LAUSR

World Psychiatry 18:3 October 2019 (four lessons); c) caring for me (three lessons); d) providing everyday care (five lessons); and e) dealing with changing behaviour (ten lessons). Each lesson presents information about a specific topic and provides engaging, interactive exercises related to this topic. The user is given instant feedback. Since attrition is common in online programmes, tailoring components and duration of the lessons to the individual is important, the more so because caregivers often experience time constraints due to their caregiving role. iSupport enables caregivers to choose lessons that are appealing and most relevant to them. iSupport has been developed as an online or web-based self-help programme, but it can also be linked to a caregiver platform (for example a Facebook group), a coach or a face-toface support group. Contacts with other caregivers or a coach might have added value; however, the human resources that are needed to moderate or guide are not always available, in particular in less developed countries. When countries want to implement iSupport, translation and adaptation of the programme is needed. We assume that iSupport can be useful in different cultural contexts for different groups of caregivers, if appropriate adaptations to context and culture are made for ecological validity. For example, for caregivers of people with dementia, generational differences within cultures should be examined. The WHO provides a standardized guide for translation and adaptation (available upon request from whodementia@who. int) to ensure that the local version of iSupport is accurate and in line with the generic version, but at the same time appropriate for the local target group of family caregivers. The guide describes the process to translate and adapt the generic English version and the actual changes that might be (in)appropriate in the programme, such as specific words, names, and links to local Alzheimer’s organizations and care and support services. In several countries, iSupport is currently being adapted and implemented, for example in India, China, Japan, Portugal, Brazil, Australia and the Netherlands. In a next step, the usability and effectiveness of iSupport will be studied and will guide the further improvement of this global course. Upon request by some countries, a generic hardcopy manual of iSupport for adaptation and implementation to local contexts will become available shortly.