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The Collective Trust Game: An Online Group Adaptation of the Trust Game Based on the HoneyComb Paradigm
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Building trust during crises by engaging with existing distrust.

Tarun Kattumana1,2, Heidi J Larson3,4

  • 1Husserl Archives and Center for Phenomenology and Continental Philosophy, Institute for Philosophy, KU Leuven, Leuven, Belgium.

Frontiers in Public Health
|May 19, 2025
PubMed
Summary

Trust can be built during crises by addressing existing distrust, as seen in COVID-19 vaccine initiatives for Black Americans and the Indian transgender community. However, failing to address distrust can lead to public health challenges.

Keywords:
COVID-19 pandemiccrisisdistrustmedical populismtrustvaccine hesitancy

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Area of Science:

  • Public Health
  • Sociology
  • Crisis Communication

Background:

  • Traditional views suggest trust cannot be built during crises.
  • This perspective challenges that notion, highlighting the potential for trust-building amidst public health emergencies.
  • Existing distrust can be a significant barrier to effective interventions.

Purpose of the Study:

  • To argue for the possibility of building trust during crises by engaging with existing distrust.
  • To examine specific case studies from the COVID-19 pandemic illustrating successful trust-building strategies.
  • To analyze the risks associated with failing to address distrust during public health crises.

Main Methods:

  • Analysis of two case studies from the COVID-19 pandemic: vaccine hesitancy among Black Americans and trust networks within the Indian transgender community.
  • Examination of interventions involving trusted third parties and community partnerships.
  • Review of historical examples (polio vaccine boycott, medical populism) to illustrate negative outcomes of unaddressed distrust.

Main Results:

  • Interventions partnering with trusted third parties successfully addressed vaccine distrust among Black Americans during COVID-19.
  • Mobilizing trust networks between public health organizations and activist groups engaged existing distrust in the Indian transgender community.
  • Failure to address distrust can create opportunities for its mobilization against public health goals.

Conclusions:

  • Building trust during crises is possible through strategic engagement with existing distrust.
  • Successful interventions require collaboration with trusted community partners.
  • Proactive management of distrust is crucial to prevent negative public health outcomes during crises.