Kotera, Yasuhiro and Ronaldson, Amy and Hayes, Daniel and Hunter-Brown, Holly and McPhilbin, Merly and Dunnett, Danielle and Jebara, Tesnime and Takhi, Simran and Masuda, Takahiko and Camacho, Elizabeth and Bakolis, Ioannis and Repper, Julie and Meddings, Sara and Stergiopoulos, Vicky and Brophy, Lisa and De Ruysscher, Clara and Okoliyski, Michail and Kubinová, Petra and Eplov, Lene and Toernes, Charlotte and Narusson, Dagmar and Tinland, Aurélie and Puschner, Bernd and Hiltensperger, Ramona and Lucchi, Fabio and Miyamoto, Yuki and Castelein, Stynke and Borg, Marit and Klevan, Trude Gøril and Tan Boon Meng, Roger and Sornchai, Chatdanai and Tiengtom, Kruawon and Farkas, Marianne and Moreland Jones, Hannah and Moore, Edith and Butler, Ann and Mpango, Richard and Tse, Samson and Kondor, Zsuzsa and Ryan, Michael and Zuaboni, Gianfranco and Elton, Dan and Grant-Rowles, Jason and McNaughton, Rebecca and Hanlon, Charlotte and Harcla, Claire and Vanderplasschen, Wouter and Arbour, Simone and Silverstone, Denise and Bejerholm, Ulrika and Powell, Candice and Ochoa, Susana and Garcia-Franco, Mar and Tolonen, Jonna and Yeo, Caroline and Charles, Ashleigh and Henderson, Claire and Slade, Mike (2024) 28-country global study on associations between cultural characteristics and Recovery College fidelity. Npj Mental Health Research, 3, 46. https://doi.org/10.1038/s44184-024-00092-9.
External website: https://www.nature.com/articles/s44184-024-00092-9
Recovery Colleges (RCs) are learning-based mental health recovery communities, located globally. However, evidence on RC effectiveness outside Western, educated, industrialised, rich, and democratic (WEIRD) countries is limited. This study aimed to evaluate associations between cultural characteristics and RC fidelity, to understand how culture impacts RC operation. Service managers from 169 RCs spanning 28 WEIRD and non-WEIRD countries assessed the fidelity using the RECOLLECT Fidelity Measure, developed based upon key RC operation components. Hofstede's cultural dimension scores were entered as predictors in linear mixed-effects regression models, controlling for GDP spent on healthcare and Gini coefficient. Higher Individualism and Indulgence, and lower Uncertainty Avoidance were associated with higher fidelity, while Long-Term Orientation was a borderline negative predictor. RC operations were predominantly aligned with WEIRD cultures, highlighting the need to incorporate non-WEIRD cultural perspectives to enhance RCs' global impact. Findings can inform the refinement and evaluation of mental health recovery interventions worldwide.
G Health and disease > State of health > Mental health
J Health care, prevention, harm reduction and treatment > Type of care > Mental health care (Psychiatry / Psychology)
L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support > Peer support or coaching
VA Geographic area > International
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