Browsing by Subject "Trust"
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Item Open Access A Matter of the Heart: Developing Empathic Skills in Church Teachers(2020) Andrews, Michael WayneChristian teachers lead godly change in the lives of people whom they influence. The preparation of people to lead as teachers in the church requires the development of inner character that is consistent with Christian purposes. One of the fundamental attributes of this sort of character is empathy because it engages the heart in all of its dimensions. My argument in this thesis is that the qualities of empathy can be used as a means to highlight specific practices and skills that Christian teachers need. Helping Christian teachers to cultivate such practices and skills provides them with a more sustainable foundation than any set of teaching techniques found in teacher training materials. This approach enables the church’s education program to effectively shape people’s hearts to follow Christ and serve one another.
Drawing upon a broad selection of literature that includes narrative theology, adult educational philosophies, developmental psychology, and business leadership perspectives, this study begins by examining the nature of empathy and spiritual practices. I propose that a teaching ministry is most effective when it encompasses two specific practices that cultivate identity and integrity. A practice of formative presence highlights the incarnational nature of the teacher’s role and identity, and a practice of resilient trust establishes a framework for building and sustaining integrity. Both of these are patterns of communal action in which the benefits of God’s presence and power are made available to people. Furthermore, these practices depend on some underlying skills that help Christian teachers develop empathy. My discussion includes three specific skills: reception is a collaboration between people that communicates acceptance and understanding; reflection is a way of fostering shared meaning-making; and response is a type of action that expresses accountability with collective wisdom. When these practices and skills are wrapped in empathy and empowered by God’s Spirit, godly character and shared learning are cultivated in both teachers and students.
Item Open Access A Matter of the Heart: Developing Empathic Skills in Church Teachers(2020) Andrews, Michael WayneChristian teachers lead godly change in the lives of people whom they influence. The preparation of people to lead as teachers in the church requires the development of inner character that is consistent with Christian purposes. One of the fundamental attributes of this sort of character is empathy because it engages the heart in all of its dimensions. My argument in this thesis is that the qualities of empathy can be used as a means to highlight specific practices and skills that Christian teachers need. Helping Christian teachers to cultivate such practices and skills provides them with a more sustainable foundation than any set of teaching techniques found in teacher training materials. This approach enables the church’s education program to effectively shape people’s hearts to follow Christ and serve one another.
Drawing upon a broad selection of literature that includes narrative theology, adult educational philosophies, developmental psychology, and business leadership perspectives, this study begins by examining the nature of empathy and spiritual practices. I propose that a teaching ministry is most effective when it encompasses two specific practices that cultivate identity and integrity. A practice of formative presence highlights the incarnational nature of the teacher’s role and identity, and a practice of resilient trust establishes a framework for building and sustaining integrity. Both of these are patterns of communal action in which the benefits of God’s presence and power are made available to people. Furthermore, these practices depend on some underlying skills that help Christian teachers develop empathy. My discussion includes three specific skills: reception is a collaboration between people that communicates acceptance and understanding; reflection is a way of fostering shared meaning-making; and response is a type of action that expresses accountability with collective wisdom. When these practices and skills are wrapped in empathy and empowered by God’s Spirit, godly character and shared learning are cultivated in both teachers and students.
Item Open Access Conceptualizing trust in community-academic research partnerships using concept mapping approach: A multi-CTSA study.(Evaluation and program planning, 2018-02) Dave, Gaurav; Frerichs, Leah; Jones, Jennifer; Kim, Mimi; Schaal, Jennifer; Vassar, Stefanie; Varma, Deepthi; Striley, Catherine; Ruktanonchai, Corrine; Black, Adina; Hankins, Jennifer; Lovelady, Nakita; Cene, Crystal; Green, Melissa; Young, Tiffany; Tiwari, Shristi; Cheney, Ann; Cottler, Linda; Sullivan, Greer; Brown, Arleen; Burke, Jessica; Corbie-Smith, GiselleObjectives
Collaborations between communities, healthcare practices and academic institutions are a strategy to address health disparities. Trust is critical in the development and maintaining of effective collaborations. The aim of this pilot study was to engage stakeholders in defining determinants of trust in community academic research partnerships and to develop a framework for measuring trust.Methods
The study was conducted by five collaborating National Institute of Health' Clinical and Translational Sciences Awardees. We used concept mapping to engage three stakeholders: community members, healthcare providers and academicians. We conducted hierarchical cluster analysis to assess the determinants of trust in community-academic research partnerships.Results
A total of 186 participants provided input generating 2,172 items that were consolidated into 125 unique items. A five cluster solution was defined: authentic, effective and transparent communication; mutually respectful and reciprocal relationships; sustainability; committed partnerships; and, communication, credibility and methodology to anticipate and resolve problems.Conclusion
Results from this study contribute to an increasing empirical body of work to better understand and improve the underlying factors that contribute to building and sustaining trust in community academic research partnerships.Item Open Access Explorations of Black Health in America: The Effects of Trust on Health Care Utilization between U.S.-Born Black Americans and Black Foreign-Born African Immigrants(2022-04) Ezem, NatalieHistorically, those that identify with the African diaspora have had a complicated and understudied relationship with the United States medical system. Available literature makes generalizations related to different populations across the African diaspora because they are all labeled under the “black” racial group. Consequently, this qualitative study investigated the impact of trust on health care utilization between black foreign-born African immigrants, including first and second-generation immigrants, compared to black Americans born in the United States. There were six U.S.-born black American participants and five black foreign-born African immigrants, resulting in a total of eleven in-depth interviews. When evaluating the role of trust in using resources within the healthcare system across both study populations, there seemed to be no clear conclusion on its impact. Some participants considered trust as one of their top three factors influencing how they utilized health care resources, while others indicated that it was not important to them at all. Some participants also noted that trust interacted with their personal identifiers – such as gender, race, and socioeconomic status – and their health care utilization. Additionally, the study revealed a high level of trust in individual providers but not the healthcare system as an institution for U.S.-born black Americans. On the other hand, black foreign-born African immigrants from West Africa had a significantly higher level of trust in the United States healthcare system compared to those from the Central, Eastern, and Southern regions of Africa. While there is variability in trust between the sample populations, participants mentioned that their level of trust in the United States healthcare system and their usage of resources would increase if there was more staff diversity, improvements in cultural competency surrounding different medical practices, and greater accessibility to quality care, especially in low-income communities.Item Open Access HIV/AIDS-related institutional mistrust among multiethnic men who have sex with men: effects on HIV testing and risk behaviors.(Health Psychol, 2012-05) Hoyt, Michael A; Rubin, Lisa R; Nemeroff, Carol J; Lee, Joyce; Huebner, David M; Proeschold-Bell, Rae JeanOBJECTIVE: To investigate relationships between institutional mistrust (systematic discrimination, organizational suspicion, and conspiracy beliefs), HIV risk behaviors, and HIV testing in a multiethnic sample of men who have sex with men (MSM), and to test whether perceived susceptibility to HIV mediates these relationships for White and ethnic minority MSM. METHOD: Participants were 394 MSM residing in Central Arizona (M age = 37 years). Three dimensions of mistrust were examined, including organizational suspicion, conspiracy beliefs, and systematic discrimination. Assessments of sexual risk behavior, HIV testing, and perceived susceptibility to HIV were made at study entry (T1) and again 6 months later (T2). RESULTS: There were no main effects of institutional mistrust dimensions or ethnic minority status on T2 risk behavior, but the interaction of systematic discrimination and conspiracy beliefs with minority status was significant such that higher levels of systematic discrimination and more conspiracy beliefs were associated with increased risk only among ethnic minority MSM. Higher levels of systematic discrimination were significantly related to lower likelihood for HIV testing, and the interaction of organizational suspicion with minority status was significant such that greater levels of organizational suspicion were related to less likelihood of having been tested for HIV among ethnic minority MSM. Perceived susceptibility did not mediate these relationships. CONCLUSION: Findings suggest that it is important to look further into the differential effects of institutional mistrust across marginalized groups, including sexual and ethnic minorities. Aspects of mistrust should be addressed in HIV prevention and counseling efforts.Item Open Access La Promoción de la Salud en Intibucá, Honduras: Empoderamiento, Conexión Comunitaria, Confianza en Atención Hondureña(2022-04-11) Linder, BrianEsta tesis tiene una colección de conocimientos que adquirí por la curiosidad que tenía acerca de las brigadas médicas y su impacto en la confianza en servicios de salud, la influencia neocolonial estadounidense en el país de Honduras, y el papel de los promotores de salud en Intibucá. El propósito de la tesis es determinar la importancia de confianza en sistemas y servicios de salud, explorar las historias relevantes de neocolonialismo y sus expresiones en instituciones actuales, y proponer una solución posible a través del rol indispensable de los promotores de la salud comunitarios. Esta tesis tiene el deseo de imaginar la posibilidad de una comunidad sana y autosostenible.Item Open Access Low use of routine medical care among African Americans with high CKD risk: the Jackson Heart Study.(BMC nephrology, 2019-01-10) Diamantidis, Clarissa J; Davenport, Clemontina A; Lunyera, Joseph; Bhavsar, Nrupen; Scialla, Julia; Hall, Rasheeda; Tyson, Crystal; Sims, Mario; Strigo, Tara; Powe, Neil R; Boulware, L EbonyBACKGROUND:Use of routine medical care (RMC) is advocated to address ethnic/racial disparities in chronic kidney disease (CKD) risks, but use is less frequent among African Americans. Factors associated with low RMC use among African Americans at risk of renal outcomes have not been well studied. METHODS:We examined sociodemographic, comorbidity, healthcare access, and psychosocial (discrimination, anger, stress, trust) factors associated with low RMC use in a cross-sectional study. Low RMC use was defined as lack of a physical exam within one year among participants with CKD (estimated glomerular filtration rate < 60 mL/min/1.73m2 or urine albumin-to-creatinine ratio > 30 mg/g) or CKD risk factors (diabetes or hypertension). We used multivariable logistic regression to estimate the odds of low RMC use at baseline (2000-2004) for several risk factors. RESULTS:Among 3191 participants with CKD, diabetes, or hypertension, 2024 (63.4%) were ≥ 55 years of age, and 700 (21.9%) reported low RMC use. After multivariable adjustment, age < 55 years (OR 1.61 95% CI 1.31-1.98), male sex (OR 1.71; 1.41-2.07),Item Open Access Perceptions of Competence, Strength, and Age Influence Voters to Select Leaders with Lower-Pitched Voices.(PloS one, 2015-01) Klofstad, Casey A; Anderson, Rindy C; Nowicki, StephenVoters prefer leaders with lower-pitched voices because they are perceived as stronger, having greater physical prowess, more competent, and having greater integrity. An alternative hypothesis that has yet to be tested is that lower-pitched voices are perceived as older and thus wiser and more experienced. Here the relationships between candidate voice pitch, candidate age, and electoral success are examined with two experiments. Study 1 tests whether voters discriminate on candidate age. The results show that male and female candidates in their 40s and 50s, the time in the lifecycle when voice pitch is at its lowest, are preferred over candidates in their 30s, 60s, and 70s. Study 2 shows that the preference for leaders with lower-pitched voices correlates with the perception that speakers with lower voices are stronger, more competent, and older, but the influence of perception of age on vote choice is the weakest of the three.Item Open Access Stakeholder Perspectives on Creating and Maintaining Trust in Community-Academic Research Partnerships.(Health education & behavior : the official publication of the Society for Public Health Education, 2017-02) Frerichs, Leah; Kim, Mimi; Dave, Gaurav; Cheney, Ann; Hassmiller Lich, Kristen; Jones, Jennifer; Young, Tiffany L; Cene, Crystal W; Varma, Deepthi S; Schaal, Jennifer; Black, Adina; Striley, Catherine W; Vassar, Stefanie; Sullivan, Greer; Cottler, Linda B; Brown, Arleen; Burke, Jessica G; Corbie-Smith, GiselleCommunity-academic research partnerships aim to build stakeholder trust in order to improve the reach and translation of health research, but there is limited empirical research regarding effective ways to build trust. This multisite study was launched to identify similarities and differences among stakeholders' perspectives of antecedents to trust in research partnerships. In 2013-2014, we conducted a mixed-methods concept mapping study with participants from three major stakeholder groups who identified and rated the importance of different antecedents of trust on a 5-point Likert-type scale. Study participants were community members ( n = 66), health care providers ( n = 38), and academic researchers ( n = 44). All stakeholder groups rated "authentic communication" and "reciprocal relationships" the highest in importance. Community members rated "communication/methodology to resolve problems" ( M = 4.23, SD = 0.58) significantly higher than academic researchers ( M = 3.87, SD = 0.67) and health care providers ( M = 3.89, SD = 0.62; p < .01) and had different perspectives regarding the importance of issues related to "sustainability." The importance of communication and relationships across stakeholders indicates the importance of colearning processes that involve the exchange of knowledge and skills. The differences uncovered suggest specific areas where attention and skill building may be needed to improve trust within partnerships. More research on how partnerships can improve communication specific to problem solving and sustainability is merited.Item Open Access The Building Blocks of Authentic Leadership: Being Consistent and Being Seen(2017) Hargrove, DevinIn recent years, leadership research has focused on the concept of “authentic leaders” who act consistently with their values, make balanced decisions, are self-aware, and are transparent in their relationships (Walumbwa, Avolio, Gardner, Wernsing and Peterson, 2008). Authentic leaders have the dual tasks of remaining true to their own values and beliefs (in order to be perceived as authentic) and simultaneously projecting an expressive persona (in order to be perceived as a leader). In this research, personality (extraversion and conscientiousness) and impression management (self-monitoring) constructs are used to capture the aspects of authentic leadership that reflect authenticity (expressiveness and other-directedness) and are shown to predict authentic leadership using ratings of followers. The analysis also includes the different dimensions of the self-monitoring scale, using mini-scales that reflect expressiveness (public-performing) and consistency (other-directedness or self-directedness), and show that they predict authenticity in leaders using self-ratings of leaders. The studies help to explain which leaders meet the challenge of being themselves and projecting their persona. Finally, there is evidence that authentic leadership is a mediator of the relationship between previously studied personality variables (extraversion and conscientiousness) and job satisfaction.
Item Open Access Toward Attack-Resistant Distributed Information Systems by Means of Social Trust(2010) Sirivianos, MichaelTrust has played a central role in the design of open distributed systems that span distinct administrative domains. When components of a distributed system can assess the trustworthiness of their peers, they are in a better position to interact with them. There are numerous examples of distributed systems that employ trust inference techniques to regulate the interactions of their components including peer-to-peer file sharing systems, web site and email server reputation services and web search engines.
The recent rise in popularity of Online Social Networking (OSN) services has made an additional dimension of trust readily available to system designers: social trust. By social trust, we refer to the trust information embedded in social links as annotated by users of an OSN. This thesis' overarching contribution is methods for employing social trust embedded in OSNs to solve two distinct and significant problems in distributed information systems.
The first system proposed in this thesis assesses the ability of OSN users to correctly classify online identity assertions. The second system assesses the ability of OSN users to correctly configure devices that classify spamming hosts. In both systems, an OSN user explicitly ascribes to his friends a value that reflects how trustworthy he considers their classifications. In addition, both solutions compare the classification input of friends to obtain a more accurate measure of their pairwise trust. Our solutions also exploit trust transitivity over the social network to assign trust values to the OSN users. These values are used to weigh the classification input by each user in order to derive an aggregate trust score for the identity assertions or the hosts.
In particular, the first problem involves the assessment of the veracity of assertions on identity attributes made by online users. Anonymity is one of the main virtues of the Internet. It protects privacy and freedom of speech, but makes it hard to assess the veracity of assertions made by online users concerning their identity attributes (e.g, age or profession.) We propose FaceTrust, the first system that uses OSN services to provide lightweight identity credentials while preserving a user's anonymity. FaceTrust employs a ``game with a purpose'' design to elicit the
opinions of the friends of a user about the user's self-claimed identity attributes, and uses attack-resistant trust inference to compute veracity scores for the attributes. FaceTrust then provides credentials, which a user can use to corroborate his online identity assertions.
We evaluated FaceTrust using a crawled social network graph as well as a real-world deployment. The results show that our veracity scores strongly correlate with the ground truth, even when a large fraction of the social network users are dishonest. For example, in our simulation over the sample social graph, when 50% of users were dishonest and each user employed 1000 Sybils, the false assertions obtained approximately only 10% of the veracity score of the true assertions. We have derived the following lessons from the design and deployment of FaceTrust: a) it is plausible to obtain a relatively reliable measure of the veracity of identity assertions by relying on the friends of the user that made the assertion to classify them, and by employing social trust to determine the trustworthiness of the classifications; b) it is plausible to employ trust inference over the social graph to effectively mitigate Sybil attacks; c) users tend to mostly correctly classify their friends' identity assertions.
The second problem in which we apply social trust involves assessing the trustworthiness of reporters (detectors) of spamming hosts in a collaborative spam mitigation system. Spam mitigation can be broadly classified into two main approaches: a) centralized security infrastructures that rely on a limited number of trusted monitors (reporters) to detect and report malicious traffic; and b) highly distributed systems that leverage the experiences of multiple nodes within distinct trust domains. The first approach offers limited threat coverage and slow response times, and it is often proprietary. The second approach is not widely adopted, partly due to the
lack of assurances regarding the trustworthiness of the reporters.
Our proposal, SocialFilter, aims to achieve the trustworthiness of centralized security services and the wide coverage, responsiveness, and inexpensiveness of large-scale collaborative spam mitigation. It enables nodes with no email classification functionality to query the network on whether a host is a spammer. SocialFilter employs trust inference to weigh the reports concerning spamming hosts that collaborating reporters submit to the system. To the best of our knowledge,
it is the first collaborative threat mitigation system that assesses the trustworthiness of the reporters by both auditing their reports and by leveraging the social network of the reporters' human administrators. Subsequently, SocialFilter weighs the spam reports according to the trustworthiness of their reporters to derive a measure of the system's belief that a host is a spammer.
We performed a simulation-based evaluation of SocialFilter, which indicates its potential:
during a simulated spam campaign, SocialFilter classified correctly 99% of spam, while yielding no false positives. The design and evaluation of SocialFilter offered us the following lessons: a) it is plausible to introduce Sybil-resilient OSN-based trust inference mechanisms to improve the reliability and the attack-resilience of collaborative spam mitigation; b) using social links to obtain the trustworthiness of reports concerning spammers (spammer reports) can result in comparable spam-blocking effectiveness with approaches that use social links to rate-limit spam (e.g., Ostra); c) unlike Ostra, SocialFilter yields no false positives. We believe that the design lessons from SocialFilter are applicable to other collaborative entity classification systems.
Item Open Access Trust in Community-Engaged Research Partnerships: A Methodological Overview of Designing a Multisite Clinical and Translational Science Awards (CTSA) Initiative.(Evaluation & the health professions, 2020-09) Kim, Mimi M; Cheney, Ann; Black, Anita; Thorpe, Roland J; Cene, Crystal Wiley; Dave, Guarav J; Schaal, Jennifer; Vassar, Stefanie; Ruktanonchai, Corrine; Frerichs, Leah; Young, Tiffany; Jones, Jennifer; Burke, Jessica; Varma, Deepthi; Striley, Catherine; Cottler, Linda; Brown, Arleen; Sullivan, Greer; Corbie-Smith, GiselleCommunity-engaged research (CEnR) builds on the strengths of the Clinical and Translational Science Awards (CTSA) framework to address health in underserved and minority communities. There is a paucity of studies that identify the process from which trust develops in CEnR partnerships. This study responds to the need for empirical investigation of building and maintaining trust from a multistakeholder perspective. We conducted a multi-institutional pilot study using concept mapping with to better understand how trust, a critical outcome of CEnR partnerships, can act as "social capital." Concept mapping was used to collect data from the three stakeholder groups: community, health-care, and academic research partners across three CTSAs. Concept mapping is a mixed-methods approach that allows participants to brainstorm and identify factors that contribute to a concept and describe ways in which those factors relate to each other. This study offers important insights on developing an initial set of trust measures that can be used across CTSAs to understand differences and similarities in conceptualization of trust among key stakeholder groups, track changes in public trust in research, identify both positive and negative aspects of trust, identify characteristics that maintain trust, and inform the direction for future research.Item Embargo Trust in Information Sources as a Predictor of Parents’ Knowledge, Attitudes, and Practices (KAP) Regarding PCV13 Vaccination for Children in China: A Mixed Methods Study(2023) Pan, ZhangyangBackground: Pneumococcal vaccines could protect children from being infected by some of the deadly Streptococcus pneumonia bacteria. However, since the pneumococcal vaccines have not yet been listed in China’s National Immunization Program (NIP), their coverage remains low due to the non-mandate and self-paid features. Parents are usually the key decision makers regarding their children’s PCV13 vaccine taking. Their exposure to vaccine information from trusted sources might influence this decision-making process. This study aims to explore the association between trust in information sources and parents’ knowledge, attitudes, and practices regarding PCV13 vaccination for children in the Yangtze River Delta region, China.Methods: This study applied an explanatory sequential mixed-method design, combining a web-based quantitative survey (N = 1,871) and qualitative interviews (N =19). Adult parents who had at least one child aged less than 24 months (including 24 months) and lived in the Yangtze River Delta region were recruited. A Five-Point Likert scale measured the level of trust in different sources. Adjusted Ordinary Least Square (OLS) regression model was applied to estimate the association between participants’ level of trust in different information sources and the primary outcomes. Semi-structured individual interviews were conducted. A thematic analytic approach was adopted to analyze the transcripts. Results: CDC received the highest trust score (4.48/5). High levels of uncertainty were identified in parents’ PCV13 knowledge. Age, gender, education, and annual household income were related to varied trust levels in specific sources. After controlling the effect of covariates, trust in healthcare institution sources was significantly associated with better PCV13 knowledge, less vaccine hesitancy, and a higher likelihood of vaccine uptake. Trust in official media was negatively associated with vaccine uptake. Trust in online community sources was positively associated with vaccine uptake. The qualitative study also identified parents’ trust in healthcare-related sources. Parents would consult multiple sources for vaccine information. Insufficient information provision during the vaccination process was one of the key drivers of vaccine information seeking. Parents had varied informed levels about PCV13 when making vaccination decisions. Conclusion: Healthcare institution sources were highly trusted and crucial in enhancing parents’ vaccine knowledge and acceptance of PCV13. The influence of online community sources on vaccine uptake is worth more attention. Public health policymakers could utilize media platforms with high engagement among parents for future optional vaccine promotion. Public health workers could consider embedding vaccine information provision into the pediatric vaccination process to inform parents’ decision-making better.