2E - Building Trust in a Digital World: Communication, Misinformation and AI
Tracks
Stream E
| Wednesday, September 16, 2026 |
| 11:00 AM - 12:30 PM |
| Barbarka Room |
Speaker
Ms Loren McMurtrie
Communications Lead
Sanofi
Faces Behind the Data: Advancing Clinical Trial Diversity Through Storytelling
Abstract
Clinical trial diversity isn't just a regulatory checkbox - it's a public health imperative that requires every stakeholder to act. This session will explore how storytelling, strategic partnerships, and individual commitment can transform clinical research from exclusive to inclusive - ensuring medical advances benefit all Australians.
The Challenge: Underrepresentation in clinical trials perpetuates health inequities. Minority populations, women, and older adults remain systematically excluded, limiting the generalisability of medical evidence and delaying access to innovations for those who need them most.
The Action: This presentation will showcase how visual storytelling transforms abstract statistics into relatable narratives. The "Face of Clinical Trials" campaign represents diverse trial participants, with the goal of making clinical research accessible and trustworthy.
We'll share polling data (research underway) revealing audience perceptions before and after exposure to these materials, demonstrating the power of narrative to shift attitudes and increase willingness to participate.
And, we'll share qualitative evidence of clinical trial sites who have used the materials in the three months leading to APHC.
What's in it for APHC delegates:
Every public health professional can advance trial diversity. This will remind them and provide practical tools to take action:
Researchers: Design inclusive protocols and community partnerships
Practitioners: Educate patients about trial opportunities
Policy makers: Advocate for diversity mandates and funding
Community partners: Build trust through culturally responsive outreach
Delegates will leave with evidence-based tools, renewed inspiration, and clear actions to champion inclusive clinical research in their own work.
The Challenge: Underrepresentation in clinical trials perpetuates health inequities. Minority populations, women, and older adults remain systematically excluded, limiting the generalisability of medical evidence and delaying access to innovations for those who need them most.
The Action: This presentation will showcase how visual storytelling transforms abstract statistics into relatable narratives. The "Face of Clinical Trials" campaign represents diverse trial participants, with the goal of making clinical research accessible and trustworthy.
We'll share polling data (research underway) revealing audience perceptions before and after exposure to these materials, demonstrating the power of narrative to shift attitudes and increase willingness to participate.
And, we'll share qualitative evidence of clinical trial sites who have used the materials in the three months leading to APHC.
What's in it for APHC delegates:
Every public health professional can advance trial diversity. This will remind them and provide practical tools to take action:
Researchers: Design inclusive protocols and community partnerships
Practitioners: Educate patients about trial opportunities
Policy makers: Advocate for diversity mandates and funding
Community partners: Build trust through culturally responsive outreach
Delegates will leave with evidence-based tools, renewed inspiration, and clear actions to champion inclusive clinical research in their own work.
Ms Louise Glenisson
Phd Student
Ku Leuven
A mixed-methods approach on emerging adults' actual social media food exposure
Abstract
Healthy eating is a complex and often confusing topic, especially for young people. Conflicting advice, trends, and body ideals contribute to a stigmatising food environment in which social media influencers (SMIs) strongly shape perceptions of what counts as a ‘healthy’ diet. However, little is known about the specific food content that emerging adults encounter in their own social media feeds and how this influences their understanding of healthy eating.
Guided by Source Credibility Theory and Expectancy-Value Theory, this study used a photo-voice approach combining content analysis and focus group discussions. Emerging adults collected 559 food-related images from their social media feeds, which were later used as discussion prompts. This multi-method design enabled an in-depth examination of the health-promoting food content shared by influencers, its alignment with dietary guidelines, and the features shaping perceived credibility.
Results showed that 30% of analysed posts contradicted dietary guidelines, mainly by featuring too large portions of red meat. Most inaccurate content (78.3%) appeared in recipe posts and was almost exclusively shared by uncredentialed influencers (90.7%). Focus group discussions revealed that participants often overlooked subtle misinformation due to shortcomings in credibility evaluation. Many relied on perceived expertise, such as scientific language or a “healthy” appearance, rather than formal credentials, while others viewed recipe posts as harmless, underestimating their impact on perceptions of healthy eating.
Overall, findings suggest that although influencer content can promote healthier food choices, improving digital literacy is crucial to help emerging adults recognise and critically assess misleading nutritional information.
Guided by Source Credibility Theory and Expectancy-Value Theory, this study used a photo-voice approach combining content analysis and focus group discussions. Emerging adults collected 559 food-related images from their social media feeds, which were later used as discussion prompts. This multi-method design enabled an in-depth examination of the health-promoting food content shared by influencers, its alignment with dietary guidelines, and the features shaping perceived credibility.
Results showed that 30% of analysed posts contradicted dietary guidelines, mainly by featuring too large portions of red meat. Most inaccurate content (78.3%) appeared in recipe posts and was almost exclusively shared by uncredentialed influencers (90.7%). Focus group discussions revealed that participants often overlooked subtle misinformation due to shortcomings in credibility evaluation. Many relied on perceived expertise, such as scientific language or a “healthy” appearance, rather than formal credentials, while others viewed recipe posts as harmless, underestimating their impact on perceptions of healthy eating.
Overall, findings suggest that although influencer content can promote healthier food choices, improving digital literacy is crucial to help emerging adults recognise and critically assess misleading nutritional information.
Dr Shirin Jahan Mumu
A/lecturer
Western Sydney University
Digital Health Interventions in reducing Cardiovascular Risk among South-Asian Migrants: Systematic Review
Abstract
Background
South Asian migrants experience a disproportionately high burden of cardiovascular disease (CVD), driven by genetic susceptibility, lifestyle changes post-migration and barriers to healthcare access. Digital health interventions (DHIs) including telehealth, mobile applications, SMS programs, wearable monitoring and web-based platforms are increasingly used to modify lifestyle behaviours and manage chronic disease. However, evidence on their effectiveness among South Asian migrants living in high-income countries remains limited. The aim of the study is to evaluate the effectiveness, feasibility, acceptability and engagement of DHIs aimed at reducing CVD risk factors among South Asian migrants residing in high-income countries.
Methods
A systematic review was conducted following PRISMA 2020 guidelines and registered in PROSPERO (CRD420251120245). MEDLINE, Embase, CINAHL and Scopus were searched to September 2025 for experimental studies evaluating DHIs targeting cardiovascular or behavioural outcomes among South Asian migrants aged ≥18 years. Eleven studies met inclusion criteria (nine RCTs, two quasi-experimental). Interventions were classified as non-interactive, interactive or hybrid. Due to substantial heterogeneity, findings were synthesised narratively.
Results
Non-interactive DHIs (SMS, email, multimedia) improved knowledge, adherence and monitoring, with limited cardiometabolic impact except in one trial. Interactive DHIs such as telehealth, phone coaching and Electronic Health Record (EHR) and Community Health Worker (CHW) models produced consistent improvements in blood pressure, weight, lipids, glucose, diet and physical activity. Hybrid interventions combining reminders with personalised support enhanced engagement and yielded meaningful clinical benefits. Overall, DHIs were feasible and acceptable, though digital literacy barriers remained.
Conclusion
DHIs show strong potential for reducing CVD risk among South Asian migrants, particularly when interventions incorporate interactive components, culturally tailored content and personalised human support. Future research should explore long-term outcomes, cost-effectiveness and scalability across diverse South Asian subgroups to strengthen equitable digital cardiovascular prevention strategies.
South Asian migrants experience a disproportionately high burden of cardiovascular disease (CVD), driven by genetic susceptibility, lifestyle changes post-migration and barriers to healthcare access. Digital health interventions (DHIs) including telehealth, mobile applications, SMS programs, wearable monitoring and web-based platforms are increasingly used to modify lifestyle behaviours and manage chronic disease. However, evidence on their effectiveness among South Asian migrants living in high-income countries remains limited. The aim of the study is to evaluate the effectiveness, feasibility, acceptability and engagement of DHIs aimed at reducing CVD risk factors among South Asian migrants residing in high-income countries.
Methods
A systematic review was conducted following PRISMA 2020 guidelines and registered in PROSPERO (CRD420251120245). MEDLINE, Embase, CINAHL and Scopus were searched to September 2025 for experimental studies evaluating DHIs targeting cardiovascular or behavioural outcomes among South Asian migrants aged ≥18 years. Eleven studies met inclusion criteria (nine RCTs, two quasi-experimental). Interventions were classified as non-interactive, interactive or hybrid. Due to substantial heterogeneity, findings were synthesised narratively.
Results
Non-interactive DHIs (SMS, email, multimedia) improved knowledge, adherence and monitoring, with limited cardiometabolic impact except in one trial. Interactive DHIs such as telehealth, phone coaching and Electronic Health Record (EHR) and Community Health Worker (CHW) models produced consistent improvements in blood pressure, weight, lipids, glucose, diet and physical activity. Hybrid interventions combining reminders with personalised support enhanced engagement and yielded meaningful clinical benefits. Overall, DHIs were feasible and acceptable, though digital literacy barriers remained.
Conclusion
DHIs show strong potential for reducing CVD risk among South Asian migrants, particularly when interventions incorporate interactive components, culturally tailored content and personalised human support. Future research should explore long-term outcomes, cost-effectiveness and scalability across diverse South Asian subgroups to strengthen equitable digital cardiovascular prevention strategies.
Ms Louise Glenisson
Phd Student
Ku Leuven
Meat and Media: A Content Analysis of Carnivore Influencers on Social Media
Abstract
Social media platforms are saturated with so-called healthy food content, much of which contradicts official nutrition guidelines (Denniss et al., 2023). Influencers, particularly those without formal nutritional qualifications, play a key role in disseminating such information, shaping followers’ beliefs and behaviours around food (Zeng et al., 2025). One recent trend that has attracted considerable attention on social media, and is characterised by striking dietary prescriptions, is the carnivore diet, which advocates the near-exclusive consumption of animal-based products (i.e., meat, eggs, dairy) while excluding all other food groups. As this trend raises substantial concerns from both health and environmental perspectives, research is needed to examine how these carnivore influencers are promoting this diet.
To address this gap, this study analysed 220 Instagram posts using a mixed-methods approach, sampling the 20 most recent food-related posts from 11 prominent carnivore influencers. Across the sample, we identified several recurring themes: animal-based foods such as meat were (1) visually glorified in excessively large quantities; (2) framed as medicinal and necessary for health and appearance; (3) portrayed as suppressed by industry-funded research and elite institutions; and (4) presented as an ancient, “natural” human food. Although less prominent, we also observed subtle references to (5) manosphere ideology and (6) broader alt-right discourses.
These findings highlight how carnivore influencers construct persuasive narratives around animal-based diets, normalising extreme and potentially harmful eating behaviours, while reinforcing the perception that doing so is not only desirable but necessary for health.
Denniss, E., Lindberg, R., & McNaughton, S. A. (2023). Quality and accuracy of online nutrition-related information: A systematic review of content analysis studies. Public Health Nutrition, 26(7), 1345-1357. https://doi.org/10.1017/S1368980023000873
Zeng, M., Grgurevic, J., Diyab, R., & Roy, R. (2025). #WhatIEatinaDay: The Quality, Accuracy, and Engagement of Nutrition Content on TikTok. Nutrients, 17(5), Article 5. https://doi.org/10.3390/nu17050781
To address this gap, this study analysed 220 Instagram posts using a mixed-methods approach, sampling the 20 most recent food-related posts from 11 prominent carnivore influencers. Across the sample, we identified several recurring themes: animal-based foods such as meat were (1) visually glorified in excessively large quantities; (2) framed as medicinal and necessary for health and appearance; (3) portrayed as suppressed by industry-funded research and elite institutions; and (4) presented as an ancient, “natural” human food. Although less prominent, we also observed subtle references to (5) manosphere ideology and (6) broader alt-right discourses.
These findings highlight how carnivore influencers construct persuasive narratives around animal-based diets, normalising extreme and potentially harmful eating behaviours, while reinforcing the perception that doing so is not only desirable but necessary for health.
Denniss, E., Lindberg, R., & McNaughton, S. A. (2023). Quality and accuracy of online nutrition-related information: A systematic review of content analysis studies. Public Health Nutrition, 26(7), 1345-1357. https://doi.org/10.1017/S1368980023000873
Zeng, M., Grgurevic, J., Diyab, R., & Roy, R. (2025). #WhatIEatinaDay: The Quality, Accuracy, and Engagement of Nutrition Content on TikTok. Nutrients, 17(5), Article 5. https://doi.org/10.3390/nu17050781
Dr Lauren Arundell
Senior Research Fellow
Deakin University
A tool to assess children's digital wellbeing.
Abstract
THE SOLUTION
Despite a dramatic rise in childhood digital media use, educators and paediatric health professionals lack a clear, consistent framework to understand or assess children’s digital wellbeing (1). While conventional public health guidelines rely heavily on rigid screen-time limits, true digital wellbeing requires a shift (2). There is a need to focus on healthy and balanced childhood occupations, including digital media use (3). To close this critical gap, we propose a shift from passive monitoring to active screening through a purpose-designed digital wellbeing assessment tool thus moving the public health narrative away from screen guilt and toward functional, healthy child development and wellbeing.
THE RESEARCH AND CLINCIAL EXPERIENCE
This solution, of developing a tool to assess children’s digital wellbeing, bridges research and everyday practice. Fifteen years of paediatric clinical experience, observing the daily challenges families face in managing balanced digital media use, inspired this postgraduate public health research study. The study gathered stakeholder (paediatric clinicians and teachers) insights to inform the development of a tool to assess children's digital wellbeing. Stakeholders were asked about the recommended content, delivery mode, platform and anticipated use of the tool. Interviews were transcribed and a direct content analysis was performed.
RESULTS AND ACTION
Stakeholders suggested that the tool collects children’s total digital media use time, purpose and content being accessed, and information about the child’s physical, cognitive and social-emotional development. They also recommended the tool collects levels of parental supervision, availability, skills, knowledge and digital media use role modelling. Findings suggested the tool could be administered online and used by teachers or clinicians as a screener. It would identify areas of need, support targeted strategies, provide baseline measurements of a child’s digital wellbeing, and open non-judgmental conversations. Our next action is to make the pilot tool!
References:
1.Cao, S., & Li, H. (2023). A Scoping Review of Digital Well-Being in Early Childhood: Definitions, Measurements, Contributors, and Interventions. In International Journal of Environmental Research and Public Health (Vol. 20, Issue 4).
2. Beynon, A., Hendry, D., Lund Rasmussen, C., Rohl, A. L., Eynon, R., Thomas, G., Stearne, S., Campbell, A., Harris, C., Zabatiero, J., & Straker, L. (2024). Measurement Method Options to Investigate Digital Screen Technology Use by Children and Adolescents: A Narrative Review. In Children (Vol. 11, Issue 7). Multidisciplinary Digital Publishing Institute (MDPI).
3.Muppalla, S. K., Vuppalapati, S., Reddy Pulliahgaru, A., & Sreenivasulu, H. (2023). Effects of Excessive Screen Time on Child Development: An Updated Review and Strategies for Management. Cureus.
Despite a dramatic rise in childhood digital media use, educators and paediatric health professionals lack a clear, consistent framework to understand or assess children’s digital wellbeing (1). While conventional public health guidelines rely heavily on rigid screen-time limits, true digital wellbeing requires a shift (2). There is a need to focus on healthy and balanced childhood occupations, including digital media use (3). To close this critical gap, we propose a shift from passive monitoring to active screening through a purpose-designed digital wellbeing assessment tool thus moving the public health narrative away from screen guilt and toward functional, healthy child development and wellbeing.
THE RESEARCH AND CLINCIAL EXPERIENCE
This solution, of developing a tool to assess children’s digital wellbeing, bridges research and everyday practice. Fifteen years of paediatric clinical experience, observing the daily challenges families face in managing balanced digital media use, inspired this postgraduate public health research study. The study gathered stakeholder (paediatric clinicians and teachers) insights to inform the development of a tool to assess children's digital wellbeing. Stakeholders were asked about the recommended content, delivery mode, platform and anticipated use of the tool. Interviews were transcribed and a direct content analysis was performed.
RESULTS AND ACTION
Stakeholders suggested that the tool collects children’s total digital media use time, purpose and content being accessed, and information about the child’s physical, cognitive and social-emotional development. They also recommended the tool collects levels of parental supervision, availability, skills, knowledge and digital media use role modelling. Findings suggested the tool could be administered online and used by teachers or clinicians as a screener. It would identify areas of need, support targeted strategies, provide baseline measurements of a child’s digital wellbeing, and open non-judgmental conversations. Our next action is to make the pilot tool!
References:
1.Cao, S., & Li, H. (2023). A Scoping Review of Digital Well-Being in Early Childhood: Definitions, Measurements, Contributors, and Interventions. In International Journal of Environmental Research and Public Health (Vol. 20, Issue 4).
2. Beynon, A., Hendry, D., Lund Rasmussen, C., Rohl, A. L., Eynon, R., Thomas, G., Stearne, S., Campbell, A., Harris, C., Zabatiero, J., & Straker, L. (2024). Measurement Method Options to Investigate Digital Screen Technology Use by Children and Adolescents: A Narrative Review. In Children (Vol. 11, Issue 7). Multidisciplinary Digital Publishing Institute (MDPI).
3.Muppalla, S. K., Vuppalapati, S., Reddy Pulliahgaru, A., & Sreenivasulu, H. (2023). Effects of Excessive Screen Time on Child Development: An Updated Review and Strategies for Management. Cureus.
Mr Asad Yusoff
Research Associate
The George Institute For Global Health
Can cancer warning labels counter alcohol industry misinformation?
Abstract
Background: Currently, there does not appear to be global appetite for displaying cancer warnings on alcohol labels, despite some countries considering it as a policy option to reduce alcohol consumption. However, many products use nutrition-related claims to appeal to health-conscious consumers and frame alcohol as ‘healthy’. The aims of this study were to assess i) whether the presence of a cancer warning label could influence product selection and perceived healthiness and ii) whether a cancer warning label could counteract the effects of various nutrition-related claims.
Methods: Approximately 3,000 Australian drinkers were surveyed online. Participants were randomised to view sets of products featuring either a nutrition-related claim, a cancer warning label or both. Participants were provided images with and without claims and/or a warning label, with one control product. For each set, participants selected a preferred product and rated all products on perceived healthiness.
Results: The addition of a cancer warning label to a product label significantly decreased product selection and mean perceived healthiness. This effect was largest when only a cancer warning label was present and lowest when a sugar claim was present alongside a warning label.
Conclusions: Cancer warnings are important for effectively communicating health harms, however, the presence of a nutrition-related claim on pack appears to reduce the effectiveness of a warning label. Policy makers should look to simultaneously restrict the use of nutrition-related claims and implement warning labels on alcoholic products in order to limit companies’ ability to market alcoholic beverages as healthier alternatives.
Methods: Approximately 3,000 Australian drinkers were surveyed online. Participants were randomised to view sets of products featuring either a nutrition-related claim, a cancer warning label or both. Participants were provided images with and without claims and/or a warning label, with one control product. For each set, participants selected a preferred product and rated all products on perceived healthiness.
Results: The addition of a cancer warning label to a product label significantly decreased product selection and mean perceived healthiness. This effect was largest when only a cancer warning label was present and lowest when a sugar claim was present alongside a warning label.
Conclusions: Cancer warnings are important for effectively communicating health harms, however, the presence of a nutrition-related claim on pack appears to reduce the effectiveness of a warning label. Policy makers should look to simultaneously restrict the use of nutrition-related claims and implement warning labels on alcoholic products in order to limit companies’ ability to market alcoholic beverages as healthier alternatives.
Ms Stephanie Mantach
PhD Candidate
The University of Newcastle
Preventing adolescent e-cigarette use through text-messaging: Acceptability of a parent-adolescent intervention
Abstract
Background:
Adolescent e-cigarette use is a growing public health issue. Public health organisations advocate education and communication programmes to complement legislative action. Text-message interventions offer a low-cost, minimally invasive approach, but their acceptability to adolescents and parents is unclear. This study explored the acceptability of a text-message programme for adolescents and parents to prevent adolescent e-cigarette use.
Methods:
Parent-adolescent dyads (aged 12-15 years) were recruited in a pilot 2x2 factorial RCT and randomly allocated to one of four arms: (1) adolescent-only text-messages; (2) parent-only text-messages; (3) both parent and adolescent text-messages; or (4) control. Intervention participants received a 12-week text-message programme. The text-messages were theoretically informed and co-designed with adolescents and parents to address modifiable factors associated with adolescent e-cigarette use (e.g., refusal skills). Acceptability of the programme was assessed at 6-month follow-up.
Results:
At 6-month follow-up, acceptability data were collected from 45 adolescents (77.6%) and 58 parents (93.6%) who received the text-messages. The text-messages were reported to be highly acceptable. Seventy-three percent of adolescents (n=33) and 95% of parents (n=55) found the text-messages an acceptable method to receive information about e-cigarettes, and 69% of adolescents (n=31) and 93% of parents (n=54) would recommend the programme to others. Additionally, 88% of parents (n=51) reported that the text-messages improved their ability to discuss e-cigarettes with their child.
Conclusion:
These preliminary findings indicate that text-messages are acceptable to adolescents and their parents and may constitute an effective, scalable strategy for preventing adolescent e-cigarette use. Findings on the effect of the intervention on adolescent e-cigarette outcomes will be reported separately.
Adolescent e-cigarette use is a growing public health issue. Public health organisations advocate education and communication programmes to complement legislative action. Text-message interventions offer a low-cost, minimally invasive approach, but their acceptability to adolescents and parents is unclear. This study explored the acceptability of a text-message programme for adolescents and parents to prevent adolescent e-cigarette use.
Methods:
Parent-adolescent dyads (aged 12-15 years) were recruited in a pilot 2x2 factorial RCT and randomly allocated to one of four arms: (1) adolescent-only text-messages; (2) parent-only text-messages; (3) both parent and adolescent text-messages; or (4) control. Intervention participants received a 12-week text-message programme. The text-messages were theoretically informed and co-designed with adolescents and parents to address modifiable factors associated with adolescent e-cigarette use (e.g., refusal skills). Acceptability of the programme was assessed at 6-month follow-up.
Results:
At 6-month follow-up, acceptability data were collected from 45 adolescents (77.6%) and 58 parents (93.6%) who received the text-messages. The text-messages were reported to be highly acceptable. Seventy-three percent of adolescents (n=33) and 95% of parents (n=55) found the text-messages an acceptable method to receive information about e-cigarettes, and 69% of adolescents (n=31) and 93% of parents (n=54) would recommend the programme to others. Additionally, 88% of parents (n=51) reported that the text-messages improved their ability to discuss e-cigarettes with their child.
Conclusion:
These preliminary findings indicate that text-messages are acceptable to adolescents and their parents and may constitute an effective, scalable strategy for preventing adolescent e-cigarette use. Findings on the effect of the intervention on adolescent e-cigarette outcomes will be reported separately.
Adjunct Associate Professor Bernadette Matthews
Head Of Research, Evaluation And Insights
Life Saving Victoria
When algorithms shape risk: Social media, generative AI and beach safety
Abstract
Solution/Idea
Digital platforms increasingly shape where people go, what they perceive as safe, and how they make decisions in coastal environments. This presentation proposes a scalable public health intervention, embedding evidence-based aquatic safety information within social media and generative AI systems to influence behaviour before people reach the water.
Why it matters
Drowning risk is increasingly influenced through digital exposure rather than on-site behaviours alone. Social media and AI-generated recommendations can normalise hazardous, unpatrolled beaches while omitting critical safety information. These influences may be particularly important for younger users, tourists and first-time visitors who rely heavily on digital content for destination selection and risk interpretation.
Evidence
A mixed‑methods study combining semi‑structured interviews with beachgoers (n=29), social media analysis and generative AI testing identified gaps in digital risk communication. Interviews explored perceived susceptibility and behavioural intentions relating to beach visitation and safety. Social media posts were analysed to identify platforms, content characteristics, engagement metrics and safety or risk cues. Generative AI outputs were systematically reviewed for beach recommendations, safety messaging and representation of hazardous locations.
Social media analysis of Mornington Peninsula beaches identified 66 posts generating 3,591 unique comments and 1,641 shares. Specific safety or risk information appeared in only 30% of Instagram, 6% of TikTok and no Facebook posts. Generative AI systems consistently recommended high‑risk ocean beaches, often without clearly communicating hazards or differentiating safer from more dangerous locations.
Action and impact
A systems-level prevention approach is proposed, including: partnering with digital platforms to integrate evidence-based safety prompts; optimising public health content for algorithmic visibility and engagement; developing AI-ready safety content; and monitoring digital environments for misinformation and amplification of hazardous destinations.
Takeaway
Embedding public health interventions within algorithmically driven information environments offers a scalable opportunity to strengthen risk literacy, influence safer decision-making and reduce exposure to hazardous coastal settings.
Digital platforms increasingly shape where people go, what they perceive as safe, and how they make decisions in coastal environments. This presentation proposes a scalable public health intervention, embedding evidence-based aquatic safety information within social media and generative AI systems to influence behaviour before people reach the water.
Why it matters
Drowning risk is increasingly influenced through digital exposure rather than on-site behaviours alone. Social media and AI-generated recommendations can normalise hazardous, unpatrolled beaches while omitting critical safety information. These influences may be particularly important for younger users, tourists and first-time visitors who rely heavily on digital content for destination selection and risk interpretation.
Evidence
A mixed‑methods study combining semi‑structured interviews with beachgoers (n=29), social media analysis and generative AI testing identified gaps in digital risk communication. Interviews explored perceived susceptibility and behavioural intentions relating to beach visitation and safety. Social media posts were analysed to identify platforms, content characteristics, engagement metrics and safety or risk cues. Generative AI outputs were systematically reviewed for beach recommendations, safety messaging and representation of hazardous locations.
Social media analysis of Mornington Peninsula beaches identified 66 posts generating 3,591 unique comments and 1,641 shares. Specific safety or risk information appeared in only 30% of Instagram, 6% of TikTok and no Facebook posts. Generative AI systems consistently recommended high‑risk ocean beaches, often without clearly communicating hazards or differentiating safer from more dangerous locations.
Action and impact
A systems-level prevention approach is proposed, including: partnering with digital platforms to integrate evidence-based safety prompts; optimising public health content for algorithmic visibility and engagement; developing AI-ready safety content; and monitoring digital environments for misinformation and amplification of hazardous destinations.
Takeaway
Embedding public health interventions within algorithmically driven information environments offers a scalable opportunity to strengthen risk literacy, influence safer decision-making and reduce exposure to hazardous coastal settings.
Ms Cassandra de Lacy-Vawdon
Lecturer
La Trobe University
Liberation and constraint: Power, freedom, and choice within commercial determinants of health
Abstract
Background: Foucault suggested the “struggle of discourses” shapes relations of power and everyday experiences. Discourses of responsibility and discursive power are conveyed every day through neoliberal discourses emphasising individual agency and individual responsibility (i.e., agentic power). These assert that individuals have control over, and therefore responsibility for, the conditions and outcomes of their own lives. However, in public health we understand that there are many factors shaping the lives and experiences of everyday people, including the commercial determinants of health.
Body: This presentation presents overarching conclusions and recommendations from a recently completed series of studies on commercial determinants of the Australian food, alcohol and gambling industries.
Commercial practices, actors, and systems shape many aspects of our everyday lives, including discourses. Although being vastly powerful, these are often absolved of responsibility, in legal and other senses. Meanwhile, individuals are ascribed vast responsibility for their choices, behaviours, and ultimately the health and wellbeing outcomes, despite their limited control over environments within which they exercise this ‘agency’. However, what may first appear as choice-rich commercial environments reflects something more prescribed or at least contrived on closer inspection.
Paternalism infringes on the freedom and autonomy (i.e., limiting agentic power) of a person or group to provide some benefit or protection, and is almost exclusively used to criticise policies and practices contrary to individual freedom narratives (e.g., “nanny state” rhetoric). However, when commercial sector ‘freedoms’ result in market and other domination, this can be understood as ‘commercial paternalism’ that constrains rather than liberates consumer freedoms. This is at odds with commercial actors’ stated objectives.
Bold proposal: This presentation includes practical recommendations for public health practitioners and researchers alike, including considerations for relationships with commercial actors, and opportunities to highlight the contradictions in prominent discourses that can be leveraged to advocate for freedom from industry influence.
Body: This presentation presents overarching conclusions and recommendations from a recently completed series of studies on commercial determinants of the Australian food, alcohol and gambling industries.
Commercial practices, actors, and systems shape many aspects of our everyday lives, including discourses. Although being vastly powerful, these are often absolved of responsibility, in legal and other senses. Meanwhile, individuals are ascribed vast responsibility for their choices, behaviours, and ultimately the health and wellbeing outcomes, despite their limited control over environments within which they exercise this ‘agency’. However, what may first appear as choice-rich commercial environments reflects something more prescribed or at least contrived on closer inspection.
Paternalism infringes on the freedom and autonomy (i.e., limiting agentic power) of a person or group to provide some benefit or protection, and is almost exclusively used to criticise policies and practices contrary to individual freedom narratives (e.g., “nanny state” rhetoric). However, when commercial sector ‘freedoms’ result in market and other domination, this can be understood as ‘commercial paternalism’ that constrains rather than liberates consumer freedoms. This is at odds with commercial actors’ stated objectives.
Bold proposal: This presentation includes practical recommendations for public health practitioners and researchers alike, including considerations for relationships with commercial actors, and opportunities to highlight the contradictions in prominent discourses that can be leveraged to advocate for freedom from industry influence.
Ms Sethini Wickramasinghe
Phd Candidate
Monash University
A cross-sectional survey on contraception use among South Asian women in Australia
Abstract
Background: Access to high-quality contraception care and information can enable women to make informed pregnancy planning decisions. However, women with migratory backgrounds may experience greater barriers accessing contraception compared to non-migrant women. Despite women from South Asia being a large migrant group in Australia, there is limited research investigating the factors influencing their contraception access.
Study aim: To describe the contraception methods used, contraception information sources and factors associated with contraception use among women, aged 18-49 years, who have migrated to Australia from South Asia.
Methods: An anonymous, cross-sectional, online survey examined women’s contraception use pre- and post-migration, sources of contraception and related information and factors associated with contraception use. Participants included women, living in Australia, aged 18-49 years, born in India, Nepal, Pakistan or Sri Lanka, recruited through social media, community organisations and general practices. Post-stratification weights were applied to generate descriptive statistics. Missing data were imputed to conduct weighted regression analysis to identify factors associated with contraception use.
Results: Of the 374 total clicks on the survey link, 261 met the eligibility criteria and 155 remained eligible after data cleaning. Among women born in South Asia, 83% were using contraception. The most commonly used methods were barrier (54%) and non-modern contraception (42%). Healthcare providers (59%) and Google (61%) were the most commonly reported contraception information sources.
Implications: South Asian women’s high use of barrier or non-modern contraception could increase their likelihood of experiencing unintended pregnancy and highlight unmet contraception information needs. As healthcare providers were a common contraception and related information source, they are well-positioned to deliver contraception counselling on the methods available, their effectiveness, side effects and risk of unintended pregnancy. Strengthening provider-client interactions can support equitable contraception access and enable women from South Asia to make contraception decisions aligned with their preferences and fertility intentions.
Study aim: To describe the contraception methods used, contraception information sources and factors associated with contraception use among women, aged 18-49 years, who have migrated to Australia from South Asia.
Methods: An anonymous, cross-sectional, online survey examined women’s contraception use pre- and post-migration, sources of contraception and related information and factors associated with contraception use. Participants included women, living in Australia, aged 18-49 years, born in India, Nepal, Pakistan or Sri Lanka, recruited through social media, community organisations and general practices. Post-stratification weights were applied to generate descriptive statistics. Missing data were imputed to conduct weighted regression analysis to identify factors associated with contraception use.
Results: Of the 374 total clicks on the survey link, 261 met the eligibility criteria and 155 remained eligible after data cleaning. Among women born in South Asia, 83% were using contraception. The most commonly used methods were barrier (54%) and non-modern contraception (42%). Healthcare providers (59%) and Google (61%) were the most commonly reported contraception information sources.
Implications: South Asian women’s high use of barrier or non-modern contraception could increase their likelihood of experiencing unintended pregnancy and highlight unmet contraception information needs. As healthcare providers were a common contraception and related information source, they are well-positioned to deliver contraception counselling on the methods available, their effectiveness, side effects and risk of unintended pregnancy. Strengthening provider-client interactions can support equitable contraception access and enable women from South Asia to make contraception decisions aligned with their preferences and fertility intentions.
Dr Sabrina Gupta
Senior Lecturer
La Trobe University
Multilingual Emergency Communication – community, trust and technology
Abstract
Recent climate emergencies and public health crises have exposed communication failures for multilingual populations, where delayed and inaccurate translations, inaccessible messaging, overreliance on digital platforms and low trust in official institutions contributed to confusion, fear, misinformation and unequal health outcomes. Strengthening multilingual emergency communication is essential for inclusive disaster resilience and public safety.
Analysis of interviews conducted with two multilingual communities in regional Victoria highlighted effective emergency communication for culturally and linguistically diverse (CALD) communities requires a planned, strategic, centralised approach. It must prioritise engagement with CALD communities, trusted community organisations and networks in message development and delivery to ensure good public health outcomes for everyone.
Emergency communication must include three elements to ensure success.
First, emergency services and governments must establish and maintain trusted partnerships and dialogue with multilingual communities, leaders and organisations grounded in mutual respect and shared expertise. This will support communication strategies that prioritise simple English messaging, culturally responsive co-design processes, and adaptable templates that can be distributed across multiple communication channels.
Second, communities and community leaders play a critical role in strengthening communication networks and improving preparedness. Particularly, promoting awareness of local risks, reviewing emergency materials for clarity, sharing trusted networks, community radio and faith-based organisations, and supporting community digital literacy.
Third, development and use of emergency communication technology must recognise communication as a social systems challenge rather than relying solely on technological solutions. New technologies should only be introduced through extensive community consultation and co-design, should never rely on a single digital platform, and should only be implemented with strong human oversight and community-approved validation processes. Investment in collaborative digital tools that support two-way communication and community engagement will strengthen trust, responsiveness and resilience across diverse societies.
We conclude that planned, strategic approaches ensure reliable, accurate, timely and trustworthy information reaches all community members.
Analysis of interviews conducted with two multilingual communities in regional Victoria highlighted effective emergency communication for culturally and linguistically diverse (CALD) communities requires a planned, strategic, centralised approach. It must prioritise engagement with CALD communities, trusted community organisations and networks in message development and delivery to ensure good public health outcomes for everyone.
Emergency communication must include three elements to ensure success.
First, emergency services and governments must establish and maintain trusted partnerships and dialogue with multilingual communities, leaders and organisations grounded in mutual respect and shared expertise. This will support communication strategies that prioritise simple English messaging, culturally responsive co-design processes, and adaptable templates that can be distributed across multiple communication channels.
Second, communities and community leaders play a critical role in strengthening communication networks and improving preparedness. Particularly, promoting awareness of local risks, reviewing emergency materials for clarity, sharing trusted networks, community radio and faith-based organisations, and supporting community digital literacy.
Third, development and use of emergency communication technology must recognise communication as a social systems challenge rather than relying solely on technological solutions. New technologies should only be introduced through extensive community consultation and co-design, should never rely on a single digital platform, and should only be implemented with strong human oversight and community-approved validation processes. Investment in collaborative digital tools that support two-way communication and community engagement will strengthen trust, responsiveness and resilience across diverse societies.
We conclude that planned, strategic approaches ensure reliable, accurate, timely and trustworthy information reaches all community members.
Ms Putu Novi Arfirsta Dharmayani
Research Officer
Macquarie University
Unequal reach: health service provider reflections on COVID antivirals in multicultural communities
Abstract
The COVID-19 pandemic catalysed the rapid development of new antiviral therapies to reduce disease severity, hospital admissions, and mortality, particularly among high-risk populations. Despite their benefits, disparities in COVID antiviral prescribing persist by race and ethnicity. The evidence base addressing barriers and enablers to COVID antiviral access in multicultural communities remains limited, reinforcing concerns about ongoing health inequalities in Australia. This study explored the perspectives and experiences of frontline and multicultural support workers on barriers and enablers to antiviral access of multicultural communities in New South Wales (NSW) during COVID-19. Further, we identified ways to optimise access and clarified what matters most to diverse communities when making decisions about the rollout of novel medications during public health emergencies. We conducted three focus groups with 13 frontline and multicultural support workers employed by NSW Health in three local health districts between February and April 2025. Perspectives and experiences from frontline and multicultural support workers highlighted emerging barriers and enablers within multicultural communities. Participants highlighted the extensive and rapid provision of information related to vaccination during the COVID pandemic. In comparison, they received little information and had limited awareness about the rollout of COVID antivirals. Emerging barriers were identified including no training for multicultural support workers related to antivirals, health system strain from COVID fatigue, and lack of community trust in novel medications. Persistent health inequities were evident in how multicultural communities were supported to access antivirals, even though these groups experienced disproportionate impacts across multiple dimensions of the pandemic. Trusted relationships within community were recognised as a key enabler in facilitating access to health information during the public health emergency. Early engagement with these communities, coupled with clear communication at multiple levels, is imperative during public health emergencies.
Mr. Abdulrahman Qusadi
Phd Student
Victoria University
Mental Health Literacy and Stigma: Preliminary Findings Among Final-Year Australian Medical Students
Abstract
Background
Mental health literacy (MHL) and stigma may influence medical students’ help-seeking behaviour, wellbeing, and future clinical practice. Limited Australian research has examined how educational experiences and curriculum approaches may relate to these outcomes among final-year medical students.
Aim
To assess levels of MHL and stigma among final-year medical students in Australia and factors impacting MHL with the secondary research questions examining the impact of diverse educational approaches to MHL programs in medical universities.
Methods
This ongoing convergent mixed-methods study includes a national survey using the Mental Health Literacy Scale (MHLS) and Mental Illness Clinicians’ Attitudes Scale (MICA-2), semi-structured interviews, and a curriculum review guided by Posner’s framework. Data collection and analysis are currently ongoing.
Results
Preliminary quantitative analysis of 67 completed surveys (from 125 responses received to date) indicates relatively high levels of mental health literacy (MHLS mean = 135.4, SD = 9.9) and moderate stigma scores (MICA-2 mean = 33.5, SD = 7.7). Over half of participants were enrolled in graduate-entry medical programs, and approximately half reported additional mental health training during medical school.
Preliminary qualitative findings suggest variation in students’ perceived preparedness, psychiatry placement experiences, and confidence in responding to mental health concerns. Participants highlighted the importance of clinical exposure, interactive learning, and supportive educational environments in shaping their understanding of mental health.
Preliminary curriculum review findings identified variation across participating medical schools in psychiatry placement duration, mental health teaching approaches, and the availability of Mental Health First Aid (MHFA). Updated analyses will be presented.
Conclusion
This study contributes to the understanding how educational experiences influence mental health literacy and stigma among future doctors. Final findings may help inform curriculum development, mental health education strategies, and student wellbeing initiatives within Australian medical education.
Mental health literacy (MHL) and stigma may influence medical students’ help-seeking behaviour, wellbeing, and future clinical practice. Limited Australian research has examined how educational experiences and curriculum approaches may relate to these outcomes among final-year medical students.
Aim
To assess levels of MHL and stigma among final-year medical students in Australia and factors impacting MHL with the secondary research questions examining the impact of diverse educational approaches to MHL programs in medical universities.
Methods
This ongoing convergent mixed-methods study includes a national survey using the Mental Health Literacy Scale (MHLS) and Mental Illness Clinicians’ Attitudes Scale (MICA-2), semi-structured interviews, and a curriculum review guided by Posner’s framework. Data collection and analysis are currently ongoing.
Results
Preliminary quantitative analysis of 67 completed surveys (from 125 responses received to date) indicates relatively high levels of mental health literacy (MHLS mean = 135.4, SD = 9.9) and moderate stigma scores (MICA-2 mean = 33.5, SD = 7.7). Over half of participants were enrolled in graduate-entry medical programs, and approximately half reported additional mental health training during medical school.
Preliminary qualitative findings suggest variation in students’ perceived preparedness, psychiatry placement experiences, and confidence in responding to mental health concerns. Participants highlighted the importance of clinical exposure, interactive learning, and supportive educational environments in shaping their understanding of mental health.
Preliminary curriculum review findings identified variation across participating medical schools in psychiatry placement duration, mental health teaching approaches, and the availability of Mental Health First Aid (MHFA). Updated analyses will be presented.
Conclusion
This study contributes to the understanding how educational experiences influence mental health literacy and stigma among future doctors. Final findings may help inform curriculum development, mental health education strategies, and student wellbeing initiatives within Australian medical education.
Ms Putu Novi Arfirsta Dharmayani
Research Officer
Macquarie University
Psychological distress and healthy lifestyle behaviours among young Australians aged 15–34 years
Abstract
Background
Young people aged 15 to 34 years are in critical developmental periods where health related behaviours are established and reshaped in response to major life transitions. Although this age group bear the greatest burden of psychological distress among Australians, population-level evidence on how lifestyle behaviours relate to psychological distress over time remain underexplored.
Aim
To assess the prevalence of psychological distress and lifestyle behaviours, and their associations, among young people aged 15–34 years using the Australian National Health Survey 2014–15, 2017–18, and 2022.
Methods
Using data from the Australian National Health Survey 2014–15, 2017–18, and 2022, this repeated cross-sectional study examined associations between lifestyle behaviours (physical activity, fruit and vegetable intake, smoking status, alcohol consumption) and psychological distress (Kessler 10 ≥ 22). Weighted prevalence estimates were calculated for each cycle and pooled. Multivariable logistic regression accounting for complex survey design was conducted, adjusting for sociodemographic covariates and survey year.
Results
The pooled sample comprised 9,426 participants. The 15–19 age group reported the highest mean psychological distress (M = 16.92), with 13.33% and 5.45% classified as experiencing high and very high psychological distress respectively. In adjusted multivariate models, meeting fruit intake guidelines (2–3 serves), meeting physical activity guidelines, having never smoked/vaped, and having never consumed alcohol were each significantly associated with lower odds of high psychological distress, after controlling for sociodemographic covariates and survey year.
Conclusion
This study provides population-level evidence that modifiable lifestyle behaviours are significantly associated with psychological distress among young Australians. Findings highlight the potential for integrating lifestyle-focused interventions into early mental health strategies targeting young people during a period when both health behaviours and psychological wellbeing trajectories are being established.
Young people aged 15 to 34 years are in critical developmental periods where health related behaviours are established and reshaped in response to major life transitions. Although this age group bear the greatest burden of psychological distress among Australians, population-level evidence on how lifestyle behaviours relate to psychological distress over time remain underexplored.
Aim
To assess the prevalence of psychological distress and lifestyle behaviours, and their associations, among young people aged 15–34 years using the Australian National Health Survey 2014–15, 2017–18, and 2022.
Methods
Using data from the Australian National Health Survey 2014–15, 2017–18, and 2022, this repeated cross-sectional study examined associations between lifestyle behaviours (physical activity, fruit and vegetable intake, smoking status, alcohol consumption) and psychological distress (Kessler 10 ≥ 22). Weighted prevalence estimates were calculated for each cycle and pooled. Multivariable logistic regression accounting for complex survey design was conducted, adjusting for sociodemographic covariates and survey year.
Results
The pooled sample comprised 9,426 participants. The 15–19 age group reported the highest mean psychological distress (M = 16.92), with 13.33% and 5.45% classified as experiencing high and very high psychological distress respectively. In adjusted multivariate models, meeting fruit intake guidelines (2–3 serves), meeting physical activity guidelines, having never smoked/vaped, and having never consumed alcohol were each significantly associated with lower odds of high psychological distress, after controlling for sociodemographic covariates and survey year.
Conclusion
This study provides population-level evidence that modifiable lifestyle behaviours are significantly associated with psychological distress among young Australians. Findings highlight the potential for integrating lifestyle-focused interventions into early mental health strategies targeting young people during a period when both health behaviours and psychological wellbeing trajectories are being established.
Dr Anne Jensen
Director Of Research; Associate Lecturer - Psychology
Heartspeak International; Deakin University
Emotional Fluency as Prevention: Teaching People How to Work with Feelings
Abstract
Psychological stress is a major contributor to population health burden. Chronic stress is associated with increased risk of mental illness, cardiovascular disease, immune dysfunction, and workplace burnout, and it plays a role in many behavioural and relational difficulties that affect wellbeing across the lifespan. Despite widespread recognition of these impacts, most prevention strategies focus on increasing awareness of mental health issues, promoting help-seeking, or teaching cognitive coping strategies. While these approaches are valuable, they often leave a significant gap: most people are never taught practical skills for working with emotional reactions as they arise in everyday life.
In many settings, individuals are encouraged to talk about emotions, analyse them, or regulate them through cognitive strategies. However, emotional reactions themselves are primarily felt experiences arising in the body. When these felt responses are avoided, suppressed, or repeatedly analysed without resolution, emotional load may accumulate over time. This accumulation can contribute to ongoing psychological stress, behavioural patterns that are difficult to change, and physical symptoms linked to chronic stress activation.
This presentation introduces the concept of emotional fluency as a practical capability that may complement existing mental health promotion strategies. Emotional fluency refers to the ability to recognise, access, and work directly with felt emotional states rather than primarily engaging with the narratives or interpretations surrounding them. When individuals develop the capacity to notice and engage with feelings as they arise, emotional reactions can move through more efficiently rather than remaining unresolved or repeatedly reactivated.
Although emotional experiences are universal, the skill of working with feelings is rarely taught explicitly in education, health promotion, or workplace wellbeing programs. As a result, many people rely on avoidance strategies, suppression, or repeated discussion of emotional difficulties without gaining practical tools for responding to the underlying feeling states. Strengthening emotional fluency may therefore represent an important and underdeveloped area of preventive health.
Developing emotional skills earlier in life and across community settings may offer a way to reduce the build-up of psychological stress before it escalates into more significant distress or health problems. Emotional fluency could be incorporated into mental health literacy programs, workplace wellbeing initiatives, and educational settings as a simple and accessible capability that supports resilience and adaptive responding.
This presentation explores emotional fluency as a potential prevention-oriented concept within public health. By shifting attention from analysing emotions to learning how to work with feelings directly, it may be possible to support individuals in responding to stress in a more effective and sustainable way. Strengthening this capacity across populations may contribute to improved wellbeing, reduced stress burden, and greater emotional resilience in everyday life.
In many settings, individuals are encouraged to talk about emotions, analyse them, or regulate them through cognitive strategies. However, emotional reactions themselves are primarily felt experiences arising in the body. When these felt responses are avoided, suppressed, or repeatedly analysed without resolution, emotional load may accumulate over time. This accumulation can contribute to ongoing psychological stress, behavioural patterns that are difficult to change, and physical symptoms linked to chronic stress activation.
This presentation introduces the concept of emotional fluency as a practical capability that may complement existing mental health promotion strategies. Emotional fluency refers to the ability to recognise, access, and work directly with felt emotional states rather than primarily engaging with the narratives or interpretations surrounding them. When individuals develop the capacity to notice and engage with feelings as they arise, emotional reactions can move through more efficiently rather than remaining unresolved or repeatedly reactivated.
Although emotional experiences are universal, the skill of working with feelings is rarely taught explicitly in education, health promotion, or workplace wellbeing programs. As a result, many people rely on avoidance strategies, suppression, or repeated discussion of emotional difficulties without gaining practical tools for responding to the underlying feeling states. Strengthening emotional fluency may therefore represent an important and underdeveloped area of preventive health.
Developing emotional skills earlier in life and across community settings may offer a way to reduce the build-up of psychological stress before it escalates into more significant distress or health problems. Emotional fluency could be incorporated into mental health literacy programs, workplace wellbeing initiatives, and educational settings as a simple and accessible capability that supports resilience and adaptive responding.
This presentation explores emotional fluency as a potential prevention-oriented concept within public health. By shifting attention from analysing emotions to learning how to work with feelings directly, it may be possible to support individuals in responding to stress in a more effective and sustainable way. Strengthening this capacity across populations may contribute to improved wellbeing, reduced stress burden, and greater emotional resilience in everyday life.