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Exploring Motivation and Emotional Experience in Observational Research for Individuals at Risk of ALS/FTD Spectrum
Niharika Jadeja1, Nadia Ali1, Laynie Dratch2
1Department of Human Genetics, Emory University School of Medicine, Atlanta, GA.
Neurology. Clinical Practice
|October 10, 2025
Summary
Participation in observational studies for amyotrophic lateral sclerosis and frontotemporal degeneration (ALS-FTD) offers benefits like social support and addresses emotional needs. However, it also presents challenges, indicating a need for improved clinical care models for at-risk individuals.
Area of Science:
- Neuroscience
- Genetics
- Psychology
Background:
- Observational studies exist for individuals at risk for amyotrophic lateral sclerosis and frontotemporal degeneration (ALS-FTD) spectrum disorders.
- Little is known about the motivations and emotional well-being impacts for participants in these studies.
Purpose of the Study:
- To explore the motivations for participating in observational studies among asymptomatic individuals at risk for ALS-FTD.
- To understand the impact of participation on the emotional well-being of these individuals.
Main Methods:
- Recruited asymptomatic at-risk adults (genetically status-aware and unaware) via social media and professional networks.
- Conducted semi-structured interviews via secure videoconferencing.
- Performed thematic content analysis on interview transcripts.
Main Results:
- Motivations included altruism, health focus, intellectual interest, fear of disease onset, and desire for clinical care relationships.
- Benefits encompassed meeting motivational goals, social connection, psychological well-being, and practical advantages.
- Challenges involved research-related difficulties, disease anxiety, and logistical issues; confusion between research and clinical care was noted.
Conclusions:
- Observational research participation addresses some unmet needs for at-risk individuals.
- Existing clinical care models may not fully meet the needs of individuals at risk for ALS-FTD spectrum disorders.
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