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  1. May 2026
    1. Trauma-informed approaches can promote the creation of systems that prioritize safety and empowerment to improve patientwell-being. These approaches are especially important in sexual and reproductive health care, where patients are often askedto disclose sensitive and personal information. This disclosure is particularly relevant in the context of endometriosis, acondition that affects 10% of reproductive-aged women and causes debilitating pelvic pain. Our team led a trauma-informedsocial media campaign to raise awareness and improve the understanding of endometriosis by sharing research findings froma photovoice study focusing on Asian women’s experiences of endometriosis during the COVID-19 pandemic in Canada(EndoPhoto Study). In this paper, we describe how we adapted and applied trauma-informed approaches to the developmentand implementation of the social media campaign. To do this, we followed five adapted trauma-informed principles: (1)support and collaboration, (2) trustworthiness and transparency, (3) safety, (4) empowerment and voice, and (5) culturaland gender sensitivity, and four steps: (1) frame the campaign, (2) create content and manage the campaign, (3) measurecampaign impact, and (4) conduct postcampaign reflections. We co-designed this campaign with patient partners having livedexperience of endometriosis to facilitate support and collaboration. Additionally, we shared details about the funders of thisstudy to increase trust and transparency, moderated comments and deidentified images to promote participant safety, chosesafer platforms to enhance empowerment and voice, avoided stereotypes, and shared authentic experiences of Asian womenwith endometriosis to support cultural and gender sensitivity. The campaign launched on Instagram and Pinterest in March2025 to coincide with Endometriosis Awareness Month. The social media campaign received 8,540,528 total impressions overthe course of the month and had engagement rates of 6.23% and 1.4% on Instagram and Pinterest, respectively

      This article outlines a tutorial on designing a trauma-informed social media campaign (on Instagram and Pinterest) to talk about reproductive health findings (specifically endometriosis) among Asian women. It highlights how women's specific health pain is historically minimized or dismissed by public discourses and healthcare systems. To fix this representational gap, the project centered on authentic visual narratives of minority women to ensure digital empowerment and historical sensitivity, while navigating algorithmic biases on Meta platforms that target and suppress women's sexual and reproductive health contents.

    Annotators

    1. This promise deceives consumers, because it is based on a carbon-indulgence scheme with an ineffective offsetting project,” remarked Juergen Resch, federal managing director for Deutsche Umwelthilfe (DUH), which brought the case against Apple. In a way it’s a shame because there’s no need to take the extra steps and cross the line into greenwashing territory. The watches are still better for the environment than many similar products. Precise information would do the trick, rather than hubristic claims,

      ETHICAL CONCERNS: Apple unethically exploits the goodwill of eco-conscious consumers through a deceptive "carbon-indulgence scheme." This manipulative behavior demonstrates a severe lack of operational honesty and marketing transparency.

    2. Three-quarters of the land in question was only leased to Apple through 2029, with no certainty of any continuity after that date.

      GREENWASHING CLAIMS: The brand falsely claims its product offsets carbon emissions through flawed environmental accounting. They rely entirely on a temporary, leased tree-planting project that lacks long-term permanence.

    3. However you spin it, there’s no way that you can say that brands, products or services are ‘carbon neutral’ and result in no emissions at all. It’s a step too far. That doesn’t stop brands from making such bold claims, though. But in a more educated – and more regulated – market they’re risking greenwashing bans by getting so loose.

      MISLEADING LANGUAGE: The absolute term "carbon neutral" is scientifically impossible for tech devices and highly deceptive to consumers. Apple merely uses this buzzword as a marketing gimmick to sound fully eco-friendly.

    4. Apple, which has been ordered to stop claiming carbon neutrality for certain models of Apple Watch in Germany. The reason being that the claim wasn’t sufficiently backed, with flimsy support from (brace) Eucalyptus tree planting in Paraguay to offset emissions. These plantations have been criticised by ecologists who call them ‘green deserts’ but the court also found deeper issues.

      LEGAL RISKS: Making unverified environmental claims leads directly to severe regulatory actions and corporate penalties. Consequently, Apple was officially ordered by a German court to cease its false sustainability advertising.

    5. Perhaps the most shocking thing about this case is that the illegal timber was certified by the Forest Stewardship Council. This oversight raises serious questions about the ethics and transparency of the FSC accreditation, which according to Earthsight, is not limited to Ukraine.

      The Environmental Reality: A 2020 Earthsight investigation revealed IKEA used illegally logged timber from Ukraine's protected Carpathian forests, directly destroying critical habitats of endangered wildlife.

    6. An investigation by Earthsight found that IKEA has been making beechwood chairs using illegally sourced wood from the forests of Ukraine’s Carpathian region, an area home to endangered beasts such as bears, lynxes, wolves, and bison.

      The Marketing Narrative & Twist: IKEA promotes its products as eco-friendly using FSC sustainability badges, but these official labels were exposed as a cover to mask global illegal logging operations.

    1. In 2022, Kohl’s agreed to a $2.5 million Federal Trade Commission settlement over false sustainability claims, and Walmart settled similar charges for $3 million the same year.

      Legal risk: Deceptive green marketing violates consumer protection laws, risking multi-million-dollar lawsuits and heavy financial fines. (similar to Walmart and Kohl's cases).

    2. alleging that H&M engaged in deceptive practices and false advertising by marketing these products as more sustainable than they actually were, knowing consumers would pay premium prices based on false environmental claims.

      Ethical concern: The company exploits consumers' good intentions and charges premium prices based on fake sustainability claims just to boost corporate profits.

    3. For example, a black dress was labeled as using 20% less water in production than an industry average, but H&M’s own supply chain data showed it actually used 20% more water.

      Misleading data: Presenting inverted figures (claiming 20% less water when it used 20% more) is highly deceptive and misleads consumers who trust the metrics.

    4. exposed systematic false claims in H&M’s online “Sustainability Profiles”—detailed environmental scorecards that appeared next to product listings and purported to show the environmental impact of each garment.

      Greenwashing Claim: The brand uses 'Sustainability Profiles' to look eco-friendly, but lacks verification, creating a false green image to attract consumers.