Article Figures & Data
Figures
- Figure 1.
Confirmatory factor analysis (CFA) results for a 2 factor construct of patient psychological safety. Abbreviations: RMSEA, Root Mean Square Error of Approximation; CFI, Comparative Fit Index; SRMR, Standardized Root Mean Square Residual.
Tables
- Table 1.
Items Included in the Initial Scale and Factor Loadings for the Resulting 9-Item Patient Psychological Safety Scale
Factor 1 Relationship Comfort Factor 2 Belonging Atmosphere My clinician is interested in me 0.82 – My clinician is compassionate toward me 0.83 – I trust my clinician 0.87 – My clinician really cares about me 0.94 – My clinician respects me 1.03 – It is safe for me to share my honest thoughts and feelings with my clinician – 0.64 My clinician really wants to know and understand my life situation – 0.69 My clinician’s office is welcoming for a person like me – 0.78 I feel welcome, valued, and respected by the staff at my clinician’s office – 1.03 My clinician would be unhappy if I disagreed with their recommendations. (R)* – – My clinician has negative feelings toward me. (R)* – – My clinician makes assumptions about me and my life situation. (R)* – – My clinician’s office space does not make me feel safe and welcome. (R)* – – Note: (R) indicates reversed-score.
Bolded items make up the final Patient Psychological Safety Scale.
*Items were not included in the final scale.
Relationship Comfort Belonging Atmosphere Variable n (%) Median (IQR) p Median (IQR) p Have you ever avoided telling your clinician that you disagreed with their recommendation? Yes 7 (7.5) 20.0 (19.0, 23.0) 0.001 18.0 (16.0, 18.0) 0.16 No 87 (92.5) 25.0 (21.0, 25.0) 19.0 (16.0, 20.0) Have you ever avoided telling your clinician that you did not intend to follow through with their recommendations? Yes 7 (7.5) 23.0 (20.0, 25.0) 0.14 18.0 (16.0, 19.0) 0.45 No 87 (92.5) 25.0 (20.0, 25.0) 19.0 (16.0, 20.0) Have you ever avoided telling your clinician that you did not understand their instructions? Yes 2 (2.1) 22.0 (20.0, 24.0) 0.22 17.0 (16.0, 18.0) 0.36 No 92 (97.9) 25.0 (20.0, 25.0) 19.0 (16.0, 20.0) Have you ever avoided telling your clinician that you have an unhealthy diet? Yes 2 (2.1) 21.0 (20.0, 22.0) 0.15 17.5 (16.0, 19.0) 0.52 No 92 (97.9) 25.0 (20.0, 25.0) 19.0 (16.0, 20.0) Have you ever avoided telling your clinician that you do not take your prescription medication as instructed? Yes 3 (3.2) 25.0 (20.0, 25.0) 0.87 20.0 (16.0, 20.0) 0.54 No 91 (96.8) 25.0 (20.0, 25.0) 19.0 (16.0, 20.0) Have you ever avoided telling your clinician that you do not exercise? Yes 4 (4.3) 22.5 (19.5, 25.0) 0.47 17.0 (16.0, 19.0) 0.53 No 90 (95.7) 25.0 (20.0, 25.0) 19.0 (16.0, 20.0) Have you ever avoided telling your clinician that you took a certain medication (or did not take a certain medication)? Yes 2 (2.1) 25.0 (25.0, 25.0) 0.27 20.0 (20.0, 20.0) 0.14 No 92 (97.9) 25.0 (20.0, 25.0) 19.0 (16.0, 20.0) Have you ever avoided telling your clinician that you took someone else’s prescription medication? Yes 3 (3.2) 24.0 (24.0, 25.0) 0.95 17.0 (15.0, 20.0) 0.57 No 90 (96.8) 25.0 (20.0, 25.0) 19.0 (16.0, 20.0) Abbreviation: IQR, Interquartile range.
