Evidence map›Paper›PMID 41500647›Full record

ArticleBMJ open2026

What is the psychological and cognitive impact of returning Alzheimer disease dementia research results to healthy research participants? a delayed-start randomised clinical trial protocol for the WeSHARE study (Washington University study of having Alzheimer disease

Sarah M Hartz, Spondita Goswami, Amy Oliver, Alissa Evans, Sacha Jackson, Erin Linnenbringer, Krista M Moulder, John C Morris, Jessica Mozersky

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04699786 (Returning Research Results That Indicate Risk of Alzheimer Disease Dementia to Healthy Participants in Longitudinal Studies), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04699786 naactive not recruitingnot on this map

Returning Research Results That Indicate Risk of Alzheimer Disease Dementia to Healthy Participants in Longitudinal Studies: Quantitative Analyses of a Randomized Clinical Trial

TypeinterventionalSponsorWashington University School of MedicineRan2021 to 2026Enrolled450ConditionsAlzheimer Disease, Dementia of Alzheimer TypeArmsArm A , Arm B, Arm C, & Arm D
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sarah M HartzDepartment of Psychiatry, Washington University in Saint Louis, Saint Louis, Missouri, USA.
Spondita GoswamiBioethics Research Center, Washington University in St Louis, St Louis, Missouri, USA.ORCID http://orcid.org/0009-0002-9324-7434
Amy OliverDepartment of Psychiatry, Washington University in Saint Louis, Saint Louis, Missouri, USA.
Alissa EvansDepartment of Psychiatry, Washington University in Saint Louis, Saint Louis, Missouri, USA.
Sacha JacksonDepartment of Psychiatry, Washington University in Saint Louis, Saint Louis, Missouri, USA.
Erin LinnenbringerDivision of Public Health Sciences, Washington University in St Louis, St Louis, Missouri, USA.
Krista M MoulderKnight Alzheimer Disease Research Center, Washington University in St Louis, St Louis, Missouri, USA.
John C MorrisKnight Alzheimer Disease Research Center, Washington University in St Louis, St Louis, Missouri, USA.
Jessica MozerskyKnight Alzheimer Disease Research Center, Washington University in St Louis, St Louis, Missouri, USA jmozersky@wustl.edu.

Funding

Smartphone-Based "Burst" Cognitive AssessmentsP01AG003991 · NIA · WASHINGTON UNIVERSITY · PI JOHN MORRIS · 1985 to 2026
$69.5M
The natural history of AB accumulation in preclinical ADP01AG026276 · NIA · WASHINGTON UNIVERSITY · PI MORRIS, JOHN · 2005 to 2025
$49.5M
Research Education ComponentP30AG066444 · NIA · WASHINGTON UNIVERSITY · PI Susan Lynn Stark · 2020 to 2026
$28.7M
NIA NIH HHS P01 AG003991NIA NIH HHS P01 AG026276NIA NIH HHS P30 AG066444
6 · The paper itself

Abstract

introductionReturning research results that indicate risk of Alzheimer disease (AD) dementia-a disease for which no meaningful treatments or cure exist-to cognitively normal participants is controversial. AD is thought to begin many years before clinical signs and symptoms begin. During this time, individuals are cognitively normal but have biomarkers that indicate pathophysiological changes in the brain. With this study, we aim to evaluate the impact of returning research results on cognitively normal participants recruited from a longitudinal observational cohort on ageing at the Knight Alzheimer Disease Research Centre (Knight ADRC) at Washington University in St. Louis. METHODS AND ANALYSIS: Our study uses a 2-year, delayed-start randomised clinical trial design. Participants are randomised to receive their research results either 2 weeks or 1 year after informed consent. This study was approved to recruit up to 450 participants with existing genetic and biomarker testing results from the Knight ADRC. During the study period, 260 individuals were eligible and approached for entry into the study. The primary cognitive outcomes are 1-year change in subjective cognitive score on the clinical dementia rating sum of box scores and the objective cognitive score on cognitive composite score. The primary psychosocial outcome is change in geriatric depression scale score 1 year after return of research results. The study was powered to answer primary outcomes with 140 participants (70 per study arm). ETHICS AND DISSEMINATION: This study has been approved by the Washington University School of Medicine (WUSM) Institutional Review Board and the Human Research Protection Office. Results from these trials are shared through conferences and publications. TRIAL REGISTRATION NUMBER: NCT04699786.

Indexed as

Alzheimer DiseaseCognitionAgedBiomarkersFemaleHumansLongitudinal StudiesMaleRandomized Controlled Trials as TopicBiomarkersAgingETHICS (see Medical Ethics)Health policyPUBLIC HEALTH

Identifiers

PMID41500647
PMCPMC12778337

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.