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Building trusting relationships to support implementation: A proposed theoretical model.

Allison Metz1, Todd Jensen1, Amanda Farley1

  • 1School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.

Frontiers in Health Services
|March 17, 2023
PubMed
Summary
This summary is machine-generated.

Building trust among stakeholders is key to successful implementation. This theory of change shows how trusting relationships improve motivation, capability, and opportunity, leading to sustained implementation and positive outcomes.

Keywords:
implementation practiceimplementation sciencerelationshipstheory of changetrust

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Area of Science:

  • Implementation Science
  • Organizational Psychology

Background:

  • Effective implementation of programs and interventions is crucial for achieving desired outcomes.
  • Trust among stakeholders is often cited as a critical factor, yet theoretical models linking trust to implementation success are underdeveloped.

Purpose of the Study:

  • To present a theory of change articulating strategies for building trust among implementation stakeholders.
  • To describe the theoretical linkages between trusting relationships and implementation outcomes.
  • To provide recommendations for measuring key constructs within the proposed theory.

Main Methods:

  • Conceptual development of a theory of change.
  • Articulating strategies for trust-building.
  • Identifying theoretical pathways from trust to implementation outcomes.
  • Proposing measurement recommendations for key constructs.

Main Results:

  • A theory of change is presented, outlining how trust influences motivation, capability, and opportunity for implementation support.
  • Trusting relationships are linked to increased stakeholder commitment and resilience for sustained implementation.
  • The theory suggests a pathway from trust to positive implementation outcomes.

Conclusions:

  • Trust is a foundational element for successful and sustained implementation.
  • The proposed theory of change provides a testable causal model for understanding the role of trust in implementation.
  • Bridging implementation research and practice requires a focus on measurable constructs like trust.