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         CONCEPTUAL FRAMEW ORKS






         Conceptual Frameworks





         Frameworks wide enough to accommodate for the human-centred                                                                                                                                                                                                               An adaptation of The Dyadic Model of Trust in Relationships (Simp-
         aspects, while being narrow and specific enough to not lose focus of                                                                                                                                                                                                       son, 2007) was used to further streamline and organise the identi-
         the design challenge are an essential foundation for this project.                                                                                                                                                                                                        fied cause and effect scenarios in the CFT into a linear process
         During the course of defining the design challenge, research was                                                                                                                                                                                                           which can be used as a reference in later stages of the project so as
         conducted within the initially chosen umbrella of ‘perception of ISM in                                                                                                                                                                                                   to build trust into linear user experiences of ISM.
         urban India’. Secondary research was carried out in the area of
         frameworks for trust, history of Indian healthcare, existing work on                                                                                                                                                                                                      This proposed MDMT framework identifies the role of ISM institu-
         creating trust in systems, and on the current context of healthcare                                                                                                                                                                                                       tions in creating and sustaining trust amongst users of the system,
         and alternative medicine in India. Initial primary research for this                                                                                                                                                                                                      the resulting effects of emotional and practical influence in ISM and
         project was carried out through a series of twelve deep-dive inter-                                                                                                                                                                                                       the potential for subsequent follow through and propagation of it.
         views across two institutions, out of which two led to much deeper                                                                                                                                                                                                        According to the proposed model, the process of building trust in
         conversations on Ayurveda and Yoga.                                                                                                                                                                                                                                       ISM starts with the initial creation of a trust or test situation
                                                                                                                                                                                                                                                                                   between the user and the institute. This provides the institute with
         Through a series of iterations using affinity- and mind-mapping of the                                                                                                                                                                                                      an opportunity to provide evidence and incentives to the user to
         research observations, the cause and effect relationships of different                                                                                                                                                                                                      emotionally invest in the system, and thereby drives them to form
         elements of ‘the perception of ISM in urban India’ were identified,                                                                                                                                                                                                        emotional and transactional expectations in ISM. These expecta-
         which were then mapped using a stock and flow model (Meadows                                        Conceptual Framework for Trust (CFT)                                                                                                                                   tions form the basis of trust in their relationship, which will help
         2008).  Below is the visual mapping of the proposed, Causal Frame-                                                                                                                                                                                                        drive follow through on the user’s part. At this stage, the institute
         work for Trust (CFT) in Indian Systems of Medicine, as derived                                                                                                                                                                                                            may also invest in interventions to enhance the follow through
         through the above mentioned process.                                                                                                                                                                                                                                      experience. The CFT, when used together with the MDMT form the
                                                                                     whose value depends on the factors which flow in and out of it. A gain in                                         play a key role in evaluating and assessing the relevance of the new         conceptual foundations for this project. This framework will play a
         The CFT identifies the cause and effect relationships of multiple             this ‘stock’ of trust is then used to drive the primary cycle of follow                                          service system designed as a result of this pre-thesis project by            key role in evaluating the new service system designed as a result
         factors of the perception of ISM at primary, secondary and tertiary         through which goes on to reinforce the positive perception of ISM in the                                         checking the impact that it would make in the various external               of this pre-thesis project by checking the impact that the user
         levels in relation to ISM, and also identifies the potential areas for       urban Indian context. Through this model, a range of factors can be                                              systems that it is linked to. Through addressing the potential areas of      experience on their perception and trust in ISM. By comparing the
         intervention to drive and sustain a system of trust in ISM. Within the      seen as being contributors to building trust in the system, and relevant                                         intervention identified in the CFT, the designed service could drive          user’s experience in parallel with the MDMT’s linear structure, the
         stock and flow model, the aspect of trust is seen as a variable stock        opportunities for intervention can also be identified. This framework will                                        and sustain trust in ISM, thereby supporting integrative practices.          effectiveness of the system in building trust can be checked.
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