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  • A psychological intervention for family carers of people with dementia is clinically and cost effective at reducing carer depression and anxiety levels over 2 years of follow-up

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Care of the older person
Randomised controlled trial
A psychological intervention for family carers of people with dementia is clinically and cost effective at reducing carer depression and anxiety levels over 2 years of follow-up
  1. Orii McDermott
  1. Division of Psychiatry, University College London, London, UK
  1. Correspondence to : Dr Orii McDermott, Division of Psychiatry, University College London, Charles Bell House, 67–73 Riding House Street, London W1W 7EJ, UK; o.mcdermott{at}ucl.ac.uk

https://doi.org/10.1136/eb-2015-102057

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    Commentary on: Livingston G, Barber J, Rapaport P, et al. Long-term clinical and cost-effectiveness of psychological intervention for family carers of people with dementia: a single-blind, randomised, controlled trial. Lancet Psych 2014;1:539–48.OpenUrlCrossRef

    Implications for practice

    • The START (STrAtegies for RelaTives) intervention is easy to administrate, cost-effective and likely to enhance psychological well-being of family carers of people with dementia.

    • Training and monitoring of START therapists will be important when implemented by local mental health services.

    • Future research should evaluate carers’ increased positive behaviours as well as a reduction of psychological symptoms.

    Context

    Dementia is a worldwide health priority. In the UK, many people with dementia live at home and are supported mainly by their family carers. Well-being of carers is crucial to maintain the quality of life of people with dementia. Depression, anxiety and other psychological …

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    Footnotes

    • Competing interests None.