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. 2023 Aug 13;9(3):e12416. doi: 10.1002/trc2.12416

TABLE 5.

Quotes illustrating participant responses about sharing results.

Responses related to being willing to share results
So my loved ones could support me or we could prepare for my possible future AD

So I don't have to carry the burden by myself. (Participant 395, 63yo White female)

Because I would want them to know so we could set up some kind of a plan or routine so we would kind of have an idea what is going on…would try to plan out whatever I could in terms of finance and health and arrangements so they would know what I wanted. (Participant 061, 65yo Black/African American Female)

Because I am in a trusting and honest relationship with my loved ones

I would see that as the same as any other medical condition, I'd share it with my husband and children. (Participant 191, 72year old (yo) Black/African American female)

I don't think it would affect our relationship, it wouldn't be any different than it is now. (Participant 334, 68yo White female)

So loved ones could monitor for or understand potential behavior changes

So they could watch for signs and symptoms. (Participant 052, 59yo White Female)

I see no reason to keep it a secret, it is what it is and those are the cards that have been dealt, this is the reason I might be acting differently instead of them wondering why I am acting differently. (Participant 207, 62yo White male)

Because my loved ones may be impacted by the results, or I feel they should know

Because they have the right to know, because it will affect them as well, being around me and knowing what to expect. (197, 58yo Black/African American Female)

For their benefit, not mine, so that they can deal with it, for what's coming. (Participant 238, 63yo White female)

So family members understand their family history or risk for AD

So those who are biologically related can also make a decision to learn about their risk. (083, 59yo Black/African American female)

I would like them to then do things that might prevent them from getting the disease. (Participant 110, 65yo White female)

Responses related to being somewhat willing or uncertain about sharing results
I would be selective in whom or what to share

To answer that question, if my wife is the loved one, I'd tell my wife, but other loved ones, might not. Loved ones is a broad term. I don't know who falls under that term. I have kids, grandkids, they're all loved ones, but I don't know that I'd tell everybody. (Participant 360, 66yo White male)

Particularly my husband. He'd be a caregiver. He needs to know and wants to know. I don't know about my kids. I would tell them but maybe not in as great a detail as him. (Participant 152, 67yo Black/African American female)

Because I would want more information before sharing Just until there would be further clarification or understanding of what the explanation would be, whether they would be able to know what I am telling them, that it is a serious diagnosis or whether it's not as much a serious concern. (Participant 392, 73yo White female)
Because of uncertainty about prognosis Because it's not really definitive as to whether or not I would get it. It means I'm at a higher risk, but that doesn't mean I would develop it. (Participant 106, 60yo White female)
Responses related to being unwilling to share results
To not worry or upset loved ones

I would not want them to worry and to be looking for symptoms. (Participant 298, 73yo White female)

I would feel that I couldn't offer any solutions in terms of getting better. There is no medicine and I have this terrible disease and I'd have no way to escape, no treatment, nothing positive. (Participant 007, 84yo Black/African American female)

Because I am worried about stigma

I wouldn't want them to know and them to treat me differently. (Participant 073, 68yo Black/African American male)

I would want to try live my life as normal as possible. Once they find out they would begin to treat me differently. (189, 63yo Black/African American female)

To preserve privacy of my health information It isn't any of their business. (Participant 286, 61yo Black/African American male)