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Building and maintaining trustworthiness is an ongoing process. The work doesn’t stop after implementing the action plan. Institutions must continuously assess the impact of their actions, remain open to feedback, and adjust their strategies when they fall short. This requires humility, transparency, and a willingness to recommit to trust-building efforts over time.

Trustworthiness requires continuous reflection, adjustment, and renewed commitment. Institutions must prove through their actions that they are willing to learn, grow, and remain accountable.

The toolkit emphasizes repeating the cycle: listen again, reflect again, and act again. This phase ensures that trust building is persistent.

Trustworthiness Cycle. Diagram showing the steps of the cycle in a circle with arrows pointing clockwise. 1) Listen: Connect with community partners. 2) Reflect: Compare community perspectives to the principles. 3) Act: take cocreated, prioritized action. 4) Revisit: check progress and adjust. Arrow points back to 1) to start cycle over.

Purpose: To evaluate the impact of actions taken and recommit to shared goals based on what has been learned.
Goal: A strategy for long-term accountability, learning, and community partnership.

Tools and Resources to Support Revisiting

Step 1. Take a pulse check. Reuse Reflection assessment questions to measure progress over time.

Step 2. Evaluate your impact. These community engagement impact resources help institutions evaluate what actions were implemented, what outcomes emerged, and where gaps remain. Curated tools from the National Academy of Medicine (NAM) offer practical metrics to guide evaluation efforts.

NAM Assessment Instruments for Measuring Community Engagement

Step 3. Create partnership feedback loops. Develop a structured process for ongoing community input that informs future planning and adjustments. Revisiting is not about repeating the same steps; it’s about deepening trust through continuous learning and shared accountability.

Review The Principles of Trustworthiness (PDF)

Step 4. Explore additional resources, tools, and organizational efforts to deepen your trustworthiness work.

“A long-term relationship is needed for this work to be effective—it’s not just about launching the toolkit and walking away.”

— Community Representative, Atlanta, Georgia

Submit Your Trustworthiness Resources

Have you developed a resource based on the Principles of Trustworthiness that other institutions could use? Contact us to learn more about how you can share it.

Contact us