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Updated: Feb 8, 2026

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The Collective Trust Game: An Online Group Adaptation of the Trust Game Based on the HoneyComb Paradigm
Published on: October 20, 2022
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The association between physician trust and prostate-specific antigen screening: Implications for shared
Zachary Klaassen1, Christopher J D Wallis1, Hanan Goldberg1
1Princess Margaret Cancer Centre, Toronto, ON, Canada.
Summary
Patient trust in physician cancer information strongly influences prostate cancer screening decisions. Higher trust correlates with increased discussion and receipt of PSA screening among men.
Area of Science:
- Urology
- Public Health
- Health Services Research
Background:
- Shared decision-making is crucial for prostate-specific antigen (PSA) screening.
- The impact of patient trust in physician-provided cancer information on PSA screening decisions remains unclear.
Purpose of the Study:
- To investigate the association between men's trust in their physician's cancer information and their engagement in PSA screening.
- To determine if trust influences both the discussion and receipt of PSA screening.
Main Methods:
- Analysis of data from the Health Information National Trends Survey (2011-2014) involving US men aged 18+.
- Assessment of the relationship between physician trust levels and patient-reported PSA screening and discussion.
Main Results:
- A significant positive association was found between trust in physician cancer information and PSA screening receipt (p<0.0001).
- Men reporting high trust were more likely to have undergone PSA screening (54.9%) compared to those with no trust (27.6%).
- Higher trust levels also strongly correlated with increased likelihood of discussing PSA screening with a physician (p<0.0001).
Conclusions:
- Physician trust is a key factor in men's decisions regarding prostate cancer screening.
- Building patient trust is essential for effective shared decision-making and adherence to PSA screening guidelines.
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