Evidence map›Paper›PMID 42255956›Full record

ReviewAlzheimer's & dementia (Amsterdam, Netherlands)

Perceptions of the use of biomarkers for Alzheimer's disease diagnosis: A systematic review and synthesis of the qualitative literature.

Jemma Hazan, Mitchell Mealing, Emma Mittelman, Sarah Godsell, Sophie Roche, Fabiana Lorencatto, Penny Rapaport, Ashvini Keshavan, Jonathan M Schott, Robert Howard

Abstract readReview
In one paragraph

Review in Alzheimer's & dementia (Amsterdam, Netherlands). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

10 authors.

Jemma HazanDivision of Psychiatry University College London London UK.ORCID https://orcid.org/0000-0002-7223-4768
Mitchell MealingRoyal Free London NHS Foundation Trust London UK.
Emma MittelmanNorth London NHS Foundation Trust London UK.
Sarah GodsellNorth London NHS Foundation Trust London UK.
Sophie RocheNorth London NHS Foundation Trust London UK.
Fabiana LorencattoCentre for Behaviour Change, Department of Clinical, Educational and Health Psychology University College London London UK.
Penny RapaportDivision of Psychiatry University College London London UK.
Ashvini KeshavanDementia Research Centre, UCL Queen Square Institute of Neurology University College London London UK.
Jonathan M SchottDementia Research Centre, UCL Queen Square Institute of Neurology University College London London UK.
Robert HowardDivision of Psychiatry University College London London UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Biomarker investigations are increasingly used in the diagnostic assessment of Alzheimer's disease (AD), yet stakeholder perceptions and implementation factors remain underexplored. No systematic qualitative synthesis exists on these views. This systematic review aimed to synthesize the qualitative literature on perceptions of diagnostic AD biomarker investigations in both clinical and research settings among individuals with cognitive impairment, caregivers, and health-care professionals (HCPs) and to identify barriers and enablers to their practical implementation. A systematic review searched four databases up to May 2025 for English-language qualitative studies on stakeholder (HCPs, caregivers, patients) perspectives. A meta-ethnographic approach synthesized findings, with barriers/enablers classified using the theoretical domains framework (TDF). From 4319 records, 26 studies were included, yielding five key concepts: stakeholder expectations, test result significance, shared decision-making, diagnostic certainty, and test delivery systems. Barriers included lack of understanding (knowledge) and emotional burden (emotion). Enablers involved supporting decision making (memory, attention, decision processes) and beliefs about testing benefits (beliefs about consequences), though risks were equally noted. Barriers to AD biomarker use involve multiple TDF domains, with contrasting stakeholder viewpoints. Improving knowledge of biomarkers and addressing perceived benefits and risks can guide interventions, promoting more effective test use.

Indexed as

Alzheimer's diseasebiomarkerdementiadiagnosisqualitative researchreviewtheoretical domains framework

Identifiers

PMID42255956
PMCPMC13239579

What OpenQuestion holds

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Registered trials

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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.