Building Trustworthiness in Health Care and Research: Disrupting Traditional Practices Through Authentic Community Engagement—Project ENTRUST

Abstract

<jats:sec> <jats:title>Introduction:</jats:title> <jats:p>Project ENTRUST is a mixed-method, community-collaborative, and community-grounded initiative at Duke Health aimed at co-creating a model for equity-driven engagement and trust-building in health care and research.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods:</jats:title> <jats:p>Community members, Duke Health, and university leaders developed the 7-phase ENTRUST Model—a structured roadmap for trust-building through collaborative survey development, town halls, and recommendations for institutional change.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>The ENTRUST process engaged 6167 survey respondents, over 300 community members and organizations across 6 town halls, and 3 focus groups.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions:</jats:title> <jats:p>The ENTRUST Model offers a replicable framework for health care systems and research institutions seeking to build trust within communities.</jats:p> </jats:sec>

Department

Description

Provenance

Subjects

community engagement, health care, heath equity, medical research, trust, trustworthiness

Citation

Published Version (Please cite this version)

10.1177/24731242261420931

Publication Info

Barrett, NJ, S El-Amin, J Sperling, A Tsui, C Canty Dumas, PB Muhigaba, S Quenstedt, S Taylor, et al. (2026). Building Trustworthiness in Health Care and Research: Disrupting Traditional Practices Through Authentic Community Engagement—Project ENTRUST. Health Equity, 10. 10.1177/24731242261420931 Retrieved from https://hdl.handle.net/10161/34323.

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Scholars@Duke

El-Amin

Salimah El-Amin

Assist Dir, Development & Diversity

I am a public health practitioner, researcher, and educator. My work focuses on the social determinants of health, structural factors shaping health outcomes, and persistent health inequities. I currently serve as the Assistant Director of the Community Connections for Health Translation (CCHT) Pillar. Previously, I worked at Duke University from 2015–2018 at the Samuel DuBois Cook Center on Social Equity as a Faculty Affiliate and Senior Researcher.

Muhigaba

Perusi Muhigaba

Research Analyst I

Perusi Muhigaba, PhD (they/them), is a project manager and research analyst with the Evaluation, Improvement, and Impact team at Duke’s Clinical and Translational Science Institute. They are committed to applying an intersectional and equity-focused lens to evaluation and applied research. Prior to their position at CTSI, they worked on health and healthcare equity research in North Carolina State University's Black Health Lab. They hold a PhD in Applied Social Psychology from North Carolina State University and a BS in Psychology from University of North Carolina - Chapel Hill.

Bentley-Edwards

Keisha L. Bentley-Edwards

Associate Professor in Medicine

Dr. Keisha L. Bentley-Edwards is a developmental psychologist and Associate Professor of Medicine in the Division of General Internal Medicine at Duke University School of Medicine. Her research examines how structural inequality, gender, and cultural context shape health and development across the lifespan, with a particular focus on African American families, children, and communities. Her work centers the experiences of marginalized communities to eliminate disparities in health outcomes and access, and to advance trustworthy research practices. She holds leadership roles at the Samuel DuBois Cook Center on Social Equity and Duke's Clinical and Translational Science Institute, and serves as Chair of the Society for Research in Child Development's Black Caucus.

Mohottige

Dinushika Mohottige

Adjunct Assistant Professor in the Department of Medicine

Dinushika Mohottige is Assistant Professor in Institute of Health Equity Research at the Icahn School of Medicine at Mount Sinai and the Barbara T. Murphy Division of Nephrology. She received a B.A. in Public Policy and a Health Policy Certificate from Duke University in 2006, where she was a Robertson Scholar. She then earned an MPH in Health Behavior/Health Education from the UNC Gillings School of Global Public Health and a medical degree from the University of North Carolina at Chapel Hill School of Medicine, followed by Internal Medicine/Chief Residency and Nephrology training at Duke University. She engages in patient and community-centered, inequity-focused research around the impact of socio-structural factors/racialized medicine on kidney health and kidney transplantation.

Lyn

Michelle Jacqueline Lyn

Adjunct Assistant Professor in Family Medicine and Community Health

Population Health
Community Engagement and Capacity Building
Design and implementation of collaborative disease prevention/health promotion and health care delivery models
Design and implementation of care management models
Design and implementation of educational programs for health care professionals

Naggie

Susanna Naggie

James B. Duke Distinguished Professor of Medicine

Dr. Susanna Naggie completed her undergraduate degrees in chemical engineering and biochemistry at the University of Maryland, College Park, and her medical education at Johns Hopkins School of Medicine. She conducted her internal medicine and infectious diseases fellowship training at Duke University Medical Center, where she also served as Chief Resident. She joined the faculty in the Duke School of Medicine in 2009. She is a Professor of Medicine and currently holds appointments at the Duke University School of Medicine, at the Duke Clinical Research Institute, and at the Durham Veterans Affairs Medical Center. Dr. Naggie is a clinical investigator with a focus in clinical trials in infectious diseases and translational research in HIV and liver disease. She is a standing member of the DHHS Panel on Antiretroviral Guidelines for Adults and Adolescents and the CDC/NIH/IDSA-HIVMA Opportunistic Infections Guideline. She is the Vice Dean for Clinical and Translational Research and Director for the Duke Clinical and Translational Sciences Institute.


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