care treat patients fairly, regardless of their religion	0.88	0.009
	People who work in health care treat patients fairly, regardless of their education level	0.88	0.010
Stigma-Based Discriminatione	People who work in health care treat patients with a history of mental illness unfairly	0.71	0.031	0.71
	People who work in health care treat patients diagnosed with HIV unfairly	0.72	0.033
	People who work in health care treat patients who abuse drugs unfairly	0.72	0.030
Global Trust	All things considered, I trust people who work in health care (Safran et al., 1998)	0.93	0.006	0.92
	I put my trust in people who work in health care (Carver et al., 1989)	0.92	0.008
	People who work in health care are trustworthy	0.95	0.006

^aModel Fit: χ2(370) = 1613.62, p<0.001; RMSEA = 0.065, 90% CI: 0.062 – 0.068; CFI = 0.98; SRMR = 0.03

^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-HCT 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