• Marianne Fiil Bisgaard Dahl
  • Sussi Bjerg Pedersen
  • Emma Steffin
4. term, Public Health, Master (Master Programme)
Background: The risk of type 2 diabetes is highly prevalent among citizens with low socioeconomic
status and another ethnicity than Danish. To accommodate this Tingbjerg Changing Diabetes has
launched a health promoting project focusing on co-production between communal actors, private actors
and citizens in the project aims to decrease knowledge, context, empowerment, participation and
integration among citizens. Trust in co-production can reduce social complexity, which is why this is
considered as a relevant strategy because of the citizens' distrust of society's systems. Therefore, it
seems necessary to promote trust between actors and citizens in co-production in order to change the
citizens' health citizens' health behavior.

Purpose: The purpose of the thesis is to examine the experience of trust between actors and citizens in
an exposed residential area and to identify which possibilities and limitations this has for trust in coproduction.
From this there will be set recommendations on the basis on how the actors in co-production
processes can further trust to the citizens in co-production.

Methodology: The thesis is based on the philosophical hermeneutic theoretical position of science. The
methods are based on a systematic literature search and individual qualitative interviews. The systematic
literature search clarifies citizens' perspective on trust in co-production. The qualitative individual
interviews were conducted with actors in the co-production in the exposed residential area, and seeks
to examine the actors' experiences of trust. Niklas Luhmann’s system theory is used as a theoretical
framework and is involved in the analysis with focus on trust. Based on this, the recommendations are
presented for the actors in the co-production based on the Precede-Proceed model.

Results: The relation of trust is a challenge due to the citizens' vulnerability in an exposed residential
area. This limits the recruitment and retention of the citizens in the activities in co-production, therefore
the resources in the local community must be used to create opportunities for building relations of trust
between actors and citizens.

Conclusion: The thesis´ recommendations to the actors are: (1) Empowerment-model as an inclusive
pedagogical approach, (2) Decision-making in non-binding consultation, (3) Actors as facilitators and
supporters. The thesis´s recommendations are developed with the purpose of promoting relations of
trust between citizens and actors in co-production in preparation for changing the socially vulnerable
citizens' health behaviors.
Publication date1 Jun 2021
Number of pages127
External collaboratorSteno Diabetes Centers
. . .
ID: 413117808