Engage for Equity: The Role of Trust and Synergy in Community-Based Participatory Research

Julie E. Lucero, Blake Boursaw, Milton “Mickey” Eder, Ella Greene-Moton, Nina Wallerstein, John G. Oetzel

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)372-379
Number of pages8
JournalHealth Education and Behavior
Volume47
Issue number3
DOIs
StatePublished - Jun 1 2020

Bibliographical note

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Funding for Engage for Equity: Advancing CBPR Practice Through a Collective Reflection and Measurement Toolkit was from the National Institute of Nursing Research: 1 R01 NR015241-01A1. We are thankful for our previous Research for Improved Health NARCH study and partners which led to Engage for Equity (UNM, UW, and the National Congress of American Indians Policy Research Center), with support from the National Institute of General Medical Sciences in partnership with the Indian Health Service (U26IHS300009 and U26IHS300293), with additional funding from the National Institute on Drug Abuse, the Office of Behavioral and Social Science Research, the National Cancer Institute, the Health Resources and Services Administration, and the National Institute of Minority Health and Health Disparities.

Funding Information:
We gratefully acknowledge our partners with the E2 study: the University of New Mexico (UNM) Center for Participatory Research, University of Washington (UW) Indigenous Wellness Research Institute and School of Medicine, Community Campus Partnerships for Health, National Indian Child Welfare Association, University of Waikato, and RAND Corporation; and the national Think Tank of community and academic CBPR scholars and experts. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Funding for Engage for Equity: Advancing CBPR Practice Through a Collective Reflection and Measurement Toolkit was from the National Institute of Nursing Research: 1 R01 NR015241-01A1. We are thankful for our previous Research for Improved Health NARCH study and partners which led to Engage for Equity (UNM, UW, and the National Congress of American Indians Policy Research Center), with support from the National Institute of General Medical Sciences in partnership with the Indian Health Service (U26IHS300009 and U26IHS300293), with additional funding from the National Institute on Drug Abuse, the Office of Behavioral and Social Science Research, the National Cancer Institute, the Health Resources and Services Administration, and the National Institute of Minority Health and Health Disparities.

Publisher Copyright:
© 2020 Society for Public Health Education.

Keywords

  • community-based participatory research
  • general terms
  • health equity
  • health promotion
  • measurement
  • social determinants of health

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