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Item An integrative review of adolescent trust in the healthcare provider relationship(Wiley, 2021-04) Hardin, Heather K.; Bender, Anna E.; Hermann, Carla P.; Speck, Barbara J.Aim: To conduct an integrative review of empirical studies examining factors affecting trust in the healthcare provider (HCP) relationship among adolescents. Design: An integrative review was conducted. Data sources: The keywords adolescent, trust, healthcare provider and related words were searched in multiple online research databases. The results were limited to research published between 2004 and 2019. Seventeen primary sources were identified and synthesized in the final review. Review method: Guided by the Whittemore and Knafl integrative review method, a data-based convergent synthesis design was used to explore the key research question in both qualitative and quantitative research. Results: This integrative review found that health care provider behaviours, such as confidentiality, honesty, respect, and empathy, promote adolescent's trust of the HCP. Notable gaps in the literature were also identified, including a lack of diversity among adolescent samples and HCP types and underdeveloped measures of adolescent trust of HCP. Conclusion: This integrative review informed the development of a new conceptual definition of adolescent trust of HCP, which embodies the key findings of the importance of HCP confidentiality, honesty, respect, and empathy. This definition can be used to develop instruments, interventions and policies that promote HCP trust among adolescents. Future research is needed to develop instruments to measure adolescents' trust of HCPs, evaluate trust of HCPs among diverse samples of adolescents and evaluate adolescent trust of HCPs with a variety of HCP types. Impact: The new conceptual definition of adolescent trust of HCP can be used to enhance nursing practice and design behavioural interventions to improve trust of HCP. To foster adolescent trust of HCP, policies should be enacted in healthcare institutions to explain confidentiality, provide notification of reporting mandates and formalize consent, assent and dissent for adolescents seeking health care.Item Associations between trust of healthcare provider and body mass index in adolescents(Taylor & Francis, 2021-07-03) Hardin, Heather K.; Moore, Shirley M.; Moore, Scott E.; Uli, Naveen K.Adolescent obesity continues to be a serious concern around the world, placing young people at risk for chronic conditions and early death. Research has shown that social relationships are important in making health behavior changes, such as following health-care recommendations for eating and physical activity. Specifically, the trust of health-care providers has been shown to be important in making health behavior change. Evidence suggests that obese young adults are less trusting of health-care providers than their healthy weight peers, but it is not known if this also applies to obese adolescents. The purpose of this secondary analysis study was to determine relationships between the trust of health-care providers and body mass index percentile in adolescents. Participants were 224 adolescents aged 14-19 years attending a public high school in the Midwestern United States. The Wake Forest Physician Trust scale measured the trust of health-care providers. Height and weight were collected at a school screening; body mass index percentile categories were determined according to age- and sex-adjusted body mass index percentiles. One-way analysis of variance and post hoc Tukey tests showed trust scores varied significantly between body mass index percentile categories of girls. Results suggest it may be necessary for health-care providers to make additional efforts to build trust with obese adolescent girls than with other groups of adolescents.Item Coming in Warm: Qualitative Study and Concept Map to Cultivate Patient‐Centered Empathy in Emergency Care(Wiley, 2019) Pettit, Katie E.; Rattray, Nicholas A.; Wang, Hao; Stuckey, Shanna; Courtney, D. Mark; Messman, Anne M.; Kline, Jeffrey A.; Emergency Medicine, School of MedicineBackground Increased empathy may improve patient perceptions and outcomes. No training tool has been derived to teach empathy to emergency care providers. Accordingly, we engaged patients to assist in creating a concept map to teach empathy to emergency care providers. Methods We recruited patients, patient caretakers and patient advocates with emergency department experience to participate in three separate focus groups (n = 18 participants). Facilitators guided discussion about behaviors that physicians should demonstrate in order to rapidly create trust, enhance patient perception that the physician understood the patient's point of view, needs, concerns, fears, and optimize patient/caregiver understanding of their experience. Verbatim transcripts from the three focus groups were read by the authors and by consensus, 5 major themes with 10 minor themes were identified. After creating a codebook with thematic definitions, one author reviewed all transcripts to a library of verbatim excerpts coded by theme. To test for inter‐rater reliability, two other authors similarly coded a random sample of 40% of the transcripts. Authors independently chose excerpts that represented consensus and strong emotional responses from participants. Results Approximately 90% of opinions and preferences fell within 15 themes, with five central themes: Provider transparency, Acknowledgement of patient's emotions, Provider disposition, Trust in physician, and Listening. Participants also highlighted the need for authenticity, context and individuality to enhance empathic communication. For empathy map content, patients offered example behaviors that promote perceptions of physician warmth, respect, physical touch, knowledge of medical history, explanation of tests, transparency, and treating patients as partners. The resulting concept map was named the “Empathy Circle”. Conclusions Focus group participants emphasized themes and tangible behaviors to improve empathy in emergency care. These were incorporated into the “Empathy Circle”, a novel concept map that can serve as the framework to teach empathy to emergency care providers.Item COVID-19 Misinformation Prophylaxis: Protocol for a Randomized Trial of a Brief Informational Intervention(JMIR, 2020-12) Agley, Jon; Xiao, Yunyu; Thompson, Esi; Golzarri-Arroyo, Lilian; School of Social WorkBackground: As the COVID-19 pandemic continues to affect life in the United States, the important role of nonpharmaceutical preventive behaviors (such as wearing a face mask) in reducing the risk of infection has become clear. During the pandemic, researchers have observed the rapid proliferation of misinformed or inconsistent narratives about COVID-19. There is growing evidence that such misinformed narratives are associated with various forms of undesirable behavior (eg, burning down cell towers). Furthermore, individuals’ adherence to recommended COVID-19 preventive guidelines has been inconsistent, and such mandates have engendered opposition and controversy. Recent research suggests the possibility that trust in science and scientists may be an important thread to weave throughout these seemingly disparate components of the modern public health landscape. Thus, this paper describes the protocol for a randomized trial of a brief, digital intervention designed to increase trust in science. Objective: The objective of this study is to examine whether exposure to a curated infographic can increase trust in science, reduce the believability of misinformed narratives, and increase the likelihood to engage in preventive behaviors. Methods: This is a randomized, placebo-controlled, superiority trial comprising 2 parallel groups. A sample of 1000 adults aged ≥18 years who are representative of the population of the United States by gender, race and ethnicity, and age will be randomly assigned (via a 1:1 allocation) to an intervention or a placebo-control arm. The intervention will be a digital infographic with content based on principles of trust in science, developed by a health communications expert. The intervention will then be both pretested and pilot-tested to determine its viability. Study outcomes will include trust in science, a COVID-19 narrative belief latent profile membership, and the likelihood to engage in preventive behaviors, which will be controlled by 8 theoretically selected covariates. Results: This study was funded in August 2020, approved by the Indiana University Institutional Review Board on September 15, 2020, and prospectively registered with ClinicalTrials.gov. Conclusions: COVID-19 misinformation prophylaxis is crucial. This proposed experiment investigates the impact of a brief yet actionable intervention that can be easily disseminated to increase individuals’ trust in science, with the intention of affecting misinformation believability and, consequently, preventive behavioral intentions.Item Data reusers’ trust development.(2017) Yoon, AyoungData reuse refers to the secondary use of data—not for its original purpose but for studying new problems. Although reusing data might not yet be the norm in every discipline, the benefits of reusing shared data have been asserted by a number of researchers, and data reuse has been a major concern in many disciplines. Assessing data for trustworthiness becomes important in data reuse with the growth in data creation because of the lack of standards for ensuring data quality and potential harm from using poor-quality data. This research explores many facets of data reusers’ trust in data generated by other researchers focusing on the trust judgment process with influential factors that determine reusers’ trust. The author took an interpretive qualitative approach by using in-depth semistructured interviews as the primary research method. The study results suggest different stages of trust development associated with the process of data reuse. Data reusers’ trust may remain the same throughout their experiences, but it can also be formed, lost, declined, and recovered during their data reuse experiences. These various stages reflect the dynamic nature of trust.Item Depressive symptoms and trust of healthcare provider in rural adolescents: Relationships and predictors(Taylor & Francis Online, 2021-03) Hardin, Heather K.; Alchami, Hana K.; Connell, ArinThe purpose of this study was to evaluate associations among depressive symptoms, trust of healthcare provider, and health behavior in adolescents who live in a rural area. Two hundred twenty-four adolescents aged 14-19 years old attending public high school in the Midwestern United States were surveyed. Results showed a diagnosis of depression, trust of healthcare provider, health awareness, and stress management predicted depressive symptoms in adolescents living in a rural area. Healthcare providers should take extra care to promote trust in the healthcare provider-patient relationship with adolescents and to follow guidelines for annual screening of adolescents for depressive symptoms. Nursing implications include adolescent psychoeducation to improve health awareness and stress management.Item Diminished trust of healthcare providers, risky lifestyle behaviors, and low use of health services: A descriptive study of rural adolescents.(Sage Publications, 2018-12) Hardin, Heather K.; McCarthy, Valerie Lander; Speck, Barbara J.; Crawford, Timothy N.The purpose of our study was to determine the extent to which individual characteristic variables predict trust of healthcare provider (HCP), lifestyle behaviors, and use of health services among adolescents attending public high school in rural Indiana. The sample included 224 individuals surveyed in 9th grade or 12th grade required courses. Trust of HCP and lifestyle behaviors were predicted using hierarchical multiple regression; number of HCP visits and emergency department (ED) visits in the past 12 months were predicted using negative binomial regression. This sample of adolescents living in a rural area reported riskier lifestyle behaviors than another sample of adolescents, lower trust of HCP than adults in general, and fewer HCP and ED visits than adolescents in general. Our study supports the need for school-based health services in rural areas and the opportunity for school nurses to act as care coordinators for marginalized youth.Item Effects of absorptive capacity, trust and information systems on product innovation(Emerald, 2018) Zhang, Min; Zhao, Xiande; Lyles, Marjorie A.; Kelley School of Business - IndianapolisPurpose The purpose of this paper is to empirically investigate the mechanisms through which absorptive capacity (AC), trust and information systems jointly influence product innovation. Design/methodology/approach This study proposes a research model to examine the mediating role of AC on the impacts of trust and information systems on product innovation and the moderating roles of trust and information systems on the relationship between AC and product innovation. The hypotheses are empirically tested using regression and bootstrapping methods and data collected from 276 manufacturing firms in China. Findings This study finds that trust and information systems positively affect product innovation and the effects are fully mediated by AC. AC also significantly enhances product innovation, and the effect is amplified by trust as well as information systems. In addition, the results show that trust and information systems improve AC both individually and interactively. Originality/value The findings extend existing knowledge on the antecedents of AC and the contingent conditions under which a manufacturer’s AC is more effective than that of its rivals. The results also clarify the mechanisms through which trust and information systems improve product innovation. This study provides insights into the complex relationships among a manufacturer’s sociotechnical systems, knowledge management processes and new product development, and reveals how to design organisational systems to fully capitalise the value of AC on product innovation.Item End-users’ trust in data repositories: Definition and influences on trust development(2014) Yoon, AyoungWhile repositories’ efforts to build trustworthy digital repositories (TDRs) led to the establishment of ISO standards, much less research has been done regarding the user’s side, despite calls for an understanding of users’ trust of TDRs. In order to learn about users’ perspectives on trust in digital repositories, the present study investigated users’ definitions of trust and factors that influence users’ trust development, particularly addressing the users of three data repositories in the United States. A total of 19 participants were interviewed in this study. The results of this study indicate that users’ definition of trust is largely based on a lack of deception, when it comes down to the specific context of data repositories. Regarding factors influencing the development of users’ trust in repositories, organizational attributes, user communities (recommendations and frequent use), past experiences, repository processes (documentation, data cleaning, and quality checking), and users’ perception of the repository roles were identified. End users' trust in data repositories: Definition and influences on trust development (PDF Download Available). Available from: https://www.researchgate.net/publication/257519904_End_users%27_trust_in_data_repositories_Definition_and_influences_on_trust_development [accessed Jul 26, 2017].Item Factors of trust in data reuse(Emerald, 2019) Yoon, Ayoung; Lee, Yoo Young; Library and Information Science, School of Informatics and ComputingPurpose The purpose of this paper is to quantitatively examine factors of trust in data reuse from the reusers’ perspectives. Design/methodology/approach This study utilized a survey method to test the proposed hypotheses and to empirically evaluate the research model, which was developed to examine the relationship each factor of trust has with reusers’ actual trust during data reuse. Findings This study found that the data producer (H1) and data quality (H3) were significant, as predicted, while scholarly community (H3) and data intermediary (H4) were not significantly related to reusers’ trust in data. Research limitations/implications Further disciplinary specific examinations should be conducted to complement the study findings and fully generalize the study findings. Practical implications The study finding presents the need for engaging data producers in the process of data curation, preferably beginning in the early stages and encouraging them to work with curation professionals to ensure data management quality. The study finding also suggests the need for re-defining the boundaries of current curation work or collaborating with other professionals who can perform data quality assessment that is related to scientific and methodological rigor. Originality/value By analyzing theoretical concepts in empirical research and validating the factors of trust, this study fills this gap in the data reuse literature.
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