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Exploring Vaccine Hesitancy Through an Artist–Scientist Collaboration

Visualizing Vaccine-Critical Parents’ Health Beliefs

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Abstract

This project explores vaccine hesitancy through an artist–scientist collaboration. It aims to create better understanding of vaccine hesitant parents’ health beliefs and how these influence their vaccine-critical decisions. The project interviews vaccine-hesitant parents in the Netherlands and Finland and develops experimental visual-narrative means to analyse the interview data. Vaccine-hesitant parents’ health beliefs are, in this study, expressed through stories, and they are paralleled with so-called illness narratives. The study explores the following four main health beliefs originating from the parents’ interviews: (1) perceived benefits of illness, (2) belief in the body’s intelligence and self-healing capacity, (3) beliefs about the “inside–outside” flow of substances in the body, and (4) view of death as a natural part of life. These beliefs are interpreted through arts-based diagrammatic representations. These diagrams, merging multiple aspects of the parents’ narratives, are subsequently used in a collaborative meaning-making dialogue between the artist and the scientist. The resulting dialogue contrasts the health beliefs behind vaccine hesitancy with scientific knowledge, as well as the authors’ personal, and differing, attitudes toward these.

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Notes

  1. http://www.thevaccineproject.com

References

  • Bolton, G. 2008. Boundaries of humanities: Writing medical humanities. Arts and Humanities in Higher Education 7(2): 131–148.

    Article  Google Scholar 

  • Boydell, K.M., B.M. Gladstone, T. Volpe, B. Allemang, and E. Stasiulis. 2012. The production and dissemination of knowledge: A scoping review of arts-based health research. Forum Qualitative Sozialforschung / Forum: Qualitative Social Research 13(1).

  • Boydell, K.M., M. Hodgins, B.M. Gladstone, et al. 2016. Arts-based health research and academic legitimacy: Transcending hegemonic conventions. Qualitative Research 16(6): 681–700.

    Article  Google Scholar 

  • De la Croix, A., C. Rose, E. Wildig, and S. Willson. 2011. Arts-based learning in medical education: The students’ perspective. Medical Education 45(11): 1090–1100.

    Article  PubMed  Google Scholar 

  • Frank, A.W. 1995. The wounded storyteller. Chicago/London: The University of Chicago Press.

    Book  Google Scholar 

  • Harmsen, I.A., L. Mollema, R.A. Ruiter, T.G. Paulussen, H.E. de Melker, and G. Kok. 2013. Why parents refuse childhood vaccination: A qualitative study using online focus groups. BMC Public Health 13: 1183.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kilty, S. 2000. Telling the illness story. The Patient’s Network 5(3): 17–18.

    Google Scholar 

  • Koski, K., F. Heyning, and R. Zwijnenberg. 2016. Collaborative meaning-making in arts-based research: Data interpretation with an artist, a physician, and an art historian. Art/Research International: A Transdisciplinary Journal 1(1): 234–257.

    Article  Google Scholar 

  • Koski, K. 2014a. Anatomical self-portraits: Observations, improvisations and elicitations in the medical school. Journal of Artistic Research 6.

  • –––––––. 2014b. Mapping the female reproductive system: Arts-based inquiry of medical students’ anatomy drawings. Studies in Material Thinking 10.

  • –––––––. 2013. As-if the patient were in the classroom: Video-based enquiry into the absent body in medical education. Journal of Applied Arts & Health 4(2): 207–222.

  • MacDonald N.E. and SAGE Working Group on Vaccine Hesitancy. 2015. Vaccine hesitancy: Definition, scope and determinants. Vaccine 33(34): 4161–4164.

  • McKee, C., and K. Bohannon. 2016. Exploring the reasons behind parental refusal of vaccines. Journal of Pediatric Pharmacology Therapy 21(2): 104–109.

    Article  Google Scholar 

  • Peretti-Watel P., H.J. Larson, J.K. Ward, W.S. Schulz, and P. Verger. 2015. Vaccine hesitancy: Clarifying a theoretical framework for an ambiguous notion. PLOS Currents Outbreaks. doi:10.1371/currents.outbreaks.6844c80ff9f5b273f34c91f71b7fc289.

  • Platten B., M. Warin, and S. Coggrave. 2014. Mouthing disgust and pleasure in eating disorders. The Senses and Society 9(2): 194–211.

    Article  Google Scholar 

  • Rosenstock, I. 1974. Historical origins of the Health Belief Model. Health Education Monographs 2(4): 328–335.

    Article  Google Scholar 

  • Smith, P.J., S.G. Humiston, E.K. Marcuse, et al. 2011. Parental delay or refusal of vaccine doses, childhood vaccination coverage at 24 months of age, and the Health Belief Model. Public Health Reports 126(Suppl 2): 135–146.

    Article  PubMed  PubMed Central  Google Scholar 

  • Trollope-Kumar, K. 2002. Theories of health and illness. Encyclopedia of Public Health. http://www.encyclopedia.com/doc/1G2-3404000840.html. Accessed September 2, 2016.

  • Tufte, E.R. 1997. Visual explanations: Images and quantities, evidence and narrative. Cheshire, Connecticut: Graphics press.

    Google Scholar 

  • –––––––. 1990. Envisioning information. Cheshire, Connecticut: Graphics press.

  • Umoquit, M., P. Tso, T. Varga-Atkins, M. O’Brien, and J. Wheeldon. 2013. Diagrammatic elicitation: Defining the use of diagrams in data collection. The Qualitative Report 18(60): 1–12.

    Google Scholar 

  • Woods, A. 2011. The limits of narrative: Provocations for the medical humanities. Medical Humanities 37(2): 73–78.

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

Warm thanks to all those parents who volunteered to be interviewed for this study.

The authors gratefully acknowledge the valuable feedback Professor Kati Hakkarainen has given on Kaisu’s interview process from microbiological, clinical, and educational perspectives in Finland and internationally. Drs. Hanne Nøkleby and Lisbeth Meyer Næss are both thanked warmly for their continued interest during the project, giving input and for participations in discussions at various stages in development of the present text. Dr. Nøkleby gave particular valuable comments from her long-standing experience as a medical doctor and paediatrician with contact with clinical vaccine practice in Norway and internationally. Dr. Næss gave a number of valuable contributions about vaccine compositions and immunological concepts.

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Correspondence to Kaisu Koski.

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Funding

This study is part of Kaisu Koski’s Academy Research Fellow project Video Scenarios in Medical Education: Polyphony and Non-linearity in Audiovisual Doctor–Patient Narratives, which is funded by the Academy of Finland 2015–2020 (decision no 285118).

This work was completed as part of the International Collaboration for Capitalizing on Cost-Effective and Life-Saving Commodities (i4C) that is funded through the Research Council of Norway’s Global Health & Vaccination Program (GLOBVAC Project #234608).

Ethics Approval

This study has been approved by the Ethics Committee of Human Sciences in the University of Tampere.

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Koski, K., Holst, J. Exploring Vaccine Hesitancy Through an Artist–Scientist Collaboration. Bioethical Inquiry 14, 411–426 (2017). https://doi.org/10.1007/s11673-017-9798-5

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