Amid accelerating socio-ecological crises—climate breakdown, mass extinctions and widening inequalities—there is an urgent need for transformative approaches that address root causes rather than symptoms. Disruptive sustainability seeks such transformations; however, it remains theoretically underdeveloped regarding how radically different knowledge systems can work together across the life-cycle of technologies. Drawing on science and technology studies and decolonial scholarship, we build a decolonial typology of knowledge integration in ‘pluriversal technologies’—technologies co-designed, co-produced and co-owned across epistemic communities. We identify four modes: extractive appropriation, parallel operation, adaptive integration and transformative integration. We demonstrate how each appears along the design, production and ownership dimensions of a technology's life-cycle. This study makes three contributions. First, by demonstrating that a single technology can occupy different integration modes across its life-cycle, it exposes the dimensional unevenness that often derails ostensibly collaborative initiatives. Second, it moves beyond binary treatments of integration to a graded, four-mode framework. Third, it identifies catalytic mechanisms—such as trust building, co-learning, shared governance, recognition and reparation—that enable initiatives to shift between modes. This typology enriches research on disruptive sustainability by clarifying how diverse knowledge systems can collaborate or clash and by mapping routes toward more just, sustainable and effective innovation. • Decolonial typology of knowledge integration in pluriversal technologies • Four modes: extractive, parallel, adaptive and transformative • Integration varies across design, production and ownership phases • Identifies mechanisms enabling shifts between integration modes • Moves sustainability transitions beyond participatory/not-participatory framings

• Trust is key in coordination of Thai smallholder-based retailer-driven value chains. • Actors invest in trust building and maintenance not assets for business development. • Trust-based ties stabilize trade but reinforce power asymmetries. • The combination of trust and power asymmetry leads to lock-in, limiting upgrading. • Relational governance calls for new strategies in informal agri-food markets. This article builds on perspectives from relational economic geography to delve deeply into the micro-social processes that underpin market coordination. We examine how trust functions as a central coordinating mechanism in smallholder-based agri-food value chains in Thailand. Drawing on qualitative interviews with actors from the different segments of the value chains for onions and Chinese cabbage, two major crops in Thailand, the study explores how interpersonal relations, inherited networks and socio-cultural norms underpin economic transactions. Instead of viewing trust as a relational supplement to governance structures, the article argues that trust constitutes a primary mode of coordination in hybrid and informal market systems. While trust-based relations enable continuity and stability in volatile agricultural markets, they also reinforce dependency and power asymmetries, particularly for upstream actors. Trust can facilitate upgrading by reducing uncertainty and enabling access to resources, yet the results show that reinforced dependencies and power asymmetries inhibit innovation and investment into business development through lock-in effects. This results in limited opportunities for upgrading and economic development, particularly among smallholders and the smaller traders. The findings challenge conventional typologies of global value chains by highlighting the micro-social foundations of coordination and the double-edged nature of trust in shaping upgrading opportunities. We argue that there is a need to understand these micro-social processes of market coordination and value chain governance in order to address uneven patterns of economic development, particularly among smallholders and traders in agri-food value chains.

Purpose This paper examines a puzzling pattern in cross-cultural entrepreneurship: Why do some risk-averse societies produce thriving entrepreneurial ecosystems while others do not? We propose that societal trust is the critical contingency explaining this variation. The study challenges the field assumption that cultural risk avoidance uniformly suppresses entrepreneurship, arguing instead that trust can neutralize risk aversion's negative effects through its influence on entrepreneurial beliefs about self-efficacy, fear of failure, perceived opportunities and status of entrepreneurship. Design/methodology/approach We analyze pooled cross-sectional data from 57 countries spanning 2010–2015, integrating measures from the Global Entrepreneurship Monitor (GEM), Global Preferences Survey (GPS), Heritage Foundation and World Bank (224 country-year observations). Using structural equation modeling with maximum likelihood estimation, we test direct effects of risk avoidance on entrepreneurial activity and indirect effects through four belief pathways: entrepreneurial self-efficacy, fear of failure, perceived opportunities and status of entrepreneurship. Moderated mediation analysis examines whether societal trust weakens these indirect effects. Robustness checks include alternative measures, lagged variables, different entrepreneurship types and reverse causality tests. Findings Risk avoidance significantly reduces entrepreneurial activity, with this relationship mediated by all four belief pathways. Perceived opportunities emerge as the strongest mediator, accounting for over three-quarters of the total effect. Crucially, societal trust moderates all four pathways, weakening risk aversion's negative indirect effects. The fear-of-failure pathway is particularly trust-sensitive, becoming statistically non-significant at high trust levels. These findings support the risk-trust paradox: equally risk-averse societies produce dramatically different entrepreneurial outcomes depending on trust levels, explaining why some risk-averse societies maintain thriving entrepreneurship while others struggle despite similar cultural orientations toward risk. Research limitations/implications The study relies on repeated cross-sectional panel data, limiting causal inference despite robustness checks with lagged variables. Our trust measure captures generalized interpersonal trust rather than institutional trust, and certain regions (Africa and the Middle East) remain underrepresented. Future research should examine how different forms of trust buffer against risk aversion and employ longitudinal designs to establish causality. For theory, our findings challenge the assumption that risk avoidance uniformly suppresses entrepreneurship, suggesting scholars should model cultural values as configurations rather than independent dimensions. The complete neutralization of the fear-of-failure pathway at high trust levels warrants further investigation into trust's relational mechanisms. Practical implications For policymakers in risk-averse, low-trust societies, trust-building initiatives may prove more effective than attempting to change deeply embedded risk orientations. Specific interventions include entrepreneur networks, mentorship programs, transparent regulations, supportive bankruptcy laws and second-chance programs that reduce failure stigma. For risk-averse, high-trust societies, efforts should focus on enhancing opportunity visibility through entrepreneurship education and publicizing entrepreneurial role models, given that perceived opportunities are the strongest mediator. Entrepreneurship educators in risk-averse contexts should emphasize failure-positive narratives, skill development that builds self-efficacy and exposure to diverse entrepreneurial paths that enhance opportunity recognition. Social implications The risk-trust paradox reveals that societies need not overcome cultural risk aversion to foster entrepreneurship; building trust offers an alternative path. This finding has equity implications: risk-averse societies are not inherently disadvantaged in developing entrepreneurial ecosystems if they invest in relational infrastructure. The complete neutralization of fear of failure at high levels of trust suggests that supportive communities can protect aspiring entrepreneurs from the social isolation and stigma that otherwise accompany entrepreneurial setbacks. Cultivating societal trust may thus democratize entrepreneurial opportunity by creating environments where individuals from risk-averse backgrounds can pursue ventures without facing compounded cultural and relational barriers. Originality/value This study introduces the risk-trust paradox, a previously unrecognized phenomenon whereby societal trust neutralizes risk aversion's negative effects on entrepreneurship. Unlike prior research treating cultural dimensions as independent predictors, we demonstrate that risk avoidance's effects are contingent on trust levels, challenging the field assumption that risk-averse cultures are inherently entrepreneurship-hostile. We specify the mechanisms through which trust buffers against risk aversion, revealing that fear of failure is uniquely trust-sensitive due to its relational nature. These findings reframe cross-cultural entrepreneurship research from classifying cultures as favorable or unfavorable toward examining how cultural configurations interact to shape entrepreneurial outcomes.

This study examined how school heads build and sustain relationships with teachers in secondary schools, guided by Relational Leadership Theory and Leader Member Exchange (LMX) Theory. It sought to explore the lived experiences of teachers, the strategies used by school heads, and the insights gained from these interactions in shaping professional relationships within the school setting. Anchored in a constructivist and qualitative research paradigm, the study employed a phenomenological design to capture and understand the meanings teachers assign to their interactions with school leaders. Eight purposively selected Junior High School teachers participated in in-depth interviews and a focus group discussion using a validated semi-structured interview guide to ensure consistency and depth in data collection. Data was collected through audio-recorded interviews and analyzed using thematic analysis, with the researcher maintaining reflexivity throughout the process to ensure accurate and unbiased interpretation. Trustworthiness was ensured through credibility, transferability, dependability, and confirmability. Findings revealed that trust building, empathy, open communication, and supportive leadership practices strengthen teacher relationships and enhance motivation, commitment, and collaboration. The study underscored the importance of relational competence in school leadership and recommended leadership development initiatives and future research across varied educational contexts to further strengthen leadership practices.

Inclusion as a clinical tool: Building trust in the dermatology examination room

Abstract Background Approximately 30% of older adults (≥65) fall annually, yet community delivery of evidence-based fall prevention exercise remains poorly understood. This qualitative study explores fall prevention exercise service delivery from the perspective of exercise providers in Ontario. Methods We conducted semi-structured interviews with 20 exercise providers, guided by the Consolidated Framework for Implementation Research, and analyzed data thematically. Findings While providers valued evidence-based balance and functional training, those in large-group settings struggled with exercise tailoring and progression. Instead, many prioritized building trust, creating safe environments, and facilitating socialization. Barriers were highly contextual kinesiologists lacked resources, independent providers lacked networking, and municipal/non-profit staff faced low pay and organizational competition. Discussion To enhance implementation of fall prevention exercise services, support must address unique contextual barriers while balancing clinical tailoring with participant adherence. Our insights suggest that leveraging existing community services and focusing on provider-specific supports are essential for effective implementation of fall prevention exercise services in Ontario.

Cities face interconnected challenges for health equity, including structural racism, inadequate housing, and climate change. Due to past failures to achieve positive development outcomes for low-income and marginalized communities, many U.S. cities now emphasize equitable planning and community engagement. However, practitioners often lack the tools to implement just, equitable, and health-promoting policies effectively. Through semi-structured interviews with 23 professionals in sectors like community development, planning, transportation, and housing—primarily in local government and nonprofits—we observed a shift toward more equitable practices, explicitly naming the role of racism in urban planning and the adoption of new strategies and frameworks for equitable planning that support health. We document approaches used to overcome opposition to healthy, equitable, and sustainable development, including building trust and employing strategic communication framing. Community-led initiatives emerged as powerful drivers of equity and sustainability, though greater public sector support for these potentially transformational efforts is needed. Further progress could benefit from a deeper understanding of cultural mindsets that hinder equitable transformation.

From bench to byte: A UK perspective on data-driven cancer research.

This study aims to describe the concept of Immersive Commerce based on Augmented Reality (AR) in increasing consumer confidence in E-Commerce transactions and to design a conceptual prototype design framework for an AR E-Commerce system with a clear technical flow. The research method uses a literature study through a comprehensive review of AR-based E-Commerce implementations and needs analysis from the perspective of consumer problems and business opportunities. The main problem identified is consumer hesitation in purchasing products online due to limited visualization that relies solely on product photos, causing fears about differences in shape, size, and quality of goods. The research results produced a conceptual framework that includes an integrated system architecture with a frontend layer (AR visualization engine), backend layer (product database and 3D asset management), and integration layer, as well as a systematic user flow design from the discovery to the decision phase. Based on simulations using literature data, the designed framework has the potential to increase customer engagement by up to 169%, conversion rates by up to 11 times, and reduce product return rates by up to 50%. The benefits of this research include digital dimensions through E-Commerce technology innovation, social dimensions by increasing consumer trust and reducing product fraud, and environmental dimensions through the potential reduction of product returns. This conceptual prototype provides a foundation for digital innovation, social trust building, and environmental sustainability through reduced product returns.

To examine the effectiveness of metaphorical language in framing risk and building trust among parents, children and adolescents in paediatric vaccine communication. A narrative synthesis was conducted using empirical studies, institutional reports from the Istituto Superiore di Sanità, European Centre for Disease Prevention and Control, and National Institute for Health Research, alongside an original survey involving 2681 Italian adolescents, providing preliminary results. The survey compared three message framings: war metaphors, protective/caring metaphors and neutral factual statements. Protective metaphors emphasising safety, care and collective responsibility achieved the highest Vaccine Confidence Index scores (mean 9.1), significantly outperforming both war metaphors and neutral messages (p < 0.01). While war metaphors may initially mobilise urgency, they risk inducing anxiety, resistance and reduced perceived personal agency, particularly among younger audiences. Integrating age-appropriate protective and caring metaphors into paediatric vaccine communication enhances trust and vaccine acceptance. Future campaigns should prioritise language that fosters safety, community and personal responsibility while avoiding metaphors likely to trigger fear or alienation.

ABSTRACT This study examines the role of social capital in enabling migration in Hadiya and Wolaita, and among migrants in Addis Ababa, drawing on Sen’s capability approach. Using a mixed-methods design, including household and individual surveys, focus groups, and key informant interviews, we explore how bonding and bridging social capital convert mobility as a capability into meaningful choices, outcomes, and achieved functionings. Migration is a collective, household-embedded strategy, primarily driven by environmental stressors in Hadiya and economic constraints in Wolaita, though both factors affect each region. Families mobilise resources through asset sales, borrowing, and savings, while remittances and formal finance access remain limited. Social capital both enables and constrains mobility, functioning as a safety net and a source of obligation. Policy implications include strengthening accurate migration information, reducing household indebtedness through building trust in formal support systems, and recognising bridging social capital as a key conversion factor to promote safer migration.

The researcher examined the relationship between trust and referral within the global system for mobile communication (GSM) service companies in South-East, Nigeria. The work was carried out to identify how trust as a proxy of relationship marketing enhanced customer referral. The work used survey method and the primary data were collected through questionnaire. The analysis was done using Mean, percentages, and Pearson Product Moment Correlation Coefficient with the use of SPSS version was used in testing the hypotheses. It was discovered that trust has very significant and positive relationship with word-of-mouth advocacy, social media advocacy, and customer testimonial. The study concludes that achievement of effective customer referral depends on the extent of trust building as a proxy of relationship marketing. It was recommended that Telecommunication establishments should give the best services to their customers so as to enhance customer involvement in social media advocacy for the companies. Also telecom organisations should try as much as possible to effectively build customer trust so as to encourage customers to use word of mouth advocacy for the benefits of the companies.

Social Network Performance Indicators (SNPI): A review of key concepts and indicators of social process and outcomes in environmental management

Public Health Emergency Risk Communication (PHERC) fulfills a critical function in trust management and behavior guidance, yet a comprehensive and systematic knowledge framework in this field still absence. This study employed bibliometric methods to systematically examine the bibliographic characteristics, knowledge structure, and evolutionary trends in the field of PHERC, aiming to provide evidence-based guidance for future academic research and practical work. A total of 2,325 valid literatures were retrieved and collected from 2010 to 2025 from Web of Science and CNKI database. The collaboration networks, keyword co-occurrence, and temporal trends were conducted by VOSviewer, and Biblio Vista. The results indicated three distinct phases of publication: steady growth (2010-2018), rapid expansion (2019-2022), and fluctuation period (2023-2025). The USA led in productivity (38.49%) and hold a dominant position in international cooperation. Only 50 authors have published more than five papers on relevant topics, and a large-scale collaboration network has not yet been established. COVID-19 (591 times), health communication (481 times), and public health (326 times) were the most frequently occurring keywords and reflecting the focus areas. Five core thematic clusters were identified, encompassing risk management, community empowerment, information ecosystem governance, trust building, and surveillance policy. This study fills the gap in the knowledge graph analysis of the PHERC field and complements existing research in the broader domain of public health emergency management, which also revealed disparities in global research and patterns of collaboration, underscoring the necessity of promoting equitable development. Future research should prioritize the innovation of digital communication technologies and foster more equitable global cooperation, so as to improve global PHERC capacity.

Street Medicine, where healthcare is provided in non-traditional settings, provides care to people experiencing homelessness (PEH). Street medicine has been shown to improve patients' health and decrease Emergency Department visits, making it a cost effective way to provide medical care to PEH. This paper is based on the SAEM25 didactic session as conducted in Philadelphia, where a panel of providers who are directly involved in street medicine clinics shared their experiences and perspectives on the various designs in practice. These topics included key logistical challenges and solutions, barriers to care and trust building, strategies for fostering sustainable partnerships with community organizations, and options for medical student or resident involvement. The design and unique approach of four different universities across the country was compared and contrasted by a panel of experts, all with experiences working directly with PEH. There are similarly identified barriers to providing care to PEH including location and transportation, financial and food insecurity, and trust between the community and the healthcare system. There are multiple options that exist to provide a framework to create a clinic to support populations of PEH.

Incorporating patient priorities care curriculum for older adults with multiple chronic conditions into nurse practitioner education.

Barriers to peer-to-peer car sharing adoption and strategic pathways forward: a comprehensive literature review with meta-analysis

Gait disorders can be caused by various reasons including cerebral palsy and neuromuscular diseases. 3D clinical gait analysis (3DGA) serves as a valuable clinical tool to assess gait abnormalities. Our previous research introduced a diagnostic tool that combines deep learning (DL) with 3DGA to evaluate childhood gait disorders. It achieved a promising diagnostic accuracy ranging from 0.77 to 0.99 across different pathologies. However, the lack of transparency limits their adoption. This research seeks to unveil the critical features that drive these models' diagnoses, improving interpretability and building trust in their decision-making process. Four different explaining artificial intelligence (XAI) methods were applied: LIME, DeepLift, Integrated Gradients, and sequential feature selection. These methods were used on various network architectures applied to three separate datasets involving different gait disorders. The results show that the features highlighted by XAI methods are relevant and reliable for diagnostic purposes. Moreover, quantitative analysis indicated that Integrated Gradients is the most appropriate XAI method in this case. Further experiments demonstrate that using parts of the critical features can achieve better accuracy than using all of the features. In conclusion, this research identified the diagnostic basis of DL models through XAI methods, enhanced diagnostic accuracy by focusing on critical features, and improved clinicians' understanding and trust in the DL diagnostic tool.

This article examines modern marketing tools that influence a potential client’s decision to purchase residential real estate in Ukraine’s primary market. The aim of the study is to systematize marketing tools according to the stages of the customer journey. The significance of integrated communication, service, and reputational factors in reducing perceived risk and building trust in the developer is substantiated. The behavioral characteristics of buyers in the primary residential real estate market are identified, and a classification of marketing tools by stages of the customer journey is proposed. The practical significance of the study lies in the possibility of applying the results by development companies and management structures to increase sales effectiveness and consumer trust.

ABSTRACT This study examines filmmaker-subject relationships in Ghanaian documentary practice, focusing on the building of trust, empathy, authenticity, and accountability within sociocultural and political contexts. The study sampled 13 seasoned filmmakers and used semi-structured interviews to collect data. The resulting data was thematically analyzed using Western frameworks and African communitarian ethics. The findings indicate that filmmakers understand trust as an ethical necessity and a professional approach, reconciling authenticity with the requirements of production and institutional oversight. Ethical responsibility thus arises as an ongoing negotiation in which transparency, safeguarding, and editorial integrity coexist alongside power imbalances. The findings further reveal that Ghanaian filmmakers promote a relational standard of documentary ethics grounded in care, humility, and togetherness. By extension, the findings align with global discourse on authenticity in the context of framing truth-telling as a collaborative ethical and moral endeavor that upholds dignity, empathy, and social cohesion within filmmaking practice.