Trust as an Ethical Construct in Community Based Participatory Research Partnerships.

This study addressed the lack of attention to trust in Community Based Participatory Research (CBPR) partnerships. CBPR is a promising research orientation to reduce health inequities in communities of color. This research orientation has been deemed an ethical and trust building approach to health research. However, this claim has not been empirically investigated. Specifically this investigation explored trust development as a process of ethical communication. Trust is important to all relationships and more attention to how trust develops is needed. In research relationships mistrust, which impacts CBPR, stems from historic events and institutional histories of collaboration. Trust and mistrust can be reinforced by researcher behavior and communication styles. Therefore, trust as a process required a reevaluation of the binary conceptualization; the choice to trust is influenced by many factors. For this reason, this project also proposed a trust typology to assist with the reconceptualization. This study utilized a parallel mixed-methods design. Findings from 63 individual interviews (QUAL) and a community engaged web-based survey (QUAN) of 450 community and academic partners are presented. Data triangulation revealed complementarity between the two methodological strands. This trust study was part of the larger Research for Improved Health Study, a collaborative endeavor between the National Congress of American Indians, University of New Mexico, and the University of Washington, funded by the Native American Research Centers for Health. Results provide a definition of trust that includes a sense of responsibility for the partnership, respect and safety, and shared goals and values. Results also provide support for the trusty typology to be used as a developmental model. Communication ethics, specifically listening, learning, participation and commitment were found to contribute to trust development. In addition, the concepts of time, funding, open communication, and partner turn over had an effect on trust development and change. These findings provide evidence to support and encourage partnership nurturing of the trust environment by attending to discursive space.This project advances the understanding of trust and an ethical construct as well as the impact of ethical communication on trust in CBPR partnerships

Trust and risk in consumer acceptance of e-services

Thesis (Ph.D. (Information Systems))--University of the Witwatersrand, Faculty of Commerce, Law & Management, School of Economic and Business Sciences, 2015Electronic services (or e-services) are defined as any service whose delivery is based on Internet, IT and communications technology, and which incorporates a large self-service component. They offer consumers the promise of increased convenience, lower-cost of transacting, greater choice and accessibility by eliminating space and time constraints to their interactions with service providers. Benefits of e-services cannot however materialize without consumer acceptance. Unfortunately, uncertainty and fears of opportunism still characterize the online context and varying degrees of consumer acceptance and engagement in use of e-services has thus been observed. The extant literature considers consumer perceptions of risk and their trust beliefs amongst the most important psychological states influencing their online behavior. However, despite the number of empirical studies that have explored the effects of trust and risk perceptions on consumer acceptance of e-services, the field remains fragmented and the posited research models are contradictory. For example, the trust-risk relationship has been modeled differently in past studies and the causal relationship between trust and risk perceptions has not been clarified. In addition, research into the antecedents of trust has not been integrated to provide an answer as to which are the most significant antecedents. Furthermore, past research has paid more attention to initial trust or risk perceptions and has not adequately examined whether these perceptions change over time or how they come to influence later stage acceptance of e-services. To address these gaps in our understanding of trust and risk in consumer acceptance of e-services, this thesis adopted three research designs, namely meta-analytic approaches, cross-sectional surveys and longitudinal designs. First, a meta-analytic study1 was used to aggregate empirical findings from across prior studies in e-service. This allowed the nature of the relationship between trust, perceived risk, and acceptance of e-services to be synthesized and for competing nomological models of the trust-risk-acceptance relationship to be compared. 52 studies were examined and it was found that trust is most important to form consumer positive attitude for acceptance. By comparing competing models, it found that trust and risk are significantly related and trust may influence risk in consumer acceptance of e-services. 1 Presented at 34th International Conference on Information Systems (ICIS 2013), Milano, Italy. iv Moderator analysis within the meta-analysis was also carried out to determine if different types of consumer cultures (e.g., Western versus Eastern), different types of e-services (e.g., commercial versus non-commercial), or different objects of trust (e.g., trust in vendor versus trust in website technology) influence the relationships between trust, risk and acceptance of e-services. Furthermore, the antecedents of trust as suggested by past research were examined via a second meta-analysis of 59 prior studies2. The antecedents of trust were classified as vendor and institution-based antecedents, technological-based antecedents, knowledge-based antecedents, and consumer characteristics-based antecedents. Technological-based antecedents were found the most significant antecedents of trust. For all antecedents, studies classified as having been carried out in Eastern cultures reported on average stronger effect sizes than those carried out in Western cultures. In addition to the meta-analytical studies, this thesis also carried out cross-sectional and longitudinal investigations to study trust and risk in an understudied context of e-services, namely consumer acceptance of online health information services. The motivation to adopt this context is because previous studies of e-services were mostly focused on commercial (e.g., e-commerce, e-shopping and e-banking, etc) and mostly on non-commercial context such as e-government. However, e-health services are relatively under-explored. Moreover, the Web has become an important health information dissemination channel. People are increasingly searching for health information online and engaging in the self-management of their health. Trust and risk are considered important to the online health context, and it therefore served as an appropriate e-service context for empirical analysis. Two cross-sectional studies3,4 were carried out to explain user acceptance of online health information services. This cross-sectional work was underpinned by multiple theoretical perspectives namely Theory of Reasoned Action (TRA), Health Belief Model (HBM) and Extended Valence Framework (EVF). Findings showed that multiple dimensions of trust (trust in provider, trust in website and trust in institutional structures) have both direct and indirect effects, via perceived usefulness, on consumer acceptance. 2 Presented at 18th Pacific Asia Conference on Information Systems (PACIS 2014), Chengdu, China. 3 Forthcoming at 35th International Conference on Information Systems (ICIS 2014), Auckland, New Zealand. 4 Forthcoming at 25th Australasian Conference on Information Systems (ACIS 2014), Auckland, New Zealand. v One-dimensional risk was not found to have a significant influence on consumer acceptance. However, multi-dimensional risk (performance risk, psychological risk and time risk) did combine with health belief variables such as perceived susceptibility and severity to influence consumer acceptance. Because cross-sectional data is limited in its ability to address causal connections amongst phenomena, two longitudinal investigations were also carried out. These investigations were used to explain whether trust beliefs and risk perceptions change over time in consumer acceptance of e-services, how early stage trust and risk perceptions influence later stage acceptance and usage behaviors, and whether there is reciprocal causality between trust and risk perceptions. This work was underpinned by TRA and Expectation-Confirmation Theory (ECT), and employed both path modeling and cross-lagged structural equation modeling techniques. The results showed that trust, risk perceptions and perceived usefulness are important to the prediction of consumer acceptance of online health services at both the early and later usage phases5. Furthermore, trust in provider and trust in website have reciprocal relations and empirical data supported the influence of risk perceptions on trust. Through the meta-analytic design, cross-sectional approaches and longitudinal designs, this thesis contributes to research on e-services in a number of ways. First, meta-analytic approaches integrated the available evidence from prior studies, which resulted in the generation of a dataset which was larger in scope and scale than could feasibly be achieved in any single research study. This dataset could then be used to compare competing nomological models found in the literature. In so doing, results have improved our understanding of how trust and risk are related, how they combine to influence consumer acceptance, as well as identifying the most important antecedents of trust. Results provide a benchmark against which future studies can compare their effect sizes. Moreover, by examining the heterogeneity of effect sizes, the meta-analysis has also identified moderators that can account for observed inconsistencies in the effect sizes reported by prior studies. Together, the findings have extended our understanding of how trust and risk relate to e-service acceptance in different e-service contexts, across 5 Presented at 18th Pacific Asia Conference on Information Systems (PACIS 2014), Chengdu, China. vi different consumer cultures, and whether trust in the vendor or technology platform has relatively greater importance to consumers. Second, this thesis also integrated trust into HBM to examine online health information seeking as both a health behavior and online consumer behavior. Results help us better understand this specific case of e-service acceptance. Third, this study is also the first to develop and validate a dynamic trust and risk model in consumer acceptance of online health information services. The longitudinal design integrates trust into the theoretical framework of TRA and ECT to develop the dynamic research model. Tests of the model have made a key contribution to the development of a theory that explains the dynamic nature of e-service acceptance. Furthermore, the cross-lagged longitudinal design contributed to our understanding of the casual relationship between consumers’ trust and risk perceptions in the context of online health information services. Taken together this thesis illustrates how meta-analysis and structural equation modeling can be integrated together to approach the fragmented and contradictory nature of the field. Moreover, this thesis addresses the lack of longitudinal studies on acceptance, and presents a novel method, cross-lagged structural equation modeling, to examine controversial causal relationships within the field of Information Systems. This thesis also has important practical implications. It provides insights into the relative importance of trust and risk perceptions necessary to inform practitioners on risk reduction and trust-building mechanisms. The investigation into the antecedents of trust reveals especially important factors which are within the control of e-service providers. With this understanding, practitioners can be better positioned to establish their online service offerings. Website designers can also benefit from understanding the extent to which particular antecedents of trust (e.g., ease of use and system quality) are important for e-service acceptance. By studying the online health information services context, this thesis has also shed light on the general perceptions and attitudes of consumers towards this high-potential area of e-service

The State of e-Banking Implementation in Nigeria: A Post-Consolidation Review

The most widely used e-Banking instrument in �igeria is e-Payment, particularly the automatic teller machine (ATM) card. However, with the adoption of e-Banking by all the banks in �igeria, the volume of cash in circulation has continued to increase pre-and-post bank recapitalization/consolidation exercise. Furthermore, some of the 25 banks that survived the exercise were found lately to have depleted their capital base and have lost credibility before the consumers, e-Banking implementation notwithstanding. Therefore, in this paper, we review the state of e-Banking implementation in �igeria and evaluate the influence of trust on the adoption of e-Payment using an extended technology acceptance model (TAM). Similarly, we investigate organizational reputation, perceived risk and perceived trust in the management of banks as a factor for enhancing customer loyalty. The findings in this work reveal that perceived ease of use and perceived usefulness are not only antecedent to ebanking acceptance, they are also factors to retain customers to the use of e-banking system such as organizational reputation, perceived risk and trust

Work Organisation and Innovation

[Excerpt] Innovations in work organisation have the potential to optimise production processes in companies and improve employees’ overall experience of work. This report explores the links between innovations in work organisation – under the broader label of high performance work practices (HPWPs) – and the potential benefits for both employees and organisations. It draws on empirical evidence from case studies carried out in 13 Member States of the European Union where workplace innovations have resulted in positive outcomes

A multifidelity multiobjective optimization framework for high-lift airfoils

High-lift devices design is a challenging task as it involves highly complex flow features while being critical for the overall performance of the aircraft. When part of an optimization loop, the computational cost of the Computational Fluid Dynamics becomes increasingly problematic. Methods to reduce the optimization time has been of major interest over the last 50 years. This paper presents a multiobjective multifidelity optimization framework that takes advantage of two approximation levels of the flow equations: a rapid method that provides quick estimates but of relatively low accuracy and a reference method that provides accurate estimations at the cost of a longer run-time. The method uses a sub-optimization, under a trust-region scheme, performed on the low-fidelity model corrected by a surrogate model that is fed by the high-fidelity tool. The size of the trust region is changed according to the accuracy of the corrected model. The multiobjective optimizer is used to set the positions of the ap and slat of a two-dimensional geometry with lift and drag as objectives with an empirical-based method and a Reynolds Averaged Navier-Stokes equations solver. The multifidelity method shows potential for discovering the complete Pareto front, yet it remains less optimal than the Pareto front from the high-fidelity-only optimization

Neoadjuvant chemotherapy and trastuzumab versus neoadjuvant chemotherapy followed by post-operative trastuzumab for patients with HER2-positive breast cancer

Neoadjuvant chemotherapy plus trastuzumab (NCT) increases the rate of pathological complete response (pCR) and event-free survival (EFS) compared to neoadjuvant chemotherapy (NC) alone in women with HER2 positive breast cancer (BC). pCR in this setting is associated with improved EFS. Whether NCT preferentially improves EFS in comparison to NC followed by adjuvant trastuzumab initiated postoperatively (NCAT) has not been addressed. Using clinical data from women with HER2 positive BC treated at 7 European institutions between 2007 and 2010 we sought to investigate the impact on breast cancer outcomes of concomitant (NCT) versus sequential (NCAT) treatment in HER2 positive early BC. The unadjusted hazard ratio (HR) for event free survival with NCT compared with NCAT was 0.63 (95% CI 0.37–1.08; p = 0.091). Multivariable analysis revealed that treatment group, tumour size and ER status were significantly associated with EFS from diagnosis. In the whole group NCT was associated with a reduced risk of an event relative to NCAT, an effect that was confined to ER negative (HR: 0.25; 95% CI, 0.10–0.62; p = 0.003) as opposed to ER positive tumours (HR: 1.07; 95% CI, 0.46–2.52; p = 0.869). HER2 positive/ER negative BC treated with NC gain greatest survival benefit when trastuzumab is administered in both the neoadjuvant and adjuvant period rather than in the adjuvant period alone. These data support the early introduction of targeted combination therapy in HER2 positive/ER negative BC

The Impact Of Technology Trust On The Acceptance Of Mobile Banking Technology Within Nigeria

With advancement in the use of information technology seen as a key factor in economic development, developed countries are increasingly reviewing traditional systems, in various sectors such as education, health, transport and finance, and identifying how they may be improved or replaced with automated systems. In this study, the authors examine the role of technology trust in the acceptance of mobile banking in Nigeria as the country attempts to transition into a cashless economy. For Nigeria, like many other countries, its economic growth is linked, at least in part, to its improvement in information technology infrastructure, as well as establishing secure, convenient and reliable payments systems. Utilising the Technology Acceptance Model, this study investigates causal relationships between technology trust and other factors influencing user’s intention to adopt technology; focusing on the impact of seven factors contributing to technology trust. Data from 1725 respondents was analysed using confirmatory factor analysis and the results showed that confidentiality, integrity, authentication, access control, best business practices and non-repudiation significantly influenced technology trust. Technology trust showed a direct significant influence on perceived ease of use and usefulness, a direct influence on intention to use as well as an indirect influence on intention to use through its impact on perceived usefulness and perceived ease of use. Furthermore, perceived ease of use and perceived usefulness showed significant influence on consumer’s intention to adopt the technology. With mobile banking being a key driver of Nigeria’s cashless economy goals, this study provides quantitative knowledge regarding technology trust and adoption behaviour in Nigeria as well as significant insight on areas where policy makers and mobile banking vendors can focus strategies engineered to improve trust in mobile banking and increase user adoption of their technology

Secure webs and buying intention: the moderating role of usability

El presente trabajo ha planteado un modelo conceptual a fin de mostrar como los antecedentes de la intención de compra se ven reforzados en contextos de Webs altamente usables. Específicamente, el trabajo analiza en profundidad el rol moderador de la usabilidad en la explicación de la conexión entre seguridad de una Web e intención de compra. Entre ambos extremos (seguridad e intención de compra), se han incluido diversas variables para explicar mejor su conexión. Para ello, ha sido diseñada una Web ficticia de ropa dirigida al segmento joven de clase media. A fin de alterar la usabilidad de la Web se han realizado dos tipos de manipulaciones: la velocidad y la facilidad de uso de la Web. Las dos Webs creadas (alta usabilidad y baja usabilidad) fueron visitadas por un total de 170 encuestados que fueron compensados con un USB valorado en 15 euros. Los resultados muestran que la seguridad percibida en la Web acarrea tres interesantes efectos (especialmente para la Web altamente usable): (i) mejora las actitudes agrado, (ii) reduce el nivel de riesgo percibido; (iii) aumenta la confianza. Los dos últimos efectos, a su vez, acaban aumentando la intención de compra.. Por último, se ha demostrado que la usabilidad, efectivamente, refuerza las relaciones consideradas en el modelo propuesto para explicar la intención de compra.A conceptual model has been proposed to show how buying intention antecedents are reinforced in highly usable contexts. Specifically, this paper deeply analyses the moderator role of system variables (usability) on explaining the relationship between Web security and buying intention. Between both extremes (security and buying intention), several relationships have also been stated to better explain this effect. An “ideal” fictitious Website was designed for a non existent clothing company directed at the segment of middle class consumers. In order to alter Web usability, two blocks of changes were made, one concerning Website speed and the other related to ease of use. Our experiment sample consisted of 170 respondents who participated in exchange for a pen-drive (USB) valued at 15 euros. The results show that improving website security has three interesting effects (especially in high usable contexts): (i) it improves pleasure attitudes, (ii) reduces the level of perceived risk and (iii) increases trust. Secondly, it has been found that to increase buying intention, two actions must be taken: (i) to diminish perceived risk and (ii) to improve users’ pleasure attitudes towards the Website. Finally, usability has been found to have a moderating role in all the relationships considered (reinforcing them)