Return of research results across the Alzheimer's Disease Research Centers network

IF 13 1区 医学 Q1 CLINICAL NEUROLOGY
Annalise Rahman-Filipiak, Nathaniel A. Chin, Haley Kohl, Jonathan M. Reader, Claire M. Erickson, Bradford C. Dickerson, Neelum T. Aggarwal, Sterling C. Johnson, Elizabeth C. Mormino, Lindsay R. Clark
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引用次数: 0

Abstract

INTRODUCTION

The Consortium for Clarity in Alzheimer's Disease and Related Dementias Through Imaging (CLARiTI) Return of Results Core aims to develop tools and a framework for disclosing individual results at Alzheimer's Disease Research Centers (ADRCs). An understanding of current disclosure practices is necessary to generate this protocol.

METHODS

All 37 ADRCs received a survey between January and April 2024; 36 provided valid responses.

RESULTS

Most ADRCs disclose diagnosis and cognitive results to participants with impairment, and disclosure of biomarker data (e.g., amyloid and tau positron emission tomography) has accelerated since 2019. Though less common, disclosure to unimpaired participants has increased since 2019. Motivators for disclosure include to thank participants, for recruitment/retention, and to help inform health-care decisions. Barriers include limited expertise and infrastructure, concerns about clinical actionability, and risks to participants.

DISCUSSION

The ADRC network is invested in sharing research results. While some concerns remain, CLARiTI will critically evaluate a standardized approach to sharing these results.

Highlights

  • Individual research results disclosure has increased significantly since 2019.
  • Results are shared more frequently with cognitively unimpaired participants.
  • Disclosure requires interdisciplinary teams including physicians and psychologists.
  • Disclosure motivations include enhancing retention and supporting clinical care.
  • Barriers include limited resources/expertise and potential participant risks.
阿尔茨海默病研究中心网络的研究成果回报
通过成像明确阿尔茨海默病和相关痴呆(CLARiTI)结果返回核心联盟旨在开发用于披露阿尔茨海默病研究中心(adrc)个体结果的工具和框架。了解当前的披露实践是制定该协议的必要条件。方法于2024年1月至4月对37例adrc进行调查;36个国家提供了有效答复。大多数adrc向受损参与者披露诊断和认知结果,自2019年以来,生物标志物数据(如淀粉样蛋白和tau正电子发射断层扫描)的披露速度加快。尽管不太常见,但自2019年以来,向未受损参与者披露的情况有所增加。披露的动机包括感谢参与者、招聘/留用以及帮助为保健决策提供信息。障碍包括有限的专业知识和基础设施,对临床可操作性的担忧以及对参与者的风险。ADRC网络致力于共享研究成果。尽管仍存在一些担忧,但CLARiTI将严格评估共享这些结果的标准化方法。自2019年以来,个人研究成果披露显著增加。结果更频繁地与认知功能未受损的参与者分享。披露信息需要包括医生和心理学家在内的跨学科团队。披露的动机包括加强保留和支持临床护理。障碍包括有限的资源/专门知识和潜在的参与者风险。
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来源期刊
Alzheimer's & Dementia
Alzheimer's & Dementia 医学-临床神经学
CiteScore
14.50
自引率
5.00%
发文量
299
审稿时长
3 months
期刊介绍: Alzheimer's & Dementia is a peer-reviewed journal that aims to bridge knowledge gaps in dementia research by covering the entire spectrum, from basic science to clinical trials to social and behavioral investigations. It provides a platform for rapid communication of new findings and ideas, optimal translation of research into practical applications, increasing knowledge across diverse disciplines for early detection, diagnosis, and intervention, and identifying promising new research directions. In July 2008, Alzheimer's & Dementia was accepted for indexing by MEDLINE, recognizing its scientific merit and contribution to Alzheimer's research.
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