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Standardized clinical recommendations and guidance for counseling and disclosure in this context are not yet well developed. Our scoping review identified publications from database searches in PubMed, PsycINFO, LIVIVO, and Web of Science. Inclusion criteria were: (1) information or counseling, (2) biomarkers and a type of cognitive impairment or AD, and (3) published between 2005 and 2024. We identified 63 articles and synthesized them along the categories of staged information provision: pre\u2010test counseling, disclosure, and post\u2010disclosure follow\u2010up. Most publications referred to the context of disclosure (48), followed by pre\u2010test counseling (33), and post\u2010disclosure follow\u2010up (31). Some publications referred to all stages of counseling (17). Our findings highlight the need to further develop and specify comprehensive and standardized guidelines for counseling, disclosure, and post\u2010disclosure follow\u2010up in the context of AD biomarker testing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Highlights<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>New possibilities of biomarker\u2010based predictive technologies for Alzheimer's disease (AD) have become more reliable and also more accessible. However, clinical recommendations and guidance for counseling and disclosure in the context of AD biomarker testing are currently not well developed.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>We carried out a scoping review with the aim to generate an overview of the scientific literature and guidance available regarding counseling, biomarker test result and dementia risk disclosure, and clinical management prior to and in the course of a biomarker\u2010based diagnosis in early stages of AD.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>We identified 63 relevant articles. Most publications referred to the context of disclosure (48), followed by pre\u2010test counseling (33), and post\u2010disclosure follow\u2010up (31). Some publications referred to all stages of counseling (17).<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Our findings highlight the urgent need for national and international consensus guidelines for comprehensive and staged counseling and disclosure practices. While most publications identify relevant ethical challenges posed for counseling practices in the context of AD biomarker testing, they rarely present any practical recommendations for clinicians, on how and what to counsel on a concrete level.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1002\/alz.14365","type":"journal-article","created":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T04:41:45Z","timestamp":1731991305000},"page":"8910-8936","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Counseling and disclosure practices in predictive Alzheimer's disease diagnostics: A scoping review"],"prefix":"10.1002","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8112-0298","authenticated-orcid":false,"given":"Julia","family":"Perry","sequence":"first","affiliation":[{"name":"Department of Medical Ethics and History of Medicine University Medical Center Goettingen  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