Clinician's perspectives on gene therapy for Alzheimer's disease: A qualitative study

PLoS One. 2024 Jul 18;19(7):e0307567. doi: 10.1371/journal.pone.0307567. eCollection 2024.

Abstract

Introduction: We aimed to understand clinician views regarding gene therapy as a future treatment for Alzheimer's disease (AD) and potential barriers and facilitators to its use.

Methods: We interviewed ten clinicians who treat patients with AD. Clinicians helped design a semi-structured interview including the following domains: establishing understanding, cost/access, quality of life, and religion/spirituality. Transcripts were analyzed by a coding team using descriptive content analysis with inductive approach.

Results: Clinicians identified three main areas of concern: 1) potential clinician and patient understanding of gene therapy and Alzheimer's disease 2) consideration of inequity (i.e., care access, disease awareness along with education level, family support, trust in care systems); and 3) considerations in decision-making (i.e., religious/spiritual beliefs and method of treatment delivery as a decision-making tools).

Discussion and conclusion: Findings highlight areas for knowledge-building for patients and clinicians alike. Clinicians must be aware of patient/family educational needs and gaps in their own clinical knowledge before engaging patients/families with new technology. Allowing time for questions is crucial to building rapport and trust.

MeSH terms

  • Adult
  • Alzheimer Disease* / genetics
  • Alzheimer Disease* / psychology
  • Alzheimer Disease* / therapy
  • Attitude of Health Personnel
  • Decision Making
  • Female
  • Genetic Therapy* / methods
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • Middle Aged
  • Qualitative Research*
  • Quality of Life

Grants and funding

The author(s) received no specific funding for this work.