The Patient-Doctor Relationship Questionnaire (PDRQ-9) in Primary Care: A Validity Study.

Abstract

This study assessed the validity of the Patient-Doctor Relationship Questionnaire-9 (PDRQ-9) in a primary care sample (N=180). Convergent validity was assessed through a correlation between the patient-rated PDRQ-9 and the physician-rated Difficult Doctor Patient Relationship Questionnaire-10 (DDPRQ-10). Discriminant validity was assessed through correlations between the PDRQ-9 and patient age, patient- and physician-reported health and psychological distress. To determine if the PDRQ-9 could discriminate between groups, patient PDRQ-9 ratings were compared between patients who were treated by faculty physicians versus those who were treated by residents. An exploratory factor analysis confirmed that the PDRQ-9 was made up of a single factor. The PDRQ-9 scale was internally consistent (α=.96) and significantly and negatively correlated with the DDPRQ-10 (r=-.22, p=.003) and was not significantly correlated with patient age, health, or psychological distress. PDRQ-9 ratings were statistically greater in patients who were treated by faculty physicians than those who were treated by residents (p=.01). This study provides additional support for the reliability and validity of the PDRQ-9 as a measure of the doctor-patient relationship in a primary care sample.