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1.
PLoS One ; 15(2): e0228911, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32078645

RESUMO

OBJECTIVES: To explore parents' experiences of seeking health care for their children and instead being accused by healthcare professionals of Shaken Baby Syndrome/Abusive Head Trauma (SBS/AHT), being reported to Social Services, undergoing judiciary processing, and the impact of these events on family (dis)integration. METHODS: Design: A qualitative study based on qualitative content analysis. Participants: Twelve parents in Sweden, mothers and fathers, seeking health care for their infants, encountering allegations of SBS/AHT, losing custody of their infants, and being subjected to a judiciary process, and finally regaining custody of their children. Data collection: In-depth interviews. RESULTS: An overarching theme 'Fighting for protection of their child after being trapped by doctors' and four sub-themes were developed to reflect the parents' experiences, reactions and interpretations. The first sub-theme, 'Being accused of injuring the child', illuminated the shock experienced when seeking care and instead being accused of being a perpetrator. The second, 'Chaos and powerlessness', refers to the emotions experienced when losing custody of the child and being caught in the enforcement of legislation by the authorities. The third, ´The unified fight against the doctors' verdict´, illustrates the parents' fight for innocence, their worry for the lost child, and their support and resistance. The fourth, 'The wounded posttraumatic growth', describes the emotions, grief, panic, anxiety, and challenges in reuniting the family, but also the parents' reflections on personal growth. Unanimously, they had experienced the authorities' inability to reconsider, and expressed a deep mistrust of paediatric care. CONCLUSIONS: Being wrongly accused of child abuse and alleged SBS/AHT evoked emotions of intense stress, but parents endured because of a successful fight to regain custody of their child. However, the trauma had a long-term impact on their lives with residual posttraumatic stress symptoms and mistrust towards healthcare services and the authorities. The results provide important inferences for restoring system failures within child protection services.


Assuntos
Custódia da Criança/ética , Pais/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Confiança/psicologia , Adulto , Criança , Maus-Tratos Infantis/prevenção & controle , Traumatismos Craniocerebrais/prevenção & controle , Decepção , Emoções , Pai/psicologia , Feminino , Humanos , Lactente , Masculino , Mães/psicologia , Pesquisa Qualitativa , Síndrome do Bebê Sacudido , Suécia
2.
PLoS One ; 15(2): e0224761, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32069295

RESUMO

The United States has experienced prolonged severe shortages of vital medications over the past two decades. The causes underlying the severity and prolongation of these shortages are complex, in part due to the complexity of the underlying supply chain networks, which involve supplier-buyer interactions across multiple entities with competitive and cooperative goals. This leads to interesting challenges in maintaining consistent interactions and trust among the entities. Furthermore, disruptions in supply chains influence trust by inducing over-reactive behaviors across the network, thereby impacting the ability to consistently meet the resulting fluctuating demand. To explore these issues, we model a pharmaceutical supply chain with boundedly rational artificial decision makers capable of reasoning about the motivations and behaviors of others. We use multiagent simulations where each agent represents a key decision maker in a pharmaceutical supply chain. The agents possess a Theory-of-Mind capability to reason about the beliefs, and past and future behaviors of other agents, which allows them to assess other agents' trustworthiness. Further, each agent has beliefs about others' perceptions of its own trustworthiness that, in turn, impact its behavior. Our experiments reveal several counter-intuitive results showing how small, local disruptions can have cascading global consequences that persist over time. For example, a buyer, to protect itself from disruptions, may dynamically shift to ordering from suppliers with a higher perceived trustworthiness, while the supplier may prefer buyers with more stable ordering behavior. This asymmetry can put the trust-sensitive buyer at a disadvantage during shortages. Further, we demonstrate how the timing and scale of disruptions interact with a buyer's sensitivity to trustworthiness. This interaction can engender different behaviors and impact the overall supply chain performance, either prolonging and exacerbating even small local disruptions, or mitigating a disruption's effects. Additionally, we discuss the implications of these results for supply chain operations.


Assuntos
Tomada de Decisões , Preparações Farmacêuticas/provisão & distribução , Confiança/psicologia , Simulação por Computador , Equipamentos e Provisões Hospitalares/tendências , Humanos , Modelos Organizacionais , Preparações Farmacêuticas/economia , Estados Unidos
3.
PLoS One ; 15(2): e0225818, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32092084

RESUMO

Low levels of trust in government have potentially wide-ranging implications for governing stability, popular legitimacy, and political participation. Although there is a rich normative and empiricial literature on the important consequences of eroding trust in democratic societies, the causes of political trust are less clear. In this article we estimate the effect that changing Americans' views about the perceived honesty and integrity of political authorities (or "political probity") has on their trust in government using randomized survey experiments. In one experiment on a convenience sample and a direct replication on a more representative sample, we find that a single Op-Ed article about political probity increased trust in government by an amount larger than the partisan gap between Democrats and Republicans. These results complement prior observational studies on trust in government by demonstrating that political probity plays an important causal role in shaping Americans' judgments about the trustworthiness of their government and politicians.


Assuntos
Governo , Status Moral , Política , Confiança/psicologia , Democracia , Humanos , Opinião Pública , Inquéritos e Questionários , Estados Unidos
4.
PLoS One ; 15(1): e0227026, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31986147

RESUMO

The most readily-observable and influential cue to one's credibility is their confidence. Although one's confidence correlates with knowledge, one should not always trust confident sources or disregard hesitant ones. Three experiments (N = 662; 3- to 12-year-olds) examined the developmental trajectory of children's understanding of 'calibration': whether a person's confidence or hesitancy correlates with their knowledge. Experiments 1 and 2 provide evidence that children use a person's history of calibration to guide their learning. Experiments 2 and 3 revealed a developmental progression in calibration understanding: Children preferred a well-calibrated over a miscalibrated confident person by around 4 years, whereas even 7- to 8-year-olds were insensitive to calibration in hesitant people. The widespread implications for social learning, impression formation, and social cognition are discussed.


Assuntos
Compreensão , Sinais (Psicologia) , Autoimagem , Confiança/psicologia , Criança , Desenvolvimento Infantil , Pré-Escolar , Humanos , Conhecimento , Aprendizagem , Comportamento Social
6.
Am J Surg ; 219(2): 245-252, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31870532

RESUMO

BACKGROUND: Lack of transparency and meaningful assessment in surgical residency has led to inconsistent intraoperative entrustment and highly variable trainee competence at graduation. The relationship between faculty entrustment and resident entrustability on clinical competency remains unclear. We sought to evaluate the dynamic between entrustment/entrustability and clinical competency in general surgery residency. METHODS: Intraoperative observations were conducted across a 22-month period at an academic tertiary center. Entrustment/entrustability were measured using OpTrust. Clinical competencies were appraised via ACGME Milestones and Objective Structured Assessment of Technical Skill (OSATS) scores. Mixed effects linear regression was used to investigate the relationship among overall ACGME Milestone scores, OSATS domain scores, and overall OpTrust scores. RESULTS: Overall OpTrust scores significantly correlated with overall Milestone scores and multiple OSATS score domains. CONCLUSIONS: OpTrust demonstrated a positive association between ACGME general surgery Milestones and OSATS scores. Overall, OpTrust may help optimize intraoperative faculty entrustment and resident entrustability, facilitating surgical trainee success during residency.


Assuntos
Competência Clínica , Educação de Pós-Graduação em Medicina/organização & administração , Cirurgia Geral/educação , Autonomia Profissional , Centros Médicos Acadêmicos , Adulto , Estudos de Coortes , Feminino , Humanos , Internato e Residência/organização & administração , Relações Interprofissionais , Cuidados Intraoperatórios , Masculino , Pessoa de Meia-Idade , Salas Cirúrgicas/organização & administração , Estudos Retrospectivos , Confiança/psicologia , Estados Unidos
7.
Disasters ; 44(1): 25-43, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31231841

RESUMO

Although the literature is increasingly concerned with cooperation among humanitarian non-governmental organisations (NGOs), we still lack studies that explain cooperation under conditions of competition. Drawing on 22 semi-structured interviews, this article argues that trust is the driving force behind security-related cooperation within networks of humanitarian NGOs. Which type of trust comes into play and how trust is built depends on the structure of a network. In small, stable networks, trust is typically based on experience, whereas shared identity is at the heart of trust in large, unstable networks. In the latter case, cooperation among humanitarian NGOs is exclusive and comparable to a form of club governance, because NGOs are kept out based on their identity-that is, if they adopt a different operational interpretation of the humanitarian principles.


Assuntos
Comportamento Cooperativo , Organizações/organização & administração , Socorro em Desastres/organização & administração , Medidas de Segurança/organização & administração , Confiança/psicologia , Humanos
8.
BMC Public Health ; 19(1): 1665, 2019 Dec 11.
Artigo em Inglês | MEDLINE | ID: mdl-31829223

RESUMO

BACKGROUND: Building trust and engaging the community are important for biomedical trials. This was core to the set up and delivery of the EBOVAC-Salone and PREVAC Ebola vaccine trials in Sierra Leone during and following the 2014-2016 West African Ebola epidemic. Local community liaison teams (CLT) engaged with the community through public meetings, radio chat shows, and other activities, while a social science team (SST) assessed community members' and participants' perceptions and regularly updated the clinical team to adapt procedures to improve the acceptability and compliance of the trial. The objective of this study was to examine the community engagement (CE) program in these trials and to identify potential barriers and facilitators. METHODS: Fifteen CLT and SST members participated in in-depth interviews and 23 community members attended three focus groups to discuss the Ebola vaccine trials and their experiences and perspectives of the CE activities. RESULTS: A key aim of the CE program was to build trust between the community and the trial. Four main principles (the "four R's") evolved from the discussions with team members and the community that influenced this trust: reciprocity, relatability, relationships and respect. The CLT and SST ensured reciprocal communication between the trial team and the community. The CLT delivered key messages from the trial, whilst the SST completed ethnographic research in the field to uncover rumors and perceptions of the trial in the community. These ethnographic findings were shared with the CLT and addressed in targeted messaging to the community. Both the CLT and SST approached the communities in an egalitarian manner, by dressing modestly, speaking local dialects, and using relatable examples. Appreciation and understanding of the importance of interpersonal relationships and respect for the people, their customs, and traditions also played a large role in the CE program. CONCLUSION: These findings provide an in-depth understanding of how interdisciplinary community liaison and social science teams can work with a clinical team to strengthen trust. The four R's suggest the ways in which trust relations are central to CE and confidence in vaccine trials, and could offer an approach to CE in vaccine trials.


Assuntos
Ensaios Clínicos como Assunto/organização & administração , Participação da Comunidade , Relações Comunidade-Instituição , Vacinas contra Ebola/administração & dosagem , Epidemias/prevenção & controle , Grupos Focais , Doença pelo Vírus Ebola/epidemiologia , Doença pelo Vírus Ebola/prevenção & controle , Humanos , Respeito , Serra Leoa/epidemiologia , Confiança/psicologia
9.
PLoS One ; 14(12): e0226306, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31887152

RESUMO

BACKGROUND: Persons experiencing homelessness and vulnerable housing or those with lived experience of homelessness have worse health outcomes than individuals who are stably housed. Structural violence can dramatically affect their acceptance of interventions. We carried out a systematic review to understand the factors that influence the acceptability of social and health interventions among persons with lived experience of homelessness. METHODS: We searched through eight bibliographic databases and selected grey literature sources for articles that were published between 1994 and 2019. We selected primary studies that reported on the experiences of homeless populations interacting with practitioners and service providers working in permanent supportive housing, case management, interventions for substance use, income assistance, and women- and youth-specific interventions. Each study was independently assessed for its methodological quality. We used a framework analysis to identify key findings and used the GRADE-CERQual approach to assess confidence in the key findings. FINDINGS: Our search identified 11,017 citations of which 35 primary studies met our inclusion criteria. Our synthesis highlighted that individuals were marginalized, dehumanized and excluded by their lived homelessness experience. As a result, trust and personal safety were highly valued within human interactions. Lived experience of homelessness influenced attitudes toward health and social service professionals and sometimes led to reluctance to accept interventions. Physical and structural violence intersected with low self-esteem, depression and homeless-related stigma. Positive self-identity facilitated links to long-term and integrated services, peer support, and patient-centred engagement. CONCLUSIONS: Individuals with lived experience of homelessness face considerable marginalization, dehumanization and structural violence. Practitioners and social service providers should consider anti-oppressive approaches and provide, refer to, or advocate for health and structural interventions using the principles of trauma-informed care. Accepting and respecting others as they are, without judgment, may help practitioners navigate barriers to inclusiveness, equitability, and effectiveness for primary care that targets this marginalized population.


Assuntos
Acesso aos Serviços de Saúde/estatística & dados numéricos , Pessoas em Situação de Rua/psicologia , Confiança/psicologia , Administração de Caso , Técnica Delfos , Feminino , Humanos , Masculino , Pesquisa Qualitativa , Problemas Sociais , Serviço Social
10.
BMC Public Health ; 19(1): 1463, 2019 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-31694604

RESUMO

BACKGROUND: There is a worldwide shortage of donor organs for transplantation. To overcome this, several countries have introduced an opt-out donor consent system. This system, soon planned for Scotland and England means individuals are automatically deemed to consent for organ donation unless they register an opt-out decision. This study was designed to explore the reasons underpinning donor choices for people who plan to actively opt-in to the register, take no action and be on the register via deemed consent, opt-out, and those who are unsure of their decision. METHODS: This study reports the analysis of free-text responses obtained from a large survey of intentions towards opt-out legislation in Scotland, England and Northern Ireland (n = 1202). Of the n = 1202 participants who completed the questionnaire, n = 923 provided a free text response explaining their views. Thematic analysis was used to explore the reasons why participants plan to: opt-in (n = 646), follow deemed consent (n = 205), opt-out (n = 32) and those who were not sure (n = 40). RESULTS: A key theme for people planning to opt-in is that it ensures one's donor choice is explicitly clear and unequivocal. Some regarded deemed consent as unclear and open to ambiguity, thus actively opting-in was viewed as a way of protecting against family uncertainty and interference. For the deemed consent group, a key theme is that it represents a simple effortless choice. This is important from both a pragmatic time-saving point of view and because it protects ambivalent participants from making a challenging emotive choice about organ donation. Key themes for those planning to opt-out relate to fears around medical mistrust and bodily integrity. Notably, both participants who plan to opt-out and opt-in perceived presumed consent as "authoritarian" and a method of increasing Government control of organs. In response, registering an active decision protected their freedom of choice. CONCLUSIONS: The findings highlight the importance of registering deliberate active consent for people who choose opt-in, due to concerns over possible family refusal under deemed consent. These findings could inform the development of communication campaigns that encourage family communication before the implementation of opt-out legislation.


Assuntos
Consentimento Presumido/legislação & jurisprudência , Doadores de Tecidos/psicologia , Obtenção de Tecidos e Órgãos/legislação & jurisprudência , Confiança/psicologia , Adulto , Tomada de Decisões , Inglaterra , Feminino , Humanos , Masculino , Irlanda do Norte , Pesquisa Qualitativa , Escócia , Inquéritos e Questionários , Incerteza
12.
BMC Public Health ; 19(1): 1371, 2019 Oct 25.
Artigo em Inglês | MEDLINE | ID: mdl-31653244

RESUMO

BACKGROUND: Prevalence of depression in Indonesia is estimated at about 3.7% of the total population, although the actual may be higher. Studies worldwide have linked the environment where people live to their mental health status. However, little research is found in Indonesia regarding this link. We examined the association between individuals' perception towards their neighborhood and their depression symptoms. METHODS: Social trust was measured at the individual (level 1) and community (level 2) levels based on the Indonesian Family Life Survey 5 (IFLS5) in 2014. Depression was measured using the 10-item Center for Epidemiologic Studies-Depression Scale Revised (CESD-R-10) and the scores were transformed into logit form using the Rasch model. Multilevel regression was used to determine correlations. RESULTS: Of the total sample of 14,227 respondents in this study, about 19.4% had experienced severe depression symptoms in the past week. Social trust was found to be significantly associated with severe depression symptoms. The weaker the individuals' social trust towards their neighbourhood, the higher the probability of experiencing severe depression symptoms would be. CONCLUSIONS: This study shows that social trust is associated with the severity of depression symptoms: the higher the social trust, the lower the probability of having severe depression symptoms is. Depression symptoms may also be attributed to significant differences between communities.


Assuntos
Depressão/epidemiologia , Características de Residência/estatística & dados numéricos , Percepção Social , Confiança/psicologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Características da Família , Feminino , Humanos , Indonésia/epidemiologia , Masculino , Pessoa de Meia-Idade , Adulto Jovem
13.
Medicina (Kaunas) ; 55(8)2019 Aug 09.
Artigo em Inglês | MEDLINE | ID: mdl-31405053

RESUMO

Background and Objective: China has launched a series of reforms to enhance primary care. The aims of these reforms are to strengthen the functionality of primary care to encourage patients to use primary care. Patients' trust in physicians is important in clinical medicine; however, little is known about how Chinese patients' preferences relate to their trust in primary care physicians. This study's objectives are to measure the Chinese public's trust in primary care physicians and to characterize reasons of their preferences for health care. Materials and Methods: This quantitative study comprises a face-to-face survey with a convenience sample (n = 273) of people visiting community health centers or stations (CHCSs) in Wuhan, China. We measured the patients' preferences for the different level of hospitals and their trust in physicians, as well as the reasons of the patients' preferences, using a Chinese version of the Wake Forest Physician Trust Scale and other variables (such as demographics, health status, and hospital preference). Results: Approximately two thirds (68.6%) of the participants had experienced a mild or chronic disease in the year before the survey, but only 26.4% preferred to visit CHCSs in such cases. The negative factors related to this lack of preference are the physicians' competence (odds ratio [OR] = 0.250), the medical equipment (OR = 0.301), and the popularity of hospitals (OR = 0.172). The positive factors were ease of access (OR = 2.218) and affordability (OR = 1.900). The participants expressed a moderate trust in physicians in CHCSs (score of 3.02 out of 5). There is no association between the patients' trust and their hospital preference (r = 0.019, p = 0.859). Of the participants, 92 suggested that the physicians in CHCSs should improve in terms of their competence (n = 53), attitude (n = 35), and/or medical ethics (n = 16). Conclusions: This study's results suggest that patients consider improving physicians' competence to be more important and urgent than improving those physicians' trustworthiness in terms of reconstructing Chinese primary care. Improving the physicians' competence would not only reduce the barriers that patients experience regarding CHCSs, but would also increase their trust in the physicians.


Assuntos
Competência Clínica/normas , Médicos de Atenção Primária/normas , Opinião Pública , Confiança/psicologia , Adolescente , Adulto , China , Competência Clínica/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Médicos de Atenção Primária/estatística & dados numéricos , Projetos Piloto , Inquéritos e Questionários
15.
Evol Psychol ; 17(3): 1474704919872421, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31455105

RESUMO

How do our emotional tears affect the way we are treated? We tested whether tears, paired with either a neutral or a sad facial expression, elicited prosocial behavior among perceivers. Participants viewed a video clip depicting a confederate partner with or without tears displaying either a neutral or sad facial expression before making a behavioral decision in one of two economic games. In a Trust game (Experiment 1), participants who played the role of the investor were more likely to share an endowment after viewing a confederate trustee with tears (paired with either a neutral or a sad facial expression) in comparison to a confederate trustee without tears. However, in a Dictator game (Experiment 2), participants who played the role of allocator were no more likely to share an endowment after viewing a confederate recipient with tears (paired with either a neutral or sad facial expression) in comparison to a confederate recipient without tears. Taken together, these findings suggest that tears increase prosocial behavior by increasing trustworthiness as opposed to generally increasing other-regarding altruistic tendencies.


Assuntos
Choro/psicologia , Emoções/fisiologia , Comportamento Social , Confiança/psicologia , Adulto , Expressão Facial , Feminino , Jogos Experimentais , Humanos , Masculino , Adulto Jovem
17.
Psychopathology ; 52(2): 94-103, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31362289

RESUMO

This paper seeks to elucidate the phenomenological experience of psychotherapy in the context of the theory of mentalizing and epistemic trust. We describe two related phenomenological experiences that are the domain of psychotherapeutic work. The first is the patient's direct experience of their own personal narrative being recognized, marked and reflected back to them by the therapist. Secondly, this intersubjective recognition makes possible the regulation and alignment of the patient's imaginative capacity in relation to phenomenological experiences. In describing three aspects of the communication process that unfold in effective psychotherapeutic interventions - (1) the epistemic match, (2) improving mentalizing and (3) the re-emergence of social learning - the way in which any effective treatment is embedded in metacognitive processes about the self in relation to perceptual social reality is explained. In particular, attention is drawn to wider social determinants of psychopathology. We discuss the possible mechanism for the relationship between the socioeconomic environment and psychopathology, and the implications of this for psychotherapeutic treatment.


Assuntos
Psicoterapia/métodos , Confiança/psicologia , Humanos , Resultado do Tratamento
18.
BMC Health Serv Res ; 19(1): 502, 2019 Jul 19.
Artigo em Inglês | MEDLINE | ID: mdl-31324170

RESUMO

BACKGROUND: Trust has been introduced as the cornerstone of the public and health providers' relation. Public trust in primary health care (PHC) is crucial and must be measured. The aim of this study was to develop and validate PHC trust measurement tool. METHODS: This was a psychometric study to develop PHC trust measuring tool done in Tabriz, East-Azerbaijan with participation of 600 households in 2016. Item generation was done through literature review and experts opinions. The content validity, reliability and construct validity of the PHC trust tool were assessed using several statistical methods including modified Kappa, Kendall's Tau and intra-class correlation coefficient (ICC) as well as exploratory factor analysis (EFA). Data were analyzed using STATA 14 statistical software package. RESULTS: A 30-item questionnaire was developed. The Modified Kappa coefficient as an indicator of content validity assessment was 0.94. With respect to reliability assessment, a high internal consistency was observed with 0.98 Cronbach-Alpha score and the test-retest reliability for overall scale (assessed by ICC) was 0.94 (CI: 0.87-0.97). Exploratory factor analysis emerged 2 factors. Factor 1 consisted of 25 items accounting for 74.1% of the variance (eigenvalue = 22.47) followed by Factor 2 consisting of 5 items accounting for 19.2% of the variance (eigenvalue = 1.6). CONCLUSION: PHC trust measuring tool could be used as a valid and reliable tool by health systems in Iran and similar contexts to investigate how they are trustful from the public viewpoint.


Assuntos
Atitude Frente a Saúde , Atenção Primária à Saúde , Inquéritos e Questionários , Confiança/psicologia , Adulto , Análise Fatorial , Feminino , Humanos , Irã (Geográfico) , Masculino , Pessoa de Meia-Idade , Psicometria , Reprodutibilidade dos Testes
19.
Behav Med ; 45(2): 188-196, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31343959

RESUMO

Medical mistrust persists and appears to be growing. The public health literature on medical mistrust has largely focused on mistrust among Black and African American populations due to legacies of abuse and mistreatment, such as the infamous Tuskegee Syphilis Study. However, research is now emerging that explores mistrust among various populations and in varying contexts, and the literature now largely emphasizes the role of ongoing, present-day social and economic inequalities in shaping and sustaining mistrust, particularly among populations who experience staggering health disparities. This special issue showcased nine articles exploring medical mistrust among diverse populations, exploring a wide array of topics and spanning myriad methodologies. In addition to a rigorous systematic review of the literature, this issue covers several critical subareas of the health disparities literature, including preventative health screenings among Black men, discrimination and cultural factors among rural Latinx communities, health care satisfaction among Latina immigrant women, the complex relationship between HIV testing and "conspiracy beliefs" among Black populations, pre-exposure prophylaxis use among transgender women, the impacts of mass incarceration on HIV care, eHealth interventions to address chronic diseases among sexual minority men of color, and participatory research to engage underserved populations as co-researchers. The purpose of this article is to provide a brief summary of the nine manuscripts in this special issue and to outline some recommendations and future directions for research on medical mistrust.


Assuntos
Previsões , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde/psicologia , Pesquisadores/psicologia , Confiança/psicologia , Humanos
20.
Behav Med ; 45(2): 166-176, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31343963

RESUMO

The purpose of this paper is to present a stepwise, multi-construct, innovative framework that supports the use of eHealth technology to reach sexual minority populations of color to establish trustworthiness and build trust. The salience of eHealth interventions can be leveraged to minimize the existing paradigm of medical mistrust among sexual minority populations of color living with chronic illnesses. These interventions include virtual environments and avatar-led eHealth videos, which address psychosocial and structural-level challenges related to mistrust. Our proposed framework addresses how eHealth interventions enable technology adoption and usage, anonymity, co-presence, self-disclosure, and social support and establish trustworthiness and build trust.


Assuntos
Afro-Americanos/psicologia , Doença Crônica/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Homossexualidade Masculina/psicologia , Telemedicina/métodos , Confiança/psicologia , Humanos , Masculino , Modelos Psicológicos
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