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. Author manuscript; available in PMC: 2021 Nov 1.
Published in final edited form as: Aging Ment Health. 2020 Feb 21;25(5):797–806. doi: 10.1080/13607863.2020.1725739

Table 3.

In Vivo Themes with Participant Statements regarding Willingness to Screen

Code/In Vivo Theme Participant Statement
Burden I don’t want to burden my family
  • I’ve already told my family that if I am diagnosed with Alzheimer’s, find a nursing home.

  • I think the family members suffer worse

  • They are sick themselves just trying to deal with … take care of … their family person with it.

  • Anything that we can do to help prevent what my family has gone through

  • We haven’t had anyone with it in our family and I don’t want to go looking for trouble.

  • My aunt would go on and on about how much of a burden it was. You just feel so bad because you know it is, but not much you can do to help

  • Would you lose your insurance if you have it?

  • The last thing I want is to be a burden on my family.

Fear/I’m afraid that I’ll get it later in life
  • That I’ll get it before they figure out a way to stop it

  • Fear of having it and fear of cost

  • I’m on such a fixed income, that just can’t be my priority; my food and water have to be my priority

  • That I might get it. [dementia].

  • I’m afraid of having to take care of my cousins or my aunt

  • Well yea … it runs in families, right? I hope I don’t get it but I bet that by the time I would, they will have it all figured out and have medicine to prevent it …

  • I worry about my parents

  • Not having a brain that works

  • Im afraid that Ill get it later in life

Awareness/Know what you have so you can best deal with it
  • It would help the person and family both if they knew ahead of time

  • It would help the family I think if we just knew what to expect

  • Maybe if we had known what was coming we might have been better prepared for it I think forewarned is forearmed

  • The earlier you’re diagnosed, the better to help the symptoms

  • Maybe they [family] would help more if they understood what was going on

  • If we had a routine once a year “brain fair” or something, that would help make people more aware

  • The more you know about someone’s health, the more you are able to help them

  • I think if you know what you are facing, you can better prepare for it

  • Its important like any other disease to know what you have so you can best deal with it

Help/Getting them to the right doctor would be a problem
  • They can’t get help. They can’t get to help

  • I would talk to their family member about taking them to the doctor to be checked

  • Get more help here … go to these homes with me; get them screened where they live

  • It is hard to make that call (to find out) without resources in place

  • There’s so many resources out there and nobody knows

  • Getting Them To The Right Doctor Would Be A Problem

Fatalism/By the time they get help it’s too late
  • Whaddya gonna do about it?

  • It’s Part of livin and dyin

  • And who is goin to help em?

  • It would help the person with it if there was a way to treat it

  • I would need help to know how I could help

  • How are you going to help them after testing? I mean, you can’t really say, “hey you may be getting dementia” without telling them how you can help.

  • By the time they get help its too late

Note: The italicized participant phrases indicate the selected in vivo codes