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Updated: Jan 20, 2026

The Collective Trust Game: An Online Group Adaptation of the Trust Game Based on the HoneyComb Paradigm
Published on: October 20, 2022
Trust in Group Decisions: a scoping review
Jason E Sapp1,2, Dario M Torre3, Kelsey L Larsen3
1Department of Medicine, Division of Health Professions Education, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Rd, Bethesda, MD, 20814, USA. jesapp@gmail.com.
Trust in group decisions is vital for competency committees. This study defines group trust and proposes a model with factors influencing it, aiming to improve decision-making quality.
Area of Science:
- Medical Education
- Organizational Psychology
- Healthcare Management
Background:
- Trust is essential for high-stakes decisions made by competency committees.
- Existing research on group trust lacks focus on group decisions and a clear definition.
- Understanding trust is crucial for effective competency committee functioning.
Purpose of the Study:
- To define trust within the context of group decisions.
- To explore factors influencing trust in competency committees.
- To propose a comprehensive group trust model.
Main Methods:
- Conducted a systematic literature search across four databases for articles on group trust.
- Extracted, coded, and analyzed data on trust definitions and influencing factors.
- Synthesized findings to propose a definition and model of group trust.
Main Results:
- No clear definition of "group trust" was found in existing literature.
- Proposed definition: A group-directed willingness to accept vulnerability based on expected member actions, including social exchange, collective perceptions, and interpersonal trust.
- Proposed a model of group trust encompassing individual, interpersonal, group, and environmental factors.
Conclusions:
- Higher trust levels correlate with improved attitudinal and performance outcomes, including decision quality.
- A deeper understanding of trust can enhance competency committee processes and collective decision-making.
- This research provides a framework for understanding and fostering trust in healthcare competency committees.
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