Lucero Julie E, Boursaw Blake, Eder Milton Mickey, Greene-Moton Ella, Wallerstein Nina, Oetzel John G
University of Nevada Reno, NV, USA.
University of New Mexico, Albuquerque, NM, USA.
Health Educ Behav. 2020 Jun;47(3):372-379. doi: 10.1177/1090198120918838.
Community-based participatory research (CBPR) partnerships exist as complex, dynamic relationships that incorporate shared decision that supports trust development between communities and academics. Within CBPR, the interest in understanding the concept of trust has grown with the realization that, without trust, CBPR relationships fracture. A barrier to monitoring the trust health of a partnership is the lack of a shared operationalization of the concept, its antecedents, and measurement tools. To address these barriers, a six-category trust typology was created as a developmental theory of trust progress. To advance the theory, this article reports on the quantitative structural elements of the trust typology, identifies variability in trust correlates, and creates an empirical foundation for the trust types. Using Engage for Equity data, trust covariates included measures of synergy, CBPR principles, participation, and influence. Structural equation models were used to assess associations between trust types and the latent constructs measured by the items in each measure. The findings demonstrate that the six trust types generally operate on a continuum. Specifically, it does appear that trust deficit, role-based trust, functional trust, proxy trust, and reflective trust are on a single continuum from low to high. Scale scores for reflective trust and proxy trust were consistently and statistically significantly higher than those for functional trust, role-based, neutral, and trust deficit. These results support the construct validity of the trust typology as representing "higher levels" of trust phases. Due to the dynamic nature of partnerships, regular monitoring of partnership trust types can serve as a proxy for partnership functioning.
基于社区的参与性研究（CBPR）伙伴关系是复杂的动态关系，其中包含支持社区与学术界之间建立信任的共同决策。在CBPR中，随着人们认识到没有信任，CBPR关系就会破裂，对理解信任概念的兴趣与日俱增。监测伙伴关系信任健康状况的一个障碍是缺乏对信任概念、其前因和测量工具的共同操作化定义。为了解决这些障碍，创建了一种六类信任类型学，作为信任发展的理论。为了推进该理论，本文报告了信任类型学的定量结构要素，确定了信任相关因素的变异性，并为信任类型创建了实证基础。利用“促进公平参与”的数据，信任协变量包括协同作用、CBPR原则、参与度和影响力的测量。结构方程模型用于评估信任类型与每项测量中各项目所测量的潜在结构之间的关联。研究结果表明，六种信任类型通常在一个连续体上运作。具体而言，信任赤字、基于角色的信任、功能信任、代理信任和反思信任似乎确实处于从低到高的单一连续体上。反思信任和代理信任的量表得分始终且在统计上显著高于功能信任、基于角色的信任、中性信任和信任赤字的得分。这些结果支持了信任类型学作为代表信任阶段“更高水平”的结构效度。由于伙伴关系的动态性质，定期监测伙伴关系信任类型可以作为伙伴关系运作的一个指标。
