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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}

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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.


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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  • Competing interests None.