时间标签：数据日期 2026-11-03 · 生成时间 2026-11-03 05:30（Asia/Shanghai）｜ 检索窗口 PubMed edat 2026/10/31 – 2026/11/03 ｜ 情报发生日期 2026-11-03
研究问题
16 , 17 Little is known about how these conversations unfold in real‐world practice.；Existing evidence characterizes treatment outcomes, risks, and clinician‐reported communication practices, but little is known about how AAT discussions unfold in real‐world clinical encounters using direct observation.；1.1.3 Qualitative analysis We used qualitative content analysis 19 of encounter transcripts to examine clinician communication about AAT.
方法
We conducted an exploratory qualitative study of audio‐recorded AAT counseling encounters.；1.1 Methods 1.1.1 Design We conducted a qualitative study of real‐world AAT counseling encounters in neurology and memory clinics at two academic medical centers in the northeastern United States.；Clinical encounters of enrolled participants were audio recorded using in‐room devices set up by the CRC, who was not present during visits.
核心结论
These findings demonstrate that SDM for AAT may be influenced by communication framing.；During the coding process, we identified candidate categories that were refined to reflect broader themes across encounters.；Our findings also suggest variation in how clinicians explored patient values and priorities and translated potential treatment effects into personally meaningful outcomes.
局限
However, communication patterns—including optimistic framing, variable elicitation of patient values, inconsistent teach‐back, and limited discussion of non‐treatment alternatives—may shape decision making.；Several clinicians helped bridge this gap by discussing what treatment might mean for independence, function, and valued activities, while emphasizing that individual treatment outcomes cannot be predicted.
对本项目的价值
中等价值：属「脑老化与认知轨迹」方向；脑老化 / 神经退行 / 认知栏目可用作本项目文献库与综述素材。 ｜ 价值分 2.3/5（★★☆☆☆）
全文来源
PubMed PMC JATS（正文 43,963 字符，题名指纹 0.95，已过 DOI 逐字 + 题名指纹 + 正文长度三重归属校验）
原文题录
- 中文题名：早期阿尔茨海默病抗淀粉样蛋白治疗中的沟通与共同决策：真实门诊录音质性研究
- 英文标题：Communication and shared decision-making for anti-amyloid therapy in early Alzheimer's disease: An exploratory qualitative study of real-world audio-recorded clinical encounters.
- 期刊与标识：Alzheimers Dement (N Y) · PMID 42966930 · DOI 10.1002/trc2.70343 · PMC PMC13722782 · EDAT 2026-11-01