This site uses cookies to measure how you use the website so it can be updated and improved based on your needs and also uses cookies to help remember the notifications you’ve seen, like this one, so that we don’t show them to you again. If you could also tell us a little bit about yourself, this information will help us understand how we can support you better and make this site even easier for you to use and navigate.

Transcultural influences in dementia care: observations from a psychosocial intervention study


Burns, Alistair, Mittelman, Mary, Cole, Catherine, Morris, Julie, Winter, Jane, Page, Sean, Brodaty, Henry


Dementia And Geriatric Cognitive Disorders, Volume: 30, No.: 5, Pages.: 417-423

Year of Publication



Background: Various models of intervention for caregivers of patients with dementia have been described. There has been little direct comparison of cultural differences between countries and the effect any differences may exert on the outcome of caregiver interventions.; Aims: The aims of the three-country study (USA, Australia and the UK) were to assess whether caregiver interventions can still be successful when anti-dementia drugs are provided to patients, and whether a caregiver intervention can be successfully implemented using the same methods in three different English-speaking countries. In this paper, the cultural differences and similarities between the three countries are examined.; Method: Randomised, controlled trial involving 158 patients and their caregivers (divided equally across three centres, New York, Sydney and Manchester) with all the patients receiving donepezil and the caregivers randomised to a caregiver intervention or treatment as usual.; Results: There were few differences between countries in the main outcome measures, and no differences between the treatment-as-usual group and the intervention, but interesting cultural nuances were observed between groups. Despite these differences, the caregiver intervention was associated with positive results on caregiver depression across all the countries.; Conclusions: This first multinational carer intervention study has emphasised the similarities between the three countries whilst highlighting crucial differences which may be important when planning cross-cultural studies in the future. The positive results achieved on caregiver depression were replicated across the three centres.; Copyright © 2010 S. Karger AG, Basel.

Bibtex Citation

@article{Burns_2010, doi = {10.1159/000314860}, url = {}, year = 2010, publisher = {S. Karger {AG}}, volume = {30}, number = {5}, pages = {417--423}, author = {Alistair Burns and Mary Mittelman and Catherine Cole and Julie Morris and Jane Winter and Sean Page and Henry Brodaty}, title = {Transcultural Influences in Dementia Care: Observations from a Psychosocial Intervention Study}, journal = {Dementia and Geriatric Cognitive Disorders} }


affect, aged, aged, 80 and over, alzheimer disease, anxiety, caregivers, complications, counseling, cultural characteristics, culture, dementia, depression, drug therapy, female, great britain, humans, male, middle aged, neuropsychological tests, new south wales, new york, nootropic agents, nursing homes, psychiatric status rating scales, psychology, psychosocial, quality of life, social support, therapeutic use, therapy

Countries of Study

Australia, UK, USA

Types of Dementia

Dementia (general / unspecified)

Types of Study

Randomised Controlled Trial

Type of Outcomes

Carers’ Mental Health

Type of Interventions

Intervention for Carers

Carer Focussed Interventions