Louise Keogh
Biographic Data
| ID | 326324 |
|---|---|
| NAME | Louise Keogh |
| GIVEN NAMES | Louise |
| FAMILY NAME | Keogh |
| SIGNATURE | KEOGH L |
| AFFILIATIONS | The University of Melbourne |
| ORCID | 0000-0003-2963-6451 |
| VERIFIED | Yes |
| TOTAL WORKS | 30 |
| TOTAL CITATIONS | 16 |
| AUTHOR COUNT | 30 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2010 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
‘Moving People up the Sympathy Spectrum’
Community Perceptions Regarding use of HIV Molecular Epidemiology for Public Health in Victoria, Australia
Molecular epidemiology (ME) is a field that integrates molecular biology techniques with traditional epidemiological methods to study the distribution, determinants, and dynamics of disease. In the context of HIV, ME involves analysing genetic sequences of the virus to understand patterns of transmission, evolution, and the relationships between social, behavioural, and biological factors that influence transmission. This holds great promise in t…
Use of HIV Phylogenetic Analysis in Public Health in Victoria, Australia
Human immunodeficiency virus (HIV) phylogenetic analysis has been introduced in a select number of jurisdictions globally for the purposes of HIV public health surveillance. Using this epidemiological tool in this way can enhance public health efforts aimed at managing HIV transmission. This application, however, presents many legal and ethical concerns that may counter such efforts, particularly in regulatory environments where HIV transmission …
Institutional objection to abortion care in Australia
Each Australian jurisdiction has decriminalised abortion. Despite this, abortion-seekers face multiple barriers to access, among them is encountering objection by individual health practitioners (conscientious objection) or institutions (institutional objection [IO]). This article reports on a qualitative interview study that examined 41 key interest-holders’ perspectives and experiences of institutional objection to abortion. Framework analysis …
How Are Healthcare Providers Conscientiously Objecting to Abortion in Australia? A Qualitative Study
The findings demonstrated that conscientious objection provisions provided a flexible mechanism for healthcare providers to opt-out of providing abortion care at different times, in different contexts, and for different reasons (including reasons other than conscience). Education and guidelines may improve healthcare providers' understandings and interpretations of conscientious objection provisions. Destigmatizing interventions may also reduce t…
Polygenic risk scores and embryonic screening
Polygenic risk scores (PRSs) have recently been used to inform reproductive decision-making in the context of embryonic screening. While this is yet to be widespread, it is contested and raises several challenges. This article provides an overview of some of the ethical considerations that arise with using PRSs for embryo screening and offers a series of regulatory considerations for jurisdictions that may wish to permit this in the future. These…
Developing a Typology of Women's Attitudes Towards AI Use in the BreastScreen Programme—A Qualitative Study With BreastScreen Victoria Clients
BACKGROUND: There is growing scientific evidence supporting the potential of artificial intelligence (AI) to enhance breast cancer screening by improving the accuracy and efficiency of mammography interpretation. Aligned with this, several empirical studies, predominantly quantitative, have explored lay women's perceptions of AI in breast screening, often framing attitudes in binary terms-positive or negative. This approach can overlook the compl…
"Trust in AI Is a "Fluid Process
Research on trust in healthcare AI has grown significantly over the last five years, underscoring its vital role in AI adoption within healthcare services. While the multi-dimensional nature of trust in AI is well-documented, the literature lacks an integrative framework to fully understanding its dynamics. This study explores clinicians' perceptions of using AI in breast screening, focusing on the evolving nature of trust in AI within a complex …
Gut feelings and lived experiences
This paper examines whether the motivations and experiences of 'anti-diet' dietitians and psychologists represent a paradigm shift in healthcare. We conducted four 2-hour, discipline-specific focus groups with a total of 16 female participants residing in Australia. Our reflexive thematic analysis generated four themes that we consider to be stages of a weight-neutral paradigm shift: (1) a recognition of a mismatch between one's weight-centred tr…
Conceptual framework for temporal discontinuance experiences of social media users
Temporarily disconnecting from social media has become more widespread in recent years with users choosing to limit or stop engaging with social media platforms for a period of time. There are no published syntheses that integrate the collective research on this phenomenon, nor how this behaviour is experienced. This review provides insight into the research on this phenomenon and proposes a conceptual framework for understanding social media use…
The ‘Institutional Lottery’
Despite abortion being decriminalised in Victoria, Australia, access remains difficult, especially at later gestations. Institutions (i.e. health services) place restrictions on the availability of late abortions and/or require additional requirements to be satisfied (e.g. Hospital Termination Review Committee approval), as a consequence of local regulation (i.e. policies and processes determined at the institutional level). This paper reports on…
Junior doctors and conscientious objection to voluntary assisted dying
In jurisdictions where voluntary assisted dying (VAD) is legal, eligibility assessments, prescription and administration of a VAD substance are commonly performed by senior doctors. Junior doctors’ involvement is limited to a range of more peripheral aspects of patient care relating to VAD. In the Australian state of Victoria, where VAD has been legal since June 2019, all health professionals have a right under the legislation to conscientiously …
Reproduction and Genetic Responsibility
The reproductive decision-making of young people (aged 15–39 years) with Li-Fraumeni syndrome (LFS), an early onset inherited cancer syndrome, has not been studied in depth. Using interpretive description methodology, we conducted semi-structured interviews with 30 young Australians (mean age 25.5 years) diagnosed with LFS or at 50% genetic risk. With reflexive thematic analysis, we show how young people’s reproductive decision-making and ideals …
Development and pilot testing of an online decision aid for women considering risk-stratified breast screening
‘There is a lot of good in knowing, but there is also a lot of downs’
Publics are key stakeholders in population genomic screening and their perspectives on ethical considerations are relevant to programme design and policy making. Using semi-structured interviews, we explored social views and attitudes towards possible future provision of personalised genomic risk information to populations to inform prevention and/or early detection of relevant conditions. Participants were members of the public (n=30) who had re…
Acceptability of risk‐stratified population screening across cancer types
BACKGROUND: There is mounting evidence of the benefit of risk-stratified (risk-tailored) cancer population screening, when compared to standard approaches. However, shifting towards this approach involves changes to practice that may give rise to implementation challenges. OBJECTIVES: To explore the public's potential acceptance of risk-stratified screening across different cancer types, including reducing screening frequency if at low risk and t…
“Is Life Worth Living?”
Men aged 85 years and over have the highest rate of suicide of any age or gender group in Australia. However, little is known about their trajectory toward suicide. The objective of this study was to understand the role of masculine norms and other life factors in the suicidality of older men. Thirty-three men aged 80 years or more took part in a semistructured focus group or interview, and/or completed a survey. Participants were asked about the…
Implementation considerations for offering personal genomic risk information to the public
Participants felt that offering personal genomic risk information to the general population to inform prevention and early detection recommendations is acceptable, particularly for common, complex conditions such as cancer. Understanding participants' preferences for receiving genomic risk information will assist with communication strategies and health workforce planning. We anticipate that these findings will contribute to the development of im…
Public Engagement for Regulatory Reform
As a method of science communication, public consultations have the potential to offer members of society the opportunity to influence government policy. An important component of public consultations is the evaluation of stakeholder submissions (from individuals to large organizations). As a case study, we investigated an Australian public consultation on the regulation of autologous stem cell therapies (ASCT) facilitated by the Therapeutic Good…
Can Watching a Television Documentary Change the Way Men View Masculinity
Men’s conformity to masculine norms, such as stoicism and self-reliance, has been shown to be associated with a range of negative psychological outcomes. We developed Man Up—a three-part documentary that examined the link between masculinity, mental health, and suicide for men in Australia. We conducted a multifaceted evaluation that included a randomized controlled trial (RCT) and a web survey. RCT participants and web survey respondents were as…
The Facebook Sabbatical as a Cycle
Young adults are known to adopt Facebook (FB) sabbaticals as a coping strategy for FB-induced technostress, which are often linked to problematic overuse habits. Yet, there has been little investigation of how young adults experience, navigate, and negotiate FB sabbaticals and the impact this has on their social connections and overall well-being. To address this, we conducted a qualitative study of six young adults, aged 18-34 to understand thei…
Public preferences for communicating personal genomic risk information
BACKGROUND: Personalized genomic risk information has the potential to motivate behaviour change and promote population health, but the success of this will depend upon effective risk communication strategies. OBJECTIVE: To determine preferences for different graphical and written risk communication formats, and the delivery of genomic risk information including the mode of communication and the role of health professionals. DESIGN: Focus groups,…
The Australian longitudinal study on male health-methods
Ten to Men is a unique resource for investigating male health and wellbeing. Wave 1 data are available for approved research projects
Young Mothers’ Experiences of Receiving the Baby Bonus
The year 2014 marked the abolition of the Baby Bonus and its replacement with a substantially reduced parenting payment. While often criticised as “middle-class welfare,” or publicly denounced due to its purported misuse by disadvantaged mothers, this paper argues that the Baby Bonus provided valuable financial assistance to families experiencing high financial stress. To investigate young women's experience of receiving the Baby Bonus, 19 semist…
Young maternal age at first birth and mental health later in life
The Facebook Sabbatical as a Cycle
Young adults are known to adopt Facebook (FB) sabbaticals as a coping strategy for FB-induced technostress, which are often linked to problematic overuse habits. Yet, there has been little investigation of how young adults experience, navigate, and negotiate FB sabbaticals and the impact this has on their social connections and overall well-being. To address this, we conducted a qualitative study of six young adults, aged 18-34 to understand thei…
Young maternal age at first birth and mental health later in life
Gut feelings and lived experiences
This paper examines whether the motivations and experiences of 'anti-diet' dietitians and psychologists represent a paradigm shift in healthcare. We conducted four 2-hour, discipline-specific focus groups with a total of 16 female participants residing in Australia. Our reflexive thematic analysis generated four themes that we consider to be stages of a weight-neutral paradigm shift: (1) a recognition of a mismatch between one's weight-centred tr…
The ‘Institutional Lottery’
Despite abortion being decriminalised in Victoria, Australia, access remains difficult, especially at later gestations. Institutions (i.e. health services) place restrictions on the availability of late abortions and/or require additional requirements to be satisfied (e.g. Hospital Termination Review Committee approval), as a consequence of local regulation (i.e. policies and processes determined at the institutional level). This paper reports on…
Can Watching a Television Documentary Change the Way Men View Masculinity
Men’s conformity to masculine norms, such as stoicism and self-reliance, has been shown to be associated with a range of negative psychological outcomes. We developed Man Up—a three-part documentary that examined the link between masculinity, mental health, and suicide for men in Australia. We conducted a multifaceted evaluation that included a randomized controlled trial (RCT) and a web survey. RCT participants and web survey respondents were as…
What's in a message? Delivering sexual health promotion to young people in Australia via text messaging
Mobile phones, in particular SMS, offer health promoters an exciting opportunity to engage personally with a huge number of individuals for low cost. The key elements emerging from this evaluation, such as message style, language and broadcast schedule are directly relevant to future studies using SMS for health promotion, as well as for future health promotion interventions in other mediums that require short formats, such as social networking s…
How do researchers manage genetic results in practice? The experience of the multinational Colon Cancer Family Registry
Sex workers talk about sex work
Despite research suggesting that legal sex work is safe and that emotional risks and social stigma are of greater concern than health risks, much research on sex work has focused on health risks. Given the legalisation of sex work in Victoria, Australia, it is timely to look beyond health. Three focus groups were conducted with a total of 14 female sex workers on their experience of legal sex work, both positive and negative, and the social accep…
Women's experiences of pelvic inflammatory disease
This study explored the health-care experiences of women diagnosed with pelvic inflammatory disease. Semi-structured interviews were conducted with 23 women diagnosed with pelvic inflammatory disease. Many women felt empowered about their health post-diagnosis; however, a smaller number reported becoming hyper-vigilant towards symptoms. Infertility was the greatest concern for women. Inadequate information and treatment resulted in negative healt…
The maternal health outcomes of paid maternity leave
Public preferences for communicating personal genomic risk information
BACKGROUND: Personalized genomic risk information has the potential to motivate behaviour change and promote population health, but the success of this will depend upon effective risk communication strategies. OBJECTIVE: To determine preferences for different graphical and written risk communication formats, and the delivery of genomic risk information including the mode of communication and the role of health professionals. DESIGN: Focus groups,…
The Australian longitudinal study on male health-methods
Ten to Men is a unique resource for investigating male health and wellbeing. Wave 1 data are available for approved research projects
Young Mothers’ Experiences of Receiving the Baby Bonus
The year 2014 marked the abolition of the Baby Bonus and its replacement with a substantially reduced parenting payment. While often criticised as “middle-class welfare,” or publicly denounced due to its purported misuse by disadvantaged mothers, this paper argues that the Baby Bonus provided valuable financial assistance to families experiencing high financial stress. To investigate young women's experience of receiving the Baby Bonus, 19 semist…
Young maternal age at first birth and mental health later in life
Can Watching a Television Documentary Change the Way Men View Masculinity
Men’s conformity to masculine norms, such as stoicism and self-reliance, has been shown to be associated with a range of negative psychological outcomes. We developed Man Up—a three-part documentary that examined the link between masculinity, mental health, and suicide for men in Australia. We conducted a multifaceted evaluation that included a randomized controlled trial (RCT) and a web survey. RCT participants and web survey respondents were as…
The Facebook Sabbatical as a Cycle
Young adults are known to adopt Facebook (FB) sabbaticals as a coping strategy for FB-induced technostress, which are often linked to problematic overuse habits. Yet, there has been little investigation of how young adults experience, navigate, and negotiate FB sabbaticals and the impact this has on their social connections and overall well-being. To address this, we conducted a qualitative study of six young adults, aged 18-34 to understand thei…
Public Engagement for Regulatory Reform
As a method of science communication, public consultations have the potential to offer members of society the opportunity to influence government policy. An important component of public consultations is the evaluation of stakeholder submissions (from individuals to large organizations). As a case study, we investigated an Australian public consultation on the regulation of autologous stem cell therapies (ASCT) facilitated by the Therapeutic Good…
“Is Life Worth Living?”
Men aged 85 years and over have the highest rate of suicide of any age or gender group in Australia. However, little is known about their trajectory toward suicide. The objective of this study was to understand the role of masculine norms and other life factors in the suicidality of older men. Thirty-three men aged 80 years or more took part in a semistructured focus group or interview, and/or completed a survey. Participants were asked about the…
Implementation considerations for offering personal genomic risk information to the public
Participants felt that offering personal genomic risk information to the general population to inform prevention and early detection recommendations is acceptable, particularly for common, complex conditions such as cancer. Understanding participants' preferences for receiving genomic risk information will assist with communication strategies and health workforce planning. We anticipate that these findings will contribute to the development of im…
‘There is a lot of good in knowing, but there is also a lot of downs’
Publics are key stakeholders in population genomic screening and their perspectives on ethical considerations are relevant to programme design and policy making. Using semi-structured interviews, we explored social views and attitudes towards possible future provision of personalised genomic risk information to populations to inform prevention and/or early detection of relevant conditions. Participants were members of the public (n=30) who had re…
Acceptability of risk‐stratified population screening across cancer types
BACKGROUND: There is mounting evidence of the benefit of risk-stratified (risk-tailored) cancer population screening, when compared to standard approaches. However, shifting towards this approach involves changes to practice that may give rise to implementation challenges. OBJECTIVES: To explore the public's potential acceptance of risk-stratified screening across different cancer types, including reducing screening frequency if at low risk and t…
Junior doctors and conscientious objection to voluntary assisted dying
In jurisdictions where voluntary assisted dying (VAD) is legal, eligibility assessments, prescription and administration of a VAD substance are commonly performed by senior doctors. Junior doctors’ involvement is limited to a range of more peripheral aspects of patient care relating to VAD. In the Australian state of Victoria, where VAD has been legal since June 2019, all health professionals have a right under the legislation to conscientiously …
Reproduction and Genetic Responsibility
The reproductive decision-making of young people (aged 15–39 years) with Li-Fraumeni syndrome (LFS), an early onset inherited cancer syndrome, has not been studied in depth. Using interpretive description methodology, we conducted semi-structured interviews with 30 young Australians (mean age 25.5 years) diagnosed with LFS or at 50% genetic risk. With reflexive thematic analysis, we show how young people’s reproductive decision-making and ideals …
Development and pilot testing of an online decision aid for women considering risk-stratified breast screening
Conceptual framework for temporal discontinuance experiences of social media users
Temporarily disconnecting from social media has become more widespread in recent years with users choosing to limit or stop engaging with social media platforms for a period of time. There are no published syntheses that integrate the collective research on this phenomenon, nor how this behaviour is experienced. This review provides insight into the research on this phenomenon and proposes a conceptual framework for understanding social media use…
The ‘Institutional Lottery’
Despite abortion being decriminalised in Victoria, Australia, access remains difficult, especially at later gestations. Institutions (i.e. health services) place restrictions on the availability of late abortions and/or require additional requirements to be satisfied (e.g. Hospital Termination Review Committee approval), as a consequence of local regulation (i.e. policies and processes determined at the institutional level). This paper reports on…
Gut feelings and lived experiences
This paper examines whether the motivations and experiences of 'anti-diet' dietitians and psychologists represent a paradigm shift in healthcare. We conducted four 2-hour, discipline-specific focus groups with a total of 16 female participants residing in Australia. Our reflexive thematic analysis generated four themes that we consider to be stages of a weight-neutral paradigm shift: (1) a recognition of a mismatch between one's weight-centred tr…
Polygenic risk scores and embryonic screening
Polygenic risk scores (PRSs) have recently been used to inform reproductive decision-making in the context of embryonic screening. While this is yet to be widespread, it is contested and raises several challenges. This article provides an overview of some of the ethical considerations that arise with using PRSs for embryo screening and offers a series of regulatory considerations for jurisdictions that may wish to permit this in the future. These…
Developing a Typology of Women's Attitudes Towards AI Use in the BreastScreen Programme—A Qualitative Study With BreastScreen Victoria Clients
BACKGROUND: There is growing scientific evidence supporting the potential of artificial intelligence (AI) to enhance breast cancer screening by improving the accuracy and efficiency of mammography interpretation. Aligned with this, several empirical studies, predominantly quantitative, have explored lay women's perceptions of AI in breast screening, often framing attitudes in binary terms-positive or negative. This approach can overlook the compl…
"Trust in AI Is a "Fluid Process
Research on trust in healthcare AI has grown significantly over the last five years, underscoring its vital role in AI adoption within healthcare services. While the multi-dimensional nature of trust in AI is well-documented, the literature lacks an integrative framework to fully understanding its dynamics. This study explores clinicians' perceptions of using AI in breast screening, focusing on the evolving nature of trust in AI within a complex …
Medicine (18 works) · Psychology (14 works) · Qualitative research (14 works) · Sociology (14 works) · Population (9 works) · Political science (8 works) · Public health (8 works) · BRCA gene mutations in cancer (7 works) · Health care (7 works) · Focus group (6 works)