International perspectives on nonpharmacological best practices for dementia family caregivers: A review

Dolores Gallagher-Thompson, Yuan Marian Tzuang, May Lan Alma Mary Gerardina Au, Henry Brodaty, Georgina Charlesworth, Rashmi Gupta, Sang E. Lee, Andrés Losada, Yea Ing Shyu

Research output: Journal article publicationReview articleAcademic researchpeer-review

87 Citations (Scopus)


This review begins by highlighting the fact that dementia is truly a global problem at this time, with incidence and prevalence rates rising rapidly in most parts of the world and only expected to increase. Along with this comes the growing demand for programs and services targeted to support both the person with dementia and his or her family caregivers. Around the globe such programs are being developed, evaluated, and put into practice, with government funding and needed infrastructures to support them. However, the many pressing needs of family caregivers for services to reduce their burden and improve quality of life for themselves and their relative far outstrip available programs-even in highly developed countries such as the United States, United Kingdom, and Australia. This is even more so the case in less developed countries and regions such as China, India, Africa, and South and Central America. We conducted an extensive search of existing databases and publications related to this topic, and in this article we both review and critique existing programs and service models. There are descriptive sections on evidence-based programs and practices, as well as discussion of promising areas for future research. In addition, we discuss some of the formidable barriers that prevent or delay access to care in even the more developed countries. Finally, we conclude with a set of recommendations that we believe will enhance growth and productivity in this field.
Original languageEnglish
Pages (from-to)316-355
Number of pages40
JournalClinical Gerontologist
Issue number4
Publication statusPublished - 5 Nov 2012


  • Aging
  • Alzheimer's disease
  • Caregivers
  • Caregiving
  • Carers
  • Dementia
  • Nonpharmacological treatments

ASJC Scopus subject areas

  • Social Psychology
  • Health(social science)
  • Clinical Psychology
  • Gerontology
  • Geriatrics and Gerontology


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