Maud Hevink

| 40 Table 2. Themes, categories, and codes derived from data synthesis. Themes Categories Codes References 1.Views on starting a diagnostic trajectory Feeling of needing to do something Reduce uncertainty (P) (38, 41, 43)) Do something for your health (P, SO) (42, 43) Taking control of the situation (P) (42, 43) Feeling that something is not right (P) (38) Hope to be reassured (P, SO) (38) Beliefs on the necessity of a diagnostic trajectory Physical problems are more important than mental problems (P, SO) (39) Involvement HCP is not needed (P) (39, 45) HCP is unqualified to help (P) (45) Nothing can be done about it (P, SO) (39, 42) Fear of dementia (P) (38, 40) Helps in moving forward psychologically (SO) (43) Early diagnosis is helpful (P, SO) (41) No harm in finding out (P) (41) Expected outcomes of starting a diagnostic trajectory Start effective (medical) treatment as soon as possible (SO) (39, 41- 43, 46) Ease caregiver burden (SO) (39, 42, 43) Impulse to start living healthier (SO) (42) Foot in the door for future therapy (SO) (42) Access to support (SO) (43) Better access to specialist care (SO) (42) Start advance planning (P, SO) (38, 42) Knowing what to expect (progression disease) (SO) (43) Live happy and content when still healthy (SO) (39, 42) Diagnostic trajectory will do harm to PwMC (SO) (39, 40, 46) No improvement for future planning (P) (42) Being placed in an institution as a consequence of diagnostic testing (SO) (45)

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