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

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          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.

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          Most cited references 8

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          Mplus user’s guide

           Muthén L. K. (2017)
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            Community-Based Participatory Research for Health: Advancing Social and Health Equity

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                Author and article information

                Contributors
                (View ORCID Profile)
                (View ORCID Profile)
                Journal
                Health Education & Behavior
                Health Educ Behav
                SAGE Publications
                1090-1981
                1552-6127
                June 2020
                May 21 2020
                June 2020
                : 47
                : 3
                : 372-379
                Affiliations
                [1 ]University of Nevada Reno, NV, USA
                [2 ]University of New Mexico, Albuquerque, NM, USA
                [3 ]University of Minnesota, Minneapolis, MN, USA
                [4 ]University of Michigan, Ann Arbor, MI, USA
                [5 ]University of Waikato, Hamilton, New Zealand
                Article
                10.1177/1090198120918838
                © 2020

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