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Joshua W. Pate, PhD

@joshuawpate.com

Pain researcher in paediatrics | Senior Lecturer & PhD Supervisor, UTS Physiotherapy | Co-founder, One Thing | Author of 7 children’s books (so far!) | joshuawpate.com

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15.11.2024
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Latest posts by Joshua W. Pate, PhD @joshuawpate.com

I’m curious to hear people’s takes on these ideas! Thanks, Josh

23.02.2026 02:31 👍 0 🔁 0 💬 0 📌 0

(2) The human half matters – Stigma and invalidation is sneaky. You can get something that looks polished and still makes a kid feel blamed, or “it’s just stress”. Since this study we’ve replicated it with voice chatbots (paper in prep), and we’re trying to move toward real-world studies...

23.02.2026 02:31 👍 0 🔁 0 💬 1 📌 0

(1) Benchmarks can saturate fast - Once we provided explicit criteria, responses could basically “max out” usefulness/readability. That sounds great… but it also means our old benchmarks stop being informative. Now: what do we measure, & what’s the human’s role when outputs look good by default?

23.02.2026 02:31 👍 0 🔁 0 💬 1 📌 0
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A Longitudinal Analysis of the Usefulness, Readability, Consistency, and Capacity of Artificial Intelligence Chatbot Responses Regarding the Reality of Chronic Pain in Children To assess longitudinal improvements in generative AI chatbot responses to a sensitive pediatric chronic pain prompt and to evaluate the impact of providing explicit scoring criteria on their performa....

Is this new paper already out of date?

Bec/Scott/Elan/Bruno/myself loved wrestling with this study in early 2025, and the paper is now here doi.org/10.1002/pne2...

Two angles on this paper that I think will endure beyond the quickly updating version numbers of GenAI chatbots:

23.02.2026 02:31 👍 0 🔁 1 💬 1 📌 0
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Build as you think Health app development just became radically easy

Build as you think: the gap between ideas and working health apps is collapsing. I wrote up this experiment here - open.substack.com/pub/palpateh...

16.02.2026 01:47 👍 0 🔁 0 💬 0 📌 0
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From a paragraph to a working ‘beep test’ app in 30mins.

16.02.2026 01:47 👍 0 🔁 0 💬 1 📌 0
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“What did your earpiece just say?” A thought experiment about AI in children's healthcare, and where humans still matter

Read the full thought experiment on my Substack (Palpate Health AI) open.substack.com/pub/palpateh...

09.02.2026 22:20 👍 0 🔁 0 💬 0 📌 0
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It's 2030. Your GP is wearing an AI earpiece. So are you. So is everyone in the clinic.
Except the kid.
Surely not?!

09.02.2026 22:19 👍 0 🔁 0 💬 1 📌 0
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Hi health professionals with a Notes app full of ideas: software is quickly becoming “on-demand” now that AI agents can do many steps at once… here’s a Substack I wrote about my experiments so far - open.substack.com/pub/palpateh...

02.02.2026 21:54 👍 0 🔁 0 💬 0 📌 0
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Have you tried Gemini 3 yet? Curious how it stacks up against ChatGPT 5.1 and Claude Sonnet 4.5 for real health questions?

I used my 4-year-old’s (actually) broken arm photo for an AI experiment.

Substack article:
open.substack.com/pub/palpateh...

19.11.2025 06:16 👍 0 🔁 0 💬 0 📌 0
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Launching from Gate 57: Why I’m starting this newsletter on the way to Florence What is this all about, Josh? And what on earth is that logo?

Flying to Florence with UNICEF collaborators to explore how AI might open up new possibilities for children’s health.

I have also just launched a new substack, Palpate: Health AI. Testing new tools with plain language takeaways.

Follow along here: palpatehealthai.substack.com/p/launching-...

16.11.2025 17:24 👍 0 🔁 0 💬 0 📌 0
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Improving Pain Outcomes for Children and Adolescents at School via a Socio‐Ecological Public Health Lens: A Strengths‐Focused Interview Study With Teachers Chronic pain in children and adolescents is widespread and negatively affects school attendance and developmental trajectories. Teachers are central to how pain (both acute and chronic) is experience....

...So now I’m thinking: How might health and education teams best collaborate so that teachers feel confident in supporting students with pain (without feeling like they’re taking on the burden of healthcare)?

Well done Bec!

Read the paper here: doi.org/10.1002/pne2...

25.08.2025 02:00 👍 0 🔁 0 💬 1 📌 0

...Teachers naturally draw on their strengths (relationships, comfort-scaffolding, inclusion practices) to support students in pain. But societal misconceptions (eg. “pain must mean tissue damage”) can leave them questioning whether pain is “real,” which risks reinforcing stigma or school absence...

25.08.2025 02:00 👍 0 🔁 0 💬 1 📌 0
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Huge congratulations to Rebecca Fechner on another paper from her PhD! The study explored how teachers understand and respond to student pain...

25.08.2025 02:00 👍 1 🔁 0 💬 1 📌 0
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It was all smiles in the front row of this morning’s packed-out author reading!

Seriously though, it is quite a thrill to encourage the next generation with the latest science of healthy physical activity habits. The kids loved meeting Twirl “for real life”!

#childrensauthor #libraryvisit

17.07.2025 05:14 👍 4 🔁 0 💬 0 📌 0
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Twirl Tries it All Storytime | Kirrawee Library+ | Libraries A special Storytime presentation of the delightful children’s picture book Twirl Tries It All by the author, Dr Joshua Pate. No bookings required!

‘Twirl Tries It All’ story-time, Thurs 17 Jul, 10:30am @ the brand new Kirrawee Library+, feat. Twirl!

www.sutherlandshire.nsw.gov.au/subsites/lib...

15.07.2025 05:10 👍 1 🔁 0 💬 0 📌 0
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Sunday Telegraph pg 7 #scicomm: I was interviewed about threading physio research into children's books. Next - if you’re in the Shire wanting free science-infused storytimes (ha!) you are welcome to come on Thursday! Details below.

15.07.2025 05:10 👍 1 🔁 0 💬 1 📌 0
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NEW PAPER

The idea of ‘body mindsets’ is so fascinating. Have you ever thought of your body as:
1. capable?
2. responsive?
3. an adversary?

Link re: adolescents with chronic pain (led by the excellent Emily Dowling and Lauren Heathcote! What a great team) -
doi.org/10.1097/AJP....

11.07.2025 06:01 👍 0 🔁 0 💬 1 📌 0
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New paper led by brilliant UK collaborators:
- Teens thought more broadly about pain,
- they said "recovery is possible", and
- their behavioural intentions changed.

doi.org/10.1016/j.ms...

Please pass it on to people you know working alongside teens challenged by pain - thanks!

07.07.2025 05:50 👍 0 🔁 0 💬 0 📌 0
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How good is this? Bec’s PhD research is already making a real difference. The UTS media team just published a story about how her work is helping children feel supported at school. Please feel free to share it with your school/teacher/principal friends:
www.uts.edu.au/case-studies...

04.07.2025 00:11 👍 1 🔁 0 💬 0 📌 0
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What a privilege it is to work hard researching topics that get described as mind-blowing!

26.06.2025 01:54 👍 0 🔁 0 💬 0 📌 0
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How can we better understand in-clinic turning points for kids facing chronic pain?

I think this study is a simple way to make a big difference. Message me on LinkedIn if you are interested. and I can connect you with Jen Norton. Thanks!

#ChronicPain #Research #PediatricPain #PaediatricPain

26.06.2025 01:02 👍 0 🔁 0 💬 0 📌 0

I was reminded that when we give kids access to new scientific findings in their language, they certainly run with it!

A big thanks to @aipscience.bsky.social. What a blast!

18.06.2025 04:02 👍 1 🔁 0 💬 0 📌 0
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This morning I worked alongside 320 budding scientists (kids!) for a series of school visit sessions co-ordinated by the Australian Institute of Policy and Science. We had a lot of fun exploring the latest science together.

18.06.2025 04:02 👍 1 🔁 0 💬 1 📌 0

(The book signings even continued at the airport tonight, ha! What a joy to entertain and help the next generation of humans to thrive!)

01.06.2025 11:24 👍 0 🔁 0 💬 0 📌 0

Also today, a new industry partnership PhD opportunity was announced with RSD, where I’m on the supervisory panel of Louise Moseley who is kicking off her research journey in July. Go Lou!

01.06.2025 11:24 👍 0 🔁 0 💬 1 📌 0

The panel discussion alongside Prof Tony Okley (UoW) and Dr Emma Watkins (Emma Memma!) was a highlight of the massive conference.

01.06.2025 11:24 👍 0 🔁 0 💬 1 📌 0
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Flew in and out of the Gold Coast today to launch an important new resource - a preschool children’s book about school readiness. It’s my 2nd book collaborating with Ready Set Dance, and I’m thrilled about this collaboration.

01.06.2025 11:24 👍 1 🔁 0 💬 1 📌 0
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A big congratulations to Bec Fechner for another paper published for her PhD! Let us know if you want access to the full text.

doi.org/10.1097/ajp....

#chronicpain

20.05.2025 02:31 👍 0 🔁 0 💬 0 📌 0
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Here’s an exciting opportunity to dip your toes into the research world (or for a seasoned researcher to join the team) as we explore the world of strengths-based healthcare!

15.05.2025 01:32 👍 1 🔁 0 💬 0 📌 0