Health Communication Commons^™

Listening As Method: She Speaks And The Case For Podcasting As A Feminist Research Methodology In Women's Non-Medicalised Self-Care, Narelle Lemon

Research outputs 2022 to 2026

Women's non-medicalised self-care — the everyday, relational practices through which women tend to themselves — remains largely illegible to conventional health research methods. This article argues that podcasting constitutes a feminist research methodology rather than a supplementary dissemination tool and makes the case for its adoption in qualitative health research on women's wellbeing. The argument develops through an extended case study of She Speaks , an Australian podcast series produced by the author across four seasons and sixty-two episodes. Situated within arts-based research and feminist methodological traditions, the study treats the podcast itself as the research vehicle: a site where …

Exploring The Use Of Strategic Influencer Leadership (Sil) In Health Communication: A Cross-Cultural, Multi-Case Study, Katharina Wolf, Catherine Archer, Syafiq B. Assegaff, Joseph Nalloor

Research outputs 2022 to 2026

Purpose This study challenges the social media-centric view of influencers, arguing that health communication benefits from diverse strategic influencers beyond commercial figures. Trust, credibility and cultural resonance are essential for effective public health messaging, yet contemporary approaches often prioritise engagement metrics over strategic influence. Design/methodology/approach This paper employs a multi-case study approach to examine the strategic use of influencers in health communication across Indonesia, the United Arab Emirates and Australia during the COVID-19 pandemic. It explores how health professionals, royal representatives and a politician shaped public health messaging within culturally specific contexts. A mixed-methods approach, incorporating ethnographic research and thematic …

Observed And Reported Outcomes Following Experiential Cultural Capability And Clinical Yarning Training For Clinicians Treating Aboriginal And Torres Strait Islander People With Persistent Pain, Stuart Ekberg, Renata F. I Meuter, Ivan Lin, Roslyn Rowen, Angela Kinnell, Eva Malacova, Tania Waring, Kushla Houkamau, Marayah Taylor, Matthew Bryant, Jermaine Isua, Andrew Claus, Paul Gray, Joseph Kluver, Christina M. Bernardes, Greg Pratt

Journal of the Australian Indigenous HealthInfoNet

Communication is recognised as crucial to culturally safe healthcare, and poor communication remains a major reason that Aboriginal and Torres Strait Islander people do not access healthcare. This pragmatic, pre-post comparison study employed mixed methods to evaluate cultural capability and clinical yarning training delivered to 57 clinicians supporting Aboriginal and Torres Strait Islander people at three persistent pain management services in Queensland, Australia. Observable outcomes of the training were evaluated by video recording clinicians’ training experiences and seven consultations with patients that occurred either pre- or post-training. Reported outcomes were evaluated by using a modified Cultural Safety Survey (CSS), which …

Mapping Outdoor Alcohol Advertising Around Waterways In An Exploration Of Where And What The Advertisements Feature, Justine E. Leavy, Paula Hooper, Gina Trapp, Renee N. Carey, Gemma Crawford

Research outputs 2022 to 2026

Background: In Western Australia (WA) social activities occur in aquatic environments where alcohol promotion and consumption may be prevalent creating an aquatic alcogenic environment. This poses a challenge for drowning prevention efforts. Restrictions on alcohol advertising placement near aquatic environments require an evidence-base of how prevalent alcohol outlet availability and promotion is in aquatic environments. We aimed to quantify the presence and content of outdoor alcohol advertising in metropolitan WA and map liquor outlet density and licensed venue proximity. Methods: An exploratory, cross-sectional, observational study investigated the geospatial characteristics of five WA coastal precincts. Digitised navigation maps were produced in …

Do Parents ‘Know Best’ When It Comes To Their Teenaged Children’S Experiences Of Sexual Content Online?, Harrison W. See, Kjartan Ólafsson, Brian O’Neill, Lelia Green, Carmen Jacques, Kelly Jaunzems

Research outputs 2022 to 2026

In 2010, the EU Kids Online project, and aligned AU Kids Online study, interviewed one parent and one child (9–16) from 25,542 families across 26 countries. Information gathered included parents’ awareness of their child’s experiences of sexual content online. This dataset has since been updated by recent ethnographic work in Australia and Ireland, capturing parents’ approaches to managing their children’s (11–17) digital engagement with sexual content. Parents identified risks and benefits in their children’s encounters with adult content online. This article concludes that parents do not judge the efficacy of their digital parenting around preventing their child from seeing restricted …

Children's Views On Outdoor Advertising Of Unhealthy Food And Beverages Near Schools, Jacinta Francis, Elizabeth Ross, Claire Pulker, Sally Brinkman, Joelie Mandzufas, Karen Martin, Justine Howard, Gina Trapp

Research outputs 2022 to 2026

Children are often exposed to unhealthy outdoor food advertisements during the school commute. This exposure can have negative public health consequences given childhood weight gain has been linked to the marketing of energy-dense and nutrient-poor foods. This study aimed to explore schoolchildren's lived experiences and attitudes towards outdoor advertising surrounding their schools. Seven focus groups with children aged 10–16 years (n = 47) attending schools located in areas with high densities of unhealthy outdoor advertising were conducted in Perth, Western Australia, between July and October 2023. Study participants were aware of outdoor advertising of unhealthy food and beverages near their …

Evaluation Of The Sources Of Sexual Knowledge And Information Among Men In Kenya, Darlene Mwende Ndasi, Kwadwo Adusei-Asante, Anh Vo Van Ha, Madalena Grobbelaar, Victor Fannam Nunfam

Research outputs 2022 to 2026

Sources of sexual knowledge and information among men have impact on quality of their sexual literacy and decision making. Sexual knowledge impacts on sexual attitudes, which underpin sexual behaviours and in turn impacts the sexual health outcomes of men. A cross-sectional quantitative survey was used to assess the sources of sexual knowledge and information among 484 Kenyan adult men aged 18–54. Data analysis was performed with STATA-16. Results showed that 79% of men learned about sex from school-based sex education, 75% and 72% from peers and mass media respectively while healthcare professionals (35%) and parents (28%) had the lowest influence …

Reducing Methamphetamine Use In Aboriginal And Torres Strait Islander Communities With The “We Can Do This” Web App: Qualitative Evaluation Of Acceptability And Feasibility, Leda Sivak, Rachel Reilly, Shani Crumpen, Carla Treloar, Rebecca Mcketin, Julia Butt, Yvette Roe, Nadine Ezard, Brendan Quinn, Jack Nagle, Wade Longbottom, Clifford Warrior, James Ward

Research outputs 2022 to 2026

Background: Preventing and treating methamphetamine-related harm in Aboriginal and Torres Strait Islander populations is a significant challenge for health care services. Digital health care may offer opportunities to support individuals and families in ways that complement existing methamphetamine treatment options. This study responds to a community-identified priority as Aboriginal Community Controlled Health Services identified methamphetamine use as a key concern and sought support to respond to the needs of people who use methamphetamine and their families. Objective: This paper reports on a process evaluation of the web application’s acceptability and feasibility when used by clients and clinicians in residential rehabilitation …

An Anti-Junk Food Ad From A Sports Commercial Break Reduced Junk Food Consumption Inclinations, Yet Junk Food Ads Had Minimal To No Impact, Ross C. Hollett, Julia Butt, Brennen Mills, Stephanie L. Godrich, Gina S.A. Trapp, Amanda Devine

Research outputs 2022 to 2026

Background: In Australia, there are concerns that unrestricted junk food advertising during sports broadcasts increases short-term junk food consumption among viewers. Therefore, the present study aimed to estimate the impact of junk food and anti-junk food advertising on consumption inclinations. Methods: We conducted a content analysis across a sample (N = 16) of Australian Football League (AFL) and National Rugby League (NRL) matches to determine the prevalence of junk food and anti-junk food advertising video clips. We also exposed participants (N = 428) to a single randomly selected junk food advertisement or a single anti-junk food advertisement and measured the …

Balancing Digital Presents And Futures: Understanding First-Time Parents’ Practices, Plans And Perceptions Of ‘Quality’ And Risk In Young Children's Digital Engagements, Katrin Langton, Emma Jayakumar, Harrison W. See, Catherine Archer, Giselle Woodley

Research outputs 2022 to 2026

Parents in Australia today have to make decisions about what counts as appropriate digital media use for their young children in a cultural context characterised by conflicting advice, impractical screen use recommendations and risk-focussed media messaging. These conditions make it challenging for parents to purposefully approach and plan not only their children's current digital engagements but also their futures as digital citizens. How parents negotiate these tensions in managing their young children's digital presents, and how they approach planning for their digital futures, remains underexplored. This paper presents the findings of two rounds of qualitative interviews and three focus groups …

Exposure To Preference-Matched Alcohol Advertisements From National Sports Broadcasts Increases Short-Term Alcohol Consumption Inclinations In Risky Drinkers, Ross C. Hollett, Jesse Fairclough, Julia Butt, Brennen Mills

Research outputs 2022 to 2026

Background: In Australia, sports broadcasting is afforded special alcohol advertising rights during daytime hours, which raises public health concerns, including short-term increases in alcohol consumption among the broad viewership of national sporting codes. Methods: We conducted a content analysis across a sample of nationally televised finals matches (N = 16) from the Australian Football League (AFL) and the National Rugby League (NRL) to determine the prevalence of alcohol advertising video clips during these broadcasts. We also conducted an online experiment exposing participants (N = 345) to a randomly selected alcohol advertisement and measured the immediate effects on self-reported alcohol craving …

Where Are The Alcohol Advertising Hotspots Near Schools?, Joelie Mandzufas, Karen Lombardi, Robyn S. Johnston, Alexia Bivoltsis, Justine Howard, Paula Hooper, Gina Trapp

Research outputs 2022 to 2026

Issue Addressed: Physically locating liquor stores near schools can strongly influence the chances of youth accessing and consuming alcohol, and may also increase children's exposure to alcohol advertising. Investigating the association between the presence of a liquor store near a school and the prevalence of outdoor alcohol advertising is crucial from a policy perspective, as it can inform future regulations on the placement of liquor stores and outdoor advertising near educational institutions. Methods: All outdoor alcohol advertising within a 500 m radius (audit zone) of 64 randomly selected schools from local government areas across metropolitan Perth was identified by direct …

Analysing The Behaviour Change Techniques In An Effective Food Literacy Program To Inform Future Program Design, Lucy M. Butcher, Caylah Batt, Sophie Royce, Eamon Barron, Roslyn Giglia, Andrea Begley

Research outputs 2022 to 2026

Aim: Food literacy programs aim to improve food related skills and knowledge and are selected Governments as a strategy to address dietary intakes at a community level. The purpose of this research is to identify behaviour change techniques in a food literacy program, which were assessed by the achievement of participant goals related to food literacy and dietary behaviour changes. Methods: Consensus methods were applied to map behaviour change techniques to an adult food literacy program. A second phase investigation applied content analysis of participant process evaluation data (collected between 2016 and June 2021) to align target behaviours and behaviour …

Good Arts, Good Mental Health®: The Effectiveness Of An Australian Health Promotion Media Campaign In Promoting Community Mental Wellbeing Via The Arts, Christina R. Davies, Melanie T. Pescud, Rhonda Clifford, Richard Mcgrath, Annie Thomson, Mia Jeffrey, Melissa Stoneham, Terri Pikora, Peter Wright, Sonya Girdler, Loretta Baldassar, Stephen Clift

Research outputs 2022 to 2026

Introduction: This study describes and evaluates Good Arts, Good Mental Health^® (GAGMH), a groundbreaking, population-level, arts-mental health promotion media campaign. The objectives of the campaign (Wave 1) were to increase brand awareness, comprehension, and agreement with the tagline Good Arts, Good Mental Health^® and empower the general population to form an intention to engage in the Arts for their mental wellbeing. Methods: The campaign ran from August to September 2024 (4 weeks), cost AUD$198,965 (23% creative and 77% media/advertising distribution), and targeted the Western Australian (WA) general population aged 18–65 years, all genders, in both metropolitan and regional …

Barriers And Enablers To Promoting Grandchildren’S Physical Activity And Reducing Screen Time: A Qualitative Study With Australian Grandparents, Timothy Budden, David Coall, Ben Jackson, Hayley Christian, Andrea Nathan, Michelle I. Jongenelis

Research outputs 2022 to 2026

Background: With an increasing number of grandparents providing care to their grandchildren, calls have been made for these caregivers to be considered important stakeholders in encouraging children’s engagement in health-promoting behaviors, such as physical activity. Understanding the perspectives of grandparents who provide care is crucial to informing efforts that aim to increase children’s physical activity, yet little is understood about their perceptions of specific barriers and enablers to promoting children’s physical activity and reducing screen time. The present study sought to explore these perceptions. Methods: Semi-structured focus groups and individual interviews were conducted with grandparents who reported providing care to …

Adolescents' Perceptions Of Food Outlets In The School Neighbourhood And Their Unhealthy Snacking Behaviour On The Way To And From School, Margaretha Liliana Situmorang, Sandra Mandic, Michael Keall, Melody Smith, Niamh Donnellan, Kirsten J. Coppell

Research outputs 2022 to 2026

Objective: To understand the relationship between adolescents' unhealthy snacking behaviour during their school journey and their perceived and objective measures of food outlet availability in the school neighbourhood. Design: A cross-sectional survey enquired about socio-demographic information, school transport modes, perceived presence of food outlets in the school neighbourhood and unhealthy food purchase and consumption on the school journey. A geographical information system analysis of the food outlets within 500 m and 1000 m school buffers was undertaken. Data were analysed using generalised linear mixed modelling. Setting: All twelve secondary schools in Dunedin, Aotearoa New Zealand, March 2020-June 2022. Participants: Adolescents …

Diet Culture On Tiktok: A Descriptive Content Analysis, Emily Munro, Gabriella Wells, Rigel Paciente, Nicole Wickens, Daniel Ta, Joelie Mandzufas, Karen Lombardi, Alix Woolard

Research outputs 2022 to 2026

Objective: To investigate how dieting is portrayed on TikTok and the potential implications for public health considering the effect of diet culture on eating disorders amongst young people. Design: A cross-sectional descriptive content analysis of 250 videos from the five most popular diet-related hashtags. A codebook was developed to analyse the content of the videos and collect the engagement for each video (likes, comments and shares). Setting: TikTok website. Participants: There were no participants in this study. Results: More than half of the videos portrayed 'body checking', a potentially harmful practice for body image. Of the videos that represented body …

Minimising The Risk: Teen Perspectives On Sexual Choking In Pornography, Giselle Woodley, Kelly Jaunzems

Research outputs 2022 to 2026

Sexual choking / strangulation encompasses a range of practices where pressure is applied to the neck to restrict air or blood flow during a sexual encounter. While choking is most commonly associated with the application of hands around a person’s neck, other limbs or ligatures, such as the forearm or rope, may also be used (Herbenick et al., Frequency 3122; Herbenick et al., Prevalence 1059). This article will predominantly use the term “choking” or “sexual choking” to match teen vernacular and public discourse. These terms, however, may be used interchangeably with other more context-specific terms used in the literature such …

Characterizing The Extent And Nature Of Digital Food And Beverage Marketing In Singapore – A Descriptive Study, Xin Hui Chua, Clare Whitton, Stefanie Vandevijvere, Bridget Kelly, Rob M. Van Dam, Salome A. Rebello

Research outputs 2022 to 2026

Objective: To characterize the nature of digital food and beverage advertising in Singapore Setting: Food and beverage advertisements within 20 clicks on top 12 non-food websites and all posts on Facebook and Instagram pages of 15 major food companies in Singapore were sampled from January 1 to June 30, 2018. Design: Advertised foods were classified as being core (healthier), non-core or mixed-dishes (example burger) using the WHO nutrient profile model and national guidelines. Marketing techniques were assessed using published coding frameworks. Participants: NA Results: Advertisements (n=117) on the 12 non-food websites were largely presented as editorial content. Food companies posted …

Traumatok - Tiktok Videos Relating To Trauma: Content Analysis, Alix Woolard, Rigel Paciente, Emily Munro, Nicole Wickens, Gabriella Wells, Daniel Ta, Joelie Mandzufas, Karen Lombardi

Research outputs 2022 to 2026

Background: Experiencing a traumatic event can significantly impact mental and emotional well-being. Social media platforms offer spaces for sharing stories, seeking support, and accessing psychoeducation. TikTok (ByteDance), a rapidly growing social media platform, is increasingly used for advice, validation, and information, although the content of this requires further study. Research is particularly needed to better understand TikTok content relating to trauma and the potential implications for young viewers, considering the distressing nature of the subject and the possibility of users experiencing vicarious trauma through exposure to these videos. Objective: This study aims to explore the content of trauma-related videos on …

Communications In The Time Of A Pandemic: The Readability Of Documents For Public Consumption, Catherine Ferguson, Margaret Merga, Stephen Winn

Research outputs 2014 to 2021

© 2021 The Authors Objective: Government communications in a crisis can influence public health outcomes. This research aimed to investigate if written communications of the most commonly sought sources of COVID-19 information available on the internet have readability levels commensurate with those of the general public. Methods: Online documents from the World Health Organization (WHO), and the governments of Australia, the UK and the US were assessed for readability using an online instrument that calculated scores for the Flesch Reading Ease Score, the SMOG Index and the Readability Consensus Grade Level. Results: Similar to the previous research, most documents assessed …

Mental Health Consequences Of Covid-19 Media Coverage: The Need For Effective Crisis Communication Practices, Zhaohui Su, Dean Mcdonnell, Jun Wen, Metin Kozak, Jaffar Abbas, Sabina Šegalo, Xiaoshan Li, Junaid Ahmad, Ali Cheshmehzangi, Yuyang Cai, Ling Yang, Yu Tao Xiang

Research outputs 2014 to 2021

© 2021, The Author(s). During global pandemics, such as coronavirus disease 2019 (COVID-19), crisis communication is indispensable in dispelling fears, uncertainty, and unifying individuals worldwide in a collective fight against health threats. Inadequate crisis communication can bring dire personal and economic consequences. Mounting research shows that seemingly endless newsfeeds related to COVID-19 infection and death rates could considerably increase the risk of mental health problems. Unfortunately, media reports that include infodemics regarding the influence of COVID-19 on mental health may be a source of the adverse psychological effects on individuals. Owing partially to insufficient crisis communication practices, media and news …

Appraisal Of Free Online Symptom Checkers And Applications For Self-Diagnosis And Triage: An Australian Evaluation, Michella Gaye Hill

Theses: Doctorates and Masters

The internet has impacted society and changed the way companies and individuals operate on a daily basis. Seeking information online via computer or mobile device is common practice. The phrase ‘Google it’ is now part of modern vernacular and is a resource increasingly utilised by young and old alike. Around 80% of Australian’s search health-related information online as it is convenient, cheap, and available 24/7. Symptom checkers are one tool used by consumers to investigate their health issues. Symptom checkers are automated online programs which use computerised algorithms, asking a series of questions to help determine a potential diagnosis and/or …

Investigating The Practice And Capacity Of Paediatric Occupational Therapists To Promote The Physical Activity Levels Of Children In Western Australia, Sally Coombs

Theses: Doctorates and Masters

Reorientation of the Australian health care system to meet the increasing burden of disease requires health workers to develop a focus on disease prevention and health promotion. In Western Australia (WA) a priority area for the promotion of health involves increasing the physical activity levels (PAL) of children in accordance with Australia’s Physical Activity and Sedentary Behaviour Guidelines. There is substantial support in the literature for paediatric occupational therapists, who assist children to participate in a range of meaningful occupations, to incorporate the promotion of children’s PAL into their service. However, there is a dearth of research world-wide regarding occupational …

Mind The Gap: Health Reporting In The Pacific, Trevor Cullen

Research outputs 2014 to 2021

Previous research on developing health journalism in the Pacific region has encouraged journalists to think outside the box when it comes to reporting health, and to view it as more than just drugs and doctors. Factors such as politics, economics, religion, education, gender inequality and traditional cultural taboos influence health outcomes to varying degrees. This perspective on health provides an extensive list of news and feature stories for the media, and yet, this wider focus on the determinants of health is not what drives health journalism in many Pacific countries. This article uses a case study of press coverage of …

Online Health Information: Shortcomings And Challenges, Trevor A. Cullen

Research outputs 2013

Health is a topic that affects everyone either through their own personal experiences or those of a family member, friend or work colleague, so it is not surprising to hear that there is increasing interest in online health information. For example, a national survey in 2013 into internet use in the United States showed that 59 per cent of people had searched for health information on the internet, and that six out of 10 respondents said the information they found online affected their decision about how to treat an illness or a medical condition. The downside is that there is …

Exploring Ways To Improve Online Health News Stories, Trevor A. Cullen

Research outputs 2013

For a long time, reporting health consisted largely of statistics on the number of deaths and cases of disease, or reporting on epidemiological data that affects people we do not know. While this is important for health officials, it is of little interest to audiences who are increasingly demanding information that is useful to their daily lives. And conserving one’s health is perhaps the most useful of all topics. Many have now added the internet to their personal health toolbox, helping them to gain a better understanding of an illness or medical condition. But how accurate and balanced is the …

Internet-Based Photoaging Within Australian Pharmacies To Promote Smoking Cessation: Randomized Controlled Trial, Oksana Burford, Moyez Jiwa, Owen B. Carter, Richard Parsons, Delia Hendrie

Research outputs 2013

Background: Tobacco smoking leads to death or disability and a drain on national resources. The literature suggests that cigarette smoking continues to be a major modifiable risk factor for a variety of diseases and that smokers aged 18-30 years are relatively resistant to antismoking messages due to their widely held belief that they will not be lifelong smokers. Objective: To conduct a randomized controlled trial (RCT) of a computer-generated photoaging intervention to promote smoking cessation among young adult smokers within a community pharmacy setting. Methods: A trial was designed with 80% power based on the effect size observed in a …

Nutritional Narratives: Cultural And Communications Perspectives On Plant-Based Diets, Julie S. Dare, Leesa N. Costello, Lelia R. Green

Research outputs 2013

This paper responds to a range of popular materials circulating in the public sphere asserting a plant-based (PB) diet is of benefit to humans and a protection against many chronic diseases. Although directed at a lay audience, books such as The China Study (Campbell & Campbell) are based upon extensive academic research, and highlight multiple health, environmental and social advantages of PB diets over traditional western diets. Arguments advocating PB nutrition, however, generally struggle to achieve traction in the public sphere. Narratives around PB food choices, and difficulties in shifting mainstream eating patterns, reflect the cultural symbolism attached to food, …

Tackling Overweight And Obesity: Does The Public Health Message Match The Science?, Katherine Hafekost, David Lawrence, Francis Mitrou, Therese O'Sullivan, Stephen R. Zubrick

Research outputs 2013

Background

Despite the increasing understanding of the mechanisms relating to weight loss and maintenance, there are currently no validated public health interventions that are able to achieve sustained long-term weight loss or to stem the increasing prevalence of obesity in the population. We aimed to examine the models of energy balance underpinning current research about weight-loss intervention from the field of public health, and to determine whether they are consistent with the model provided by basic science. EMBASE was searched for papers published in 2011 on weight-loss interventions. We extracted details of the population, nature of the intervention, and key …