Patients' trust in their physicians is reflected in their steadfast confidence, which encourages greater patient cooperation in treatment, thereby enhancing the prognosis of the disease. We aimed to evaluate the validity and reliability of the Trust in Physician Scale questionnaire (TIPS) by translating it into Persian. After obtaining the main author's permission, the forward- backward translation technique was employed to develop the Persian version. We conducted a cross-sectional study utilizing the TIPS questionnaire among adult patients who presented to the hospital emergency room. This survey involved 310 patients, of which 157 (50.6%) were male and 153 (49.4%) were female. During the study, the mean and standard deviation of patients' age were 56.6 and ± 20.6 years, respectively. The Cronbach's alpha coefficient for this scale was 0.875, demonstrating good internal consistency of the questionnaire. Using factor analysis, the scale items filled one subgroup. To evaluate the reliability of this test, the intra-class correlation coefficient (ICC) was determined to be 0.75, confirming its reliability. This study demonstrated acceptable validity and reliability of the TIPS questionnaire for evaluating patients' trust in their physicians in a Persian-speaking society.
Cervical cancer is a major cause of morbidity and mortality among women. It is the fourth most commonly diagnosed cancer in females. Screening strategies such as colposcopy can cause anxiety, discomfort, and pain in patients during this procedure and poor quality of life. The aim of this study was to evaluate the effect of psychoeducation on pain perception and anxiety in women undergoing colposcopy. This randomized clinical trial included 60 women, candidates for colposcopy referred to the surgical clinic of Kashan, Iran. The patients were randomly assigned into two groups: the experimental group, which received 60 minutes of psychoeducation, and the control group. Data were collected with the Spielberger anxiety inventory and visual analog score of pain and were analyzed using independent and dependent t-tests, Chi-square, and co-variance performed with SPSS version 16. The means of anxiety scores were significantly decreased post-psychoeducation in the intervention group, and the differences between the two groups were statistically significant in the anxiety scores (P < 0.0001). A significant difference was observed between the mean anxiety scores of the intervention group prior to and after the psychoeducational program (PEP) intervention (99.50 ± 5.28 vs. 84.89 ± 8.80) (P 0.05). There was no statistically significant difference between the mean pain score between the study and the control group at the end of the study (P= 0.17). Psychoeducation resulted in reduced anxiety in women undergoing colposcopy. Therefore, it is recommended to consider this intervention as a suitable and effective complementary, non-invasive, low-cost method to reduce anxiety in these patients.
