{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T11:50:04Z","timestamp":1782474604621,"version":"3.54.5"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01AG053934"],"award-info":[{"award-number":["R01AG053934"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006384","name":"American College of Radiology Imaging Network","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006384","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000957","name":"Alzheimer's Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000957","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Geriat Psychiatry"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The objective of this study was to examine the long\u2010term perceptions of the value of receiving an amyloid PET scan, a test used to diagnose Alzheimer's disease, among Medicare beneficiaries with cognitive impairment and their care partners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An exploratory qualitative research design was used. A total of 100 in\u2010depth semi\u2010structured interviews were conducted with a purposeful sample of CARE\u2010IDEAS participants two to three years post\u2010scan. A team of coders applied qualitative content analysis to identify content about the value of the scan, which was then analyzed using thematic analysis, and stratified by diagnostic category (mild cognitive impairment vs. dementia) and scan results (elevated amyloid vs. not elevated).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A majority of amyloid PET scan recipients and their care partners emphasized major benefits of receiving the scan including increased certainty about diagnosis, the ability to prepare for the future, potentially accessing treatment or trials, the ability to contribute to research, and limited procedural risks. Some participants also reported concerns about the cost of the scan, the lack of effective treatment options and clear prognostic information, the limited impact on their lives or treatment plans, and the emotional toll of living with the results. Their views and endorsements of the scan were shaped by their health and personal circumstances (e.g.,\u00a0seen as less relevant among those with rapidly declining health), and by their preference for more information and involvement in decision\u2010making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The perspectives of persons living with cognitive impairment and their care partners about the value of amyloid PET scans differed across disease trajectories and personal circumstances. These experiences should be taken into consideration when advising symptomatic patients on the benefits and drawbacks of biomarkers for Alzheimer's disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/gps.70226","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T09:57:44Z","timestamp":1781603864000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010Term Perceptions of the Value of Amyloid PET Scans Among Cognitively Impaired Medicare Beneficiaries and Their Care Partners"],"prefix":"10.1002","volume":"41","author":[{"given":"Emmanuelle","family":"B\u00e9langer","sequence":"first","affiliation":[{"name":"Department of Health Services Policy &amp; Practice, Brown University School of Public Health  Providence Rhode Island USA"},{"name":"Center for Gerontology and Healthcare Research Brown University School of Public Health  Providence Rhode Island 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Island USA"},{"name":"Center for Gerontology and Healthcare Research Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Jutkowitz","sequence":"additional","affiliation":[{"name":"Division of Health Policy &amp; Management University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney H.","family":"Van Houtven","sequence":"additional","affiliation":[{"name":"Department of Population Health Science Duke University School of Medicine  Durham North Carolina USA"},{"name":"Duke\u2010Margolis Center for Health Policy  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terrie T.","family":"Wetle","sequence":"additional","affiliation":[{"name":"Department of Health Services Policy &amp; Practice, Brown University School of Public Health  Providence Rhode Island USA"},{"name":"Center for Gerontology and Healthcare Research Brown University School of Public Health  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,16]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.3233\/jad\u2010220333"},{"key":"e_1_2_12_3_1","unstructured":"Centers for Medicare & Medicaid Services (CMS). \u201cMedicare National Coverage Determinations 220.6.20\u2013Beta Amyloid Positron Emission Tomography in Dementia and Neurodegenerative Disease \u201d (2023) https:\/\/www.cms.gov\/files\/document\/r12364NCD.pdf."},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/alz.13859"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afy004"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2021.5216"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1750\u20101326\u20109\u201010"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.2000"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.11703"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13195\u2010017\u20100321\u20103"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.3233\/jad\u2010190922"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1017\/s1041610212001056"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.23646"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.3050"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2020.2734"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.3233\/jad\u2010151180"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/wad.0000000000000569"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2015.09.005"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/alz.12129"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnac051"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17937"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/wad.0000000000000338"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203413081_chapter_9"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.3233\/jad\u2010170813"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/wad.0000000000000220"},{"key":"e_1_2_12_26_1","article-title":"Medicare 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