{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T10:55:08Z","timestamp":1791888908107,"version":"4.3.4"},"reference-count":57,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Blood &amp; Cancer"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Retinoblastoma is an aggressive intraocular malignancy predominantly affecting young children. In lower\u2010 and middle\u2010income countries (LMICs), late presentation and limited resources often lead to poor outcomes and intensify the emotional and decisional burden on families, making parent\u2013physician trust a critical determinant of treatment adherence, decision\u2010making and outcomes. Yet, the mechanisms by which trust is built and sustained in non\u2010Western, collectivist healthcare contexts remain poorly understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Grounded in Sisk and Baker's interpersonal trust model, this qualitative study explored (i) barriers and facilitators to trust in parent\u2013physician communication during retinoblastoma care and (ii) parents' and physicians' experiences of trust across diagnosis, treatment and follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Six physicians and 15 parents of children with retinoblastoma participated in three separate focus group discussions (FGDs) at a tertiary ocular oncology centre in southern India. Thematic analysis, informed by Sisk and Baker's staged trust model, was applied to the FGD transcripts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We coded data to three stages: (1)\n                      <jats:italic>Initial trust cues<\/jats:italic>\n                      : highly regarded, transparent and approachable physicians establish foundational trust; (2)\n                      <jats:italic>Demonstrated trustworthiness<\/jats:italic>\n                      : multilingual, culturally inclusive communication reinforces trust; and (3)\n                      <jats:italic>Cyclical trust maintenance<\/jats:italic>\n                      : collaborative, interdisciplinary team\u2010based care that honours parental insights sustains trust over time.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Trust\u2010building in Indian retinoblastoma care is shaped by collectivist relational norms, linguistic plurality, and systemic inequities that extend beyond existing Western models. These findings highlight the need for culturally adapted communication training, multilingual decision\u2010support resources and language\u2010concordant interdisciplinary staffing as standards of care in LMIC retinoblastoma\u2010care settings. Prospective, multi\u2010site research is needed to validate these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/1545-5017.70760","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T10:43:04Z","timestamp":1791888184000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trust in Retinoblastoma Care: Understanding Parent\u2013Physician Relationships in Collectivist, Low\u2010Resource Settings"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8124-3120","authenticated-orcid":false,"given":"Shraddha","family":"Namjoshi","sequence":"first","affiliation":[{"name":"Department of Liberal Arts Indian Institute of Technology Hyderabad  Sangareddy India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8978-3544","authenticated-orcid":false,"given":"Mahati","family":"Chittem","sequence":"additional","affiliation":[{"name":"Department of Liberal Arts Indian Institute of Technology Hyderabad  Sangareddy India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajisha","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Psychology Jesus and Mary College  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9428-8807","authenticated-orcid":false,"given":"Lauren","family":"Kelada","sequence":"additional","affiliation":[{"name":"Behavioural Sciences Unit, Discipline of Paediatrics &amp; Child Health, School of Clinical Medicine, Randwick Clinical Campus, UNSW Medicine &amp; Health UNSW Sydney  Sydney Australia"},{"name":"Kids Cancer Centre, Sydney Children's Hospital  Randwick Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6584-6483","authenticated-orcid":false,"given":"Justin N.","family":"Baker","sequence":"additional","affiliation":[{"name":"Division of Quality of Life and Pediatric Palliative Care, Department of Pediatrics Stanford University and Stanford Medicine Children's Health  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire E.","family":"Wakefield","sequence":"additional","affiliation":[{"name":"Division of Quality of Life and Pediatric Palliative Care, Department of Pediatrics Stanford University and Stanford Medicine Children's Health  Palo Alto California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2024.1443869"},{"issue":"2","key":"e_1_2_10_3_1","first-page":"119","article-title":"Interpersonal Communication in Healthcare","volume":"11","author":"Chichirez C. 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