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  1. Pagliaro S, Sacchi S, Pacilli MG, Brambilla M, Lionetti F, Bettache K, et al.
    PLoS One, 2021;16(3):e0248334.
    PMID: 33690672 DOI: 10.1371/journal.pone.0248334
    The worldwide spread of a new coronavirus (SARS-CoV-2) since December 2019 has posed a severe threat to individuals' well-being. While the world at large is waiting that the released vaccines immunize most citizens, public health experts suggest that, in the meantime, it is only through behavior change that the spread of COVID-19 can be controlled. Importantly, the required behaviors are aimed not only at safeguarding one's own health. Instead, individuals are asked to adapt their behaviors to protect the community at large. This raises the question of which social concerns and moral principles make people willing to do so. We considered in 23 countries (N = 6948) individuals' willingness to engage in prescribed and discretionary behaviors, as well as country-level and individual-level factors that might drive such behavioral intentions. Results from multilevel multiple regressions, with country as the nesting variable, showed that publicized number of infections were not significantly related to individual intentions to comply with the prescribed measures and intentions to engage in discretionary prosocial behaviors. Instead, psychological differences in terms of trust in government, citizens, and in particular toward science predicted individuals' behavioral intentions across countries. The more people endorsed moral principles of fairness and care (vs. loyalty and authority), the more they were inclined to report trust in science, which, in turn, statistically predicted prescribed and discretionary behavioral intentions. Results have implications for the type of intervention and public communication strategies that should be most effective to induce the behavioral changes that are needed to control the COVID-19 outbreak.
    Matched MeSH terms: Trust/psychology*
  2. Krys K, -Melanie Vauclair C, Capaldi CA, Lun VM, Bond MH, Domínguez-Espinosa A, et al.
    Journal of nonverbal behavior, 2015 12 30;40:101-116.
    PMID: 27194817
    Smiling individuals are usually perceived more favorably than non-smiling ones-they are judged as happier, more attractive, competent, and friendly. These seemingly clear and obvious consequences of smiling are assumed to be culturally universal, however most of the psychological research is carried out in WEIRD societies (Western, Educated, Industrialized, Rich, and Democratic) and the influence of culture on social perception of nonverbal behavior is still understudied. Here we show that a smiling individual may be judged as less intelligent than the same non-smiling individual in cultures low on the GLOBE's uncertainty avoidance dimension. Furthermore, we show that corruption at the societal level may undermine the prosocial perception of smiling-in societies with high corruption indicators, trust toward smiling individuals is reduced. This research fosters understanding of the cultural framework surrounding nonverbal communication processes and reveals that in some cultures smiling may lead to negative attributions.
    Matched MeSH terms: Trust
  3. Chong, Aik Lee, Sakaria Abas, Yee, Angelina Seow Voon
    MyJurnal
    Collaboration without performance measures is likened to a football game without a scoreboard. Traditionally, universities have operated in isolation industry and vice versa. University and industry were formed with different agenda and objectives. Fundamentally, a university is a nonprofit oriented organisation while industry is profit oriented. However, industrialisation and egalitarian awakening in the early 20'" century gradually brought university and industry together. Currently, university and industry are increasingly seeking avenues to collaborate strategically. Nevertheless, 50% to 70% of collaborative efforts fail prematurely due to the lack of performance measures. In light of that, there is a need to search for a set of holistic performance measures. Therefore, this study is undertaken to determine the performance measures of strategic university industry collaborations in Malaysia using dyadic multicases approach. The researcher analyses multiple cases from the perspectives of university and industry within a bounded system via qualitative research methodology. Interviews respondents were from university and industry. From the 68 interviews conducted, university and industry respondents shared their experiences on the need for performance measures to include trust, commitment, enterprise, communication, complementary, flexibility, commercialisation and resources on top of conventional performance measures like agreed objectives, timelines, financial indicators and reporting. With that, a set of holistic performance measures is established from interviews. The main contributions of the research findings are: (i) to policy-making for the Ministry of Higher Education of Malaysia; and (ii) to the body of knowledge in investigating the performance measures in satisfactory performance of strategic university-industry collaboration.
    Matched MeSH terms: Trust
  4. Teymoori A, Jetten J, Bastian B, Ariyanto A, Autin F, Ayub N, et al.
    PLoS One, 2016;11(7):e0158370.
    PMID: 27383133 DOI: 10.1371/journal.pone.0158370
    Sociologists coined the term "anomie" to describe societies that are characterized by disintegration and deregulation. Extending beyond conceptualizations of anomie that conflate the measurements of anomie as 'a state of society' and as a 'state of mind', we disentangle these conceptualizations and develop an analysis and measure of this phenomenon focusing on anomie as a perception of the 'state of society'. We propose that anomie encompasses two dimensions: a perceived breakdown in social fabric (i.e., disintegration as lack of trust and erosion of moral standards) and a perceived breakdown in leadership (i.e., deregulation as lack of legitimacy and effectiveness of leadership). Across six studies we present evidence for the validity of the new measure, the Perception of Anomie Scale (PAS). Studies 1a and 1b provide evidence for the proposed factor structure and internal consistency of PAS. Studies 2a-c provide evidence of convergent and discriminant validity. Finally, assessing PAS in 28 countries, we show that PAS correlates with national indicators of societal functioning and that PAS predicts national identification and well-being (Studies 3a & 3b). The broader implications of the anomie construct for the study of group processes are discussed.
    Matched MeSH terms: Trust*
  5. Teo CH, Ng CJ, White A
    PLoS One, 2017;12(1):e0169435.
    PMID: 28060953 DOI: 10.1371/journal.pone.0169435
    There is a lack of mobile app which aims to improve health screening uptake developed for men. As part of the study to develop an effective mobile app to increase health screening uptake in men, we conducted a needs assessment to find out what do men want from a health screening mobile app. In-depth interviews and focus group discussions were conducted with 31 men from a banking institution in Kuala Lumpur. The participants were purposely sampled according to their job position, age, ethnicity and screening status. The recruitment was stopped once data saturation was achieved. The audio-recorded interviews were transcribed verbatim and analyzed using thematic approach. Three themes emerged from the analysis and they were: content, feature and dissemination. In terms of the content, men wanted the app to provide information regarding health screening and functions that can assess their health; which must be personalized to them and are trustable. The app must have user-friendly features in terms of information delivery, ease of use, attention allocation and social connectivity. For dissemination, men proposed that advertisements, recommendations by health professionals, providing incentive and integrating the app as into existing systems may help to increase the dissemination of the app. This study identified important factors that need to be considered when developing a mobile app to improve health screening uptake. Future studies on mobile app development should elicit users' preference and need in terms of its content, features and dissemination strategies to improve the acceptability and the chance of successful implementation.
    Matched MeSH terms: Trust
  6. Rehman A, Hassan MF, Yew KH, Paputungan I, Tran DC
    PeerJ Comput Sci, 2020;6:e334.
    PMID: 33816982 DOI: 10.7717/peerj-cs.334
    In the near future, the Internet of Vehicles (IoV) is foreseen to become an inviolable part of smart cities. The integration of vehicular ad hoc networks (VANETs) into the IoV is being driven by the advent of the Internet of Things (IoT) and high-speed communication. However, both the technological and non-technical elements of IoV need to be standardized prior to deployment on the road. This study focuses on trust management (TM) in the IoV/VANETs/ITS (intelligent transport system). Trust has always been important in vehicular networks to ensure safety. A variety of techniques for TM and evaluation have been proposed over the years, yet few comprehensive studies that lay the foundation for the development of a "standard" for TM in IoV have been reported. The motivation behind this study is to examine all the TM models available for vehicular networks to bring together all the techniques from previous studies in this review. The study was carried out using a systematic method in which 31 papers out of 256 research publications were screened. An in-depth analysis of all the TM models was conducted and the strengths and weaknesses of each are highlighted. Considering that solutions based on AI are necessary to meet the requirements of a smart city, our second objective is to analyze the implications of incorporating an AI method based on "context awareness" in a vehicular network. It is evident from mobile ad hoc networks (MANETs) that there is potential for context awareness in ad hoc networks. The findings are expected to contribute significantly to the future formulation of IoVITS standards. In addition, gray areas and open questions for new research dimensions are highlighted.
    Matched MeSH terms: Trust
  7. Abbasi GA, Tiew LY, Tang J, Goh YN, Thurasamy R
    PLoS One, 2021;16(3):e0247582.
    PMID: 33684120 DOI: 10.1371/journal.pone.0247582
    In recent years, the growth of cryptocurrency has undergone an enormous increase in cryptocurrency markets all around the world. Sadly, only insignificant heed has been paid to the unveiling of determinants of cryptocurrency adoption globally, particularly in emerging markets like Malaysia. The purpose of the study is to examine whether the application of deep learning-based dual-stage Partial Least Square-Structural Equation Modelling (PLS-SEM) & Artificial Neural Network (ANN) analysis enable better in-depth research results as compared to single-step PLS-SEM approach and to excavate factors which can predict behavioural intention to adopt cryptocurrency. The Unified Theory of Acceptance and Use of Technology 2 (UTAUT2) model were extended with the inclusion of trust and personnel innovativeness. The model was further validated by introducing a new path model compared to the original UTAUT2 model and the moderating role of personal innovativeness between performance expectancy and price value, with a sample of 314 respondents. Contrary to previous technology adoption studies that used PLS-SEM & ANN as single-stage analysis, this study further enhanced the analysis by applying a deep learning-based dual-stage PLS-SEM and ANN method. The application of deep learning-based dual-stage PLS-SEM & ANN analysis is a novel methodological approach, detecting both linear and non-linear associations among constructs. At the same time, it is regarded as a superior statistical approach as compared to traditional hybrid shallow SEM & ANN single-stage analysis. Also, sensitivity analysis provides normalised importance using multi-layer perceptron with the feed-forward-back-propagation algorithm. Furthermore, the deep learning-based dual-stage PLS-SEM & ANN revealed that trust proved to be the strongest predictor in driving user intention. The introduction of this new methodology and the theoretical contribution opens the vistas of the extant body of knowledge in technology-adoption related literature. This study also provides theoretical, practical and methodological contributions.
    Matched MeSH terms: Trust
  8. Ashutosh, Kumar Singh, Billy, Pik Lik Lau, Terence, Peng Lian Tan
    MyJurnal
    In this paper, we introduce T-DepExp system to simulate the transitive dependence based coalition formation (CF). It is a multi-agent based simulation (MABS) tool that aims to enhance cooperation between agents through transitive dependence. Previously, the transitive dependence was introduced by An and his colleagues for expressing the indirect dependence between agents in their cooperation. However, it did not receive much attention. Although it has a few problems need to be addressed, we try to propose our own mechanism to increase the efficiency of the transitive dependence based CF. To simulate MAS dependence relationship, we have included two fundamental dependence relationships in this MABS tool, which are AND-Dependence and OR-Dependence. In addition, the architecture of the T-DepExp system is presented and discussed. It allows possible integration of other features such as budget mechanism and trust model. Subsequently, hypothesis for the experiments and experimental setup are explained. The overall system will be demonstrated for its functionality and the experimental results will also be discussed.
    Matched MeSH terms: Trust
  9. Gertrude C Ah Gang G, Stukas AA
    Jurnal Psikologi Malaysia, 2015;olume 29:20-31.
    Equity theory suggests that perceiving equity leads to better relationship outcomes than perceiving inequity. However, cultural and relationship differences in tolerance for inequity have been found, suggesting that those from more individualistic cultures may have less tolerance for inequity with friends than those from more collectivistic cultures, with the latter group discriminating more clearly in their reactions to friends and strangers. In our first study, Kadazandusun (N=282) and Australian (N=255) participants evaluated their actual reciprocity in social support with a close friend. In our second study, 103 South East Asians and 128 Australians were randomly assigned to respond to a scenario presenting equity or inequity (underbenefit or overbenefit) with either a close friend or stranger. Study 1 found that participants from both cultures reported reduced desires for future interaction, positive feelings and closeness when they experienced under-benefit as compared to over-benefit or equity. In Study 2, participants from both cultures also reported reduced desires for future interaction, positive feelings and trust when there was inequity and reported a more negative reaction to a stranger than a close friend. These findings are consistent with equity theory and support its cross-cultural applicability.
    Matched MeSH terms: Trust
  10. Krajewska-Kułak E, Kułak W, Cybulski M, Kowalczuk K, Guzowski A, Łukaszuk C, et al.
    Mater Sociomed, 2019 Mar;31(1):57-61.
    PMID: 31213958 DOI: 10.5455/msm.2019.31.57-61
    Introduction: Nursing care is one of the most important areas of health services, taking place in direct contact with the patient, constituting a subsystem deciding about the general level of services.

    Aim: The aim of the study was to construct the Trust in Nurse Scale on the basis of the standardized Trust in Physician Scale by Anderson and Dedrick.

    Methods: The study included a group of 1,200 people selected at random, 600 each from surgical and medical treatment wards. Patients did not report any problems with understanding the statements on the scale.

    Results: The internal accuracy scores were excellent, all Cronbach's a values were well above 0.70. The Spearman's rank correlation coefficient values were highly statistically significant (p <0.001), and correlation strength was very high (for most items rs > 0.90).

    Conclusion: We suggest that The Trust in Nurse Scale, developed on the basis of the standardized Trust in Physician Scale by Anderson and Dedrick, can be used in studies on patient satisfaction with nursing care.

    Matched MeSH terms: Trust
  11. YAP HUI YEE, SITI NUR'AFIFAH JAAFAR
    MyJurnal
    owadays the increasing prevalence of dietary disease has raised consumers’ awareness of healthy diet and lifestyle. The rise in the use of nutrition and health claims to promote health benefits in food products help consumers make effective food choices. There is very limited research regarding nutrition and health claims in Malaysia. This research focused on consumers’ knowledge, perception (i.e. perceived quality, perceived healthiness, perceived value, perceived importance, trust and perceived familiarity), and attitude towards nutrition and health claims on dairy products as well as their purchase intention towards the products, and examinethe relationship between these variables in Johor Bahru, Johor. All responses were collected by distributing questionnaire to convenience and quota sample (n=200). Data was analysed to obtain descriptive statistics and correlation analysis. The results showed that most of the consumers (46%) had moderate knowledge of nutrition and health claims on dairy products. Consumers generally had almost positive perception and attitude towards nutrition and health claims on dairy products and positive purchase intention towards dairy products. Almost all independent variables correlated with purchase intention towards dairy products. Consumer attitude had the strongest positive relationship with purchase intention (r=0.722), followed by moderate positive correlation between consumer perception and purchase intention (r=0.671), while consumer knowledge only had low relationship with purchase intention (r=0.299). This study added new knowledge regarding public purchasing behaviour towards dairy products with nutrition and health claims. This research also provided valuable information for both food manufacturers and companies to help them make effective decisions to improve the presentation of nutrition and health claims for better expression of information as well as the goodness of food products in order to attract the attention of health-conscious consumers.
    Matched MeSH terms: Trust
  12. Kerk, Lee Chang, Rohanin Ahmad
    MATEMATIKA, 2018;34(2):381-392.
    MyJurnal
    Optimization is central to any problem involving decision making. The area
    of optimization has received enormous attention for over 30 years and it is still popular
    in research field to this day. In this paper, a global optimization method called Improved
    Homotopy with 2-Step Predictor-corrector Method will be introduced. The method in-
    troduced is able to identify all local solutions by converting non-convex optimization
    problems into piece-wise convex optimization problems. A mechanism which only consid-
    ers the convex part where minimizers existed on a function is applied. This mechanism
    allows the method to filter out concave parts and some unrelated parts automatically.
    The identified convex parts are called trusted intervals. The descent property and the
    global convergence of the method was shown in this paper. 15 test problems have been
    used to show the ability of the algorithm proposed in locating global minimizer.
    Matched MeSH terms: Trust
  13. Muthaiyah S, Anbananthen KSM, Phuong Lan NT
    F1000Res, 2021;10:899.
    PMID: 34745564 DOI: 10.12688/f1000research.72987.1
    Background Digital transformation is changing the structure and landscape of future banking needs with much emphasis on value creation. Autonomous banking solutions must incorporate on-the-fly processing for risky transactions to create this value. In an autonomous environment, access control with role and trust delegation has been said to be highly relevant. The aim of this research is to provide an end to end working solution that will enable autonomous transaction and task processing for banking. Method We illustrate the use case for task delegation with the aid of risk graphs, risk bands and finite state machines. This paper also highlights a step by step task delegation process using a risk ordering relation methodology that can be embedded into smart contracts. Results Task delegation with risk ordering relation is illustrated with six process owners that share immutable ledgers. Task delegation properties using Multi Agent Systems (MAS) is used to eliminate barriers for autonomous transaction processing. Secondly, the application of risk graph and risk ordering relation with reference to delegation of tasks is a novel approach that is nonexistent in RBAC. Conclusion The novelty of this study is the logic for task delegation and task policies for autonomous execution on autonomous banking platforms akin to the idea of federated ID (Liberty Alliance).
    Matched MeSH terms: Trust*
  14. Fengmin Z, Baijun W, Jiangtao B, Li L, Patwary AK
    Front Public Health, 2022;10:893497.
    PMID: 36091519 DOI: 10.3389/fpubh.2022.893497
    Good medical care has long been a top priority in health tourism to keep the flow of visitors coming for medical treatment. Medical tourism encompasses a range of treatments, from basic check-ups to surgical operations. For its friendly character and high quality of service, China has earned a reputation as one of Asia's top destinations for health tourism. Along with India and Taiwan, Japan, Thailand, and South Korea are China's top tourism destinations. Considering the above fact, this study aims to examine the influence of nutritional knowledge, perceived medical quality, and trust in physiologists on revisiting the intention of medical tourists in China. This study is cross-sectional and follows a quantitative approach. The researchers used questionnaires as a survey tool to obtain information from the respondents. The respondents of this chosen international tourists in China who come for medical treatment purposes. A systematic random sampling technique was used to select the respondents, and 315 usable responses were collected from the respondents and proceeded with further analysis. The study conducted structural equation modeling using Smart PLS version 3. The results found that nutritional knowledge, perceived medical quality, and trust in physiologists significantly influence the revisit intention of medical tourists in China.
    Matched MeSH terms: Trust
  15. Murugeesan, Yokananthini, Nurul Ain Mohd Hasan
    MyJurnal
    Previous research has found that interaction processes between coach and athlete have always been the
    strongest factor for sports performance. Other researches have drawn conclusions to other factors in the
    coach-athlete relationship, such as culture and gender. Research has generally shown that effective
    communication required the development of trust and respect between coach and athlete (Yukelson,
    1984). The review focuses on an analysis of past literature on communication styles, culture, and
    gender as potential key factors influencing the coach-athlete relationship. This review paper examined
    studies specific to the empirical studies on athletes and coaches from the Western and Asian
    perspectives. In particular, the review analysed empirical studies on communication, gender and
    culture as potential factors influencing the coach-athlete relationship. The review concluded that while
    various studies on the coach-athlete relationship had been done, a majority of the empirical studies
    were within Western perspectives. Such empirical study is particularly under-researched in Malaysia.
    Therefore, the paper concludes by suggesting that future research which explores the aspects of
    communication styles, culture, and gender within the Malaysian context is timely.
    Matched MeSH terms: Trust
  16. Arham AF, Amin L, Mustapa MAC, Mahadi Z, Arham AF, Yaacob M, et al.
    Data Brief, 2020 Oct;32:106262.
    PMID: 32944607 DOI: 10.1016/j.dib.2020.106262
    Perceived Benefits and Risks: A survey data set towards Wolbachia-infected Aedes Mosquitoes in the Klang Valley, Malaysia. Introduction: The paper presents data collected using measures of perceived benefits, perceived risks, trust in key players, attitude towards nature versus material, attitude towards technology, religiosity, and attitude towards the Wolbachia-infected Aedes mosquitoes (WiAM) technique. The validated questionnaires were used to randomly survey targeted stakeholders in the Klang Valley, Malaysia, who had been asked to voluntarily participate in face-to-face interviews. Completed questionnaires were received from 399 respondents (adults above 18 years old) and comprised two stakeholder groups: scientists (n = 202), and the public (n = 197). The detailed findings serve numerous opportunities to examine the social acceptance of Wolbachia-infected Aedes mosquitoes, to ensure the development of policy and action plans, and to encourage further study by other researchers interested in the measures and data presented.
    Matched MeSH terms: Trust
  17. Lee YK, Low WY, Lee PY, Ng CJ
    Int J Nurs Pract, 2015 May;21 Suppl 2:125-31.
    PMID: 24804909 DOI: 10.1111/ijn.12355
    Patient decision-making role preference (DMRP) is a patient's preferred degree of control when making medical decisions. This descriptive qualitative study aimed to explore Malaysian patients' views on their DMRP. Between January 2011 and March 2012, 22 individual face-to-face in-depth interviews were conducted with patients with type 2 diabetes who were deciding about insulin initiation. The interviews were audio-recorded and analysed using a thematic approach. The age range of participants was 28-67 years old with 11 men. Ten patients preferred to make the decision themselves, six patients indicated that the clinician should make the decision and only one patient expressed a preference for a collaborative role. The following factors influenced DMRP: trust in clinicians, responsibility for diabetes care, level of knowledge and awareness, involvement of family and personal characteristics. In conclusion, the concept of shared decision-making is still alien, and a more participative communication style might help to facilitate patients' expression of DMRP.
    Study site: Public university hospital-based primary care clinic, Public health-care clinics (Klinik Kesihatan), Private specialist clinic, Malaysia
    Matched MeSH terms: Trust
  18. Nadiah Tasin
    MyJurnal
    Having many advantages that traditional shopping lack of, online shopping is now enjoying its
    predominance and rapid development in Malaysia. In many previous researches, focus has been found
    in the relationship between consumer trust and its antecedents. The objective of this study is to
    examine some factors affecting consumer trust in Malaysia as well as to investigate the relationship
    between trust and purchasing decision. A questionnaire was distributed among bank employees of
    CIMB Bank Berhad. Correlations and regressions were used in analyzing the data. This paper provides
    evidence that trust in online shopping is built on information quality, online consumer review and site
    quality. It also proves that trust contributes to the online purchasing decision.
    Matched MeSH terms: Trust
  19. KIEW CHEE CHING, ZUHA ROSUFILA ABU HASAN, NADIA ABU HASAN
    MyJurnal
    Shopee online has become increasingly popular among consumers for purchasing purposes as compared to brick-and-mortar retail due to the benefits and enjoyment that come with it. However, Shopee has facing intense competitive challenges with other competitors in Malaysia. In addition, it is also difficult for Shopee to compete with major leader of online shopping portal although this platform offers the same function and usage as its contender. Hence, it is important to understand consumer perceptions on the benefit and intention of using Shopee. This study examines consumer perceived usefulness, perceived ease of use, perceived price, perceived convenience and perceived trust adapted from the Technology Acceptance Model (TAM). 208 respondents who have experience online purchasing in East Cost of Malaysia were invited to participate in this study using online survey. Data were analyzed using descriptive, correlation and multiple regression analyses. The findings show that perceived convenience and perceived trust have strong influence towards consumer intention to use Shopee as platform to do online purchase. It is suggested that this study will help practitioners to understand consumer online shopping perception and intention in order to induce visitation and usage of Shopee.
    Matched MeSH terms: Trust
  20. Khana R, Mahinderjit Singh M, Damanhoori F, Mustaffa N
    JMIR Med Inform, 2020 Sep 23;8(9):e21584.
    PMID: 32965225 DOI: 10.2196/21584
    BACKGROUND: Breast cancer is the leading cause of mortality among women worldwide. However, female patients often feel reluctant and embarrassed about meeting physicians in person to discuss their intimate body parts, and prefer to use social media for such interactions. Indeed, the number of patients and physicians interacting and seeking information related to breast cancer on social media has been growing. However, a physician may behave inappropriately on social media by sharing a patient's personal medical data excessively with colleagues or the public. Such an act would reduce the physician's trustworthiness from the patient's perspective. The multifaceted trust model is currently most commonly used for investigating social media interactions, which facilitates its enhanced adoption in the context of breast self-examination. The characteristics of the multifaceted trust model go beyond being personalized, context-dependent, and transitive. This model is more user-centric, which allows any user to evaluate the interaction process. Thus, in this study, we explored and evaluated use of the multifaceted trust model for breast self-examination as a more suitable trust model for patient-physician social media interactions in breast cancer screening.

    OBJECTIVE: The objectives of this study were: (1) to identify the trustworthiness indicators that are suitable for a breast self-examination system, (2) design and propose a breast self-examination system, and (3) evaluate the multifaceted trustworthiness interaction between patients and physicians.

    METHODS: We used a qualitative study design based on open-ended interviews with 32 participants (16 outpatients and 16 physicians). The interview started with an introduction to the research objective and an explanation of the steps on how to use the proposed breast self-examination system. The breast self-examination system was then evaluated by asking the patient to rate their trustworthiness with the physician after the consultation. The evaluation was also based on monitoring the activity in the chat room (interactions between physicians and patients) during daily meetings, weekly meetings, and the articles posted by the physician in the forum.

    RESULTS: Based on the interview sessions with 16 physicians and 16 patients on using the breast self-examination system, honesty had a strong positive correlation (r=0.91) with trustworthiness, followed by credibility (r=0.85), confidence (r=0.79), and faith (r=0.79). In addition, belief (r=0.75), competency (r=0.73), and reliability (r=0.73) were strongly correlated with trustworthiness, with the lowest correlation found for reputation (r=0.72). The correlation among trustworthiness indicators was significant (Ptrust level of a patient for a particular physician was found to increase after several interactions.

    CONCLUSIONS: Multifaceted trustworthiness has a significant impact on a breast self-examination system. Evaluation of trustworthiness indicators helps to ensure a trustworthy system and ethical interaction between a patient and physician. A new patient can obtain a consultation by referring to the best physician according to preference of other patients. Patients can also trust a physician based on another patient's recommendation regarding the physician's trust level. The correlation analysis further showed that the most preferred trustworthiness indicator is honesty.

    Matched MeSH terms: Trust
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