Approach to Vaccine Hesitancy: A Case Report Conveying the CASE Approach

Year 2024, , 128 - 131, 15.08.2024

Şeyma Karatekin , Ebru Senol , İrem Keskin

https://doi.org/10.26650/jchild.2024.1448212

Abstract

Vaccine hesitancy is a concept that has persisted from the time smallpox vaccine was first introduced to this day. When encountering vaccine-hesitant caregivers in clinical practice, it is important to approach vaccine hesitancy in accordance with evidence-based practices to effectively utilise the limited time available. Our case describes a 6-month and 20-day-old patient admitted to the paediatric ward with acute bronchiolitis and missed vaccinations. The patient’s mother revealed that she did not get the infant vaccinated after 2 months of age because she was influenced by people around her. A structured interview was conducted with the mother following the CASE method. After the interview, the mother decided to get her baby vaccinated. The infant received Hepatitis B, diphtheria, tetanus, acellular pertussis, inactivated polio, Haemophilus influenzae type b, and conjugated pneumococcal vaccines on the day of discharge. Subsequent clinic visits confirmed adherence to the vaccination schedule.

Keywords

Child, interview techniques, vaccination hesitancy

References

• Butler R. Vaccine Hesitancy, Acceptance and Demand. In: Vesikari T, Van Damme P, editors. Pediatric Vaccines and Vaccinations. Switzerland: Springer; 2017. p. 28-35. google scholar
• World Health Organization. Ten threats to global health in 2019. (Cited: 06/03/2024). Available from: https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019. google scholar
• Gür E. Aşı kararsızlığı-aşı reddi. Türk Pediatri Arşivi 2019;54(1):1-2. google scholar
• World Health Organization. Immunization Agenda 2030, A global strategy to leave no one behind. 2020. (Cited: 06/03/2024). Available from: https://cdn.who.int/media/docs/default-source/immunization/ strategy/ia2030/ia2030-draft-4-wha_b8850379-1fce-4847-bfd1-5d2c9d9e32f8.pdf?sfvrsn=5389656e_69&download=true. google scholar
• Avşaroğlu N. Hayvanlar ve Madenciler Serisi II, Kömür Madenindeki Kanarya. Madencilik Bülteni 2023;146:52-59. google scholar
• Turkish Ministry of Health. Health Statistics Yearbook. 2021. (Cited: 06/03/2024). Available from: https://sbsgm.saglik.gov.tr/ Eklenti/45317/0/siy2021-ingilizcepdf.pdf google scholar
• World Health Organization. Measles and rubella monthly update - WHO European Region - March 2023. 2023. (Cited: 06/03/2024). Available from: https://www.who.int/europe/publications/m/ item/measles-and-rubella-monthly-update---who-european-region---march-2023. google scholar
• O’Leary ST, Opel DJ, Cataldi JR, Hackell JM. Strategies for Improving Vaccine Communication and Uptake. Pediatrics 2024;153(3):e2023065483. google scholar
• MacDonald NE. Vaccine hesitancy: Definition, scope and determinants. Vaccine 2015; 33(34): 4161-64. google scholar
• Parrish-Sprowl J, Thomson A, Johnson RD, Parrish-Sprowl S. The AIMS approach: regulating receptivity in patient-provider vaccine conversations. Frontiers in Public Health 2023;11:1120326. google scholar
• Stevens JC. The CASE Approach (Corroboration, about Me, Science, Explain/Advise): Improving Communication with Vaccine-Hesitant Parents. 2016. (Cited: 06/03/2024). Available from: https:// repository.arizona.edu/bitstream/handle/10150/621755/azu_ etd_14998_sip1_m.pdf?sequence=1&isAllowed=y google scholar
• Jacobson RM, van Etta L, Bahta L. The C.A.S.E. approach: guidance for talking to vaccine-hesitant parents. Minnesota Medicine 2013;96(4):49-50. google scholar
• Beyazova U. Ailelerin Çocuklarını Aşılatma Konusundaki Kararsızlıkları. In: Beyazova U, Gökçay G, editors. İlk Beş Yaşta Çocuk Sağlığı İzlemi. İstanbul: Nobel Tıp Kitabevleri;2020. pp:491-96. google scholar
• Argüt N, Keskindemirci G, Kılıç A, Gökçay G. 12-60 ay arası çocuğu olan ailelerin aşılar hakkındaki bilgi, tutum ve uygulamalarının incelenmesi. Çocuk Dergisi 2023;23(1):1-7. google scholar