Yasuhiro Kotera, Amy Ronaldson, Daniel Hayes, Holly Hunter-Brown, Merly McPhilbin, Danielle Dunnett, Tesnime Jebara, Simran Takhi, Takahiko Masuda, Elizabeth Camacho, Ioannis Bakolis, Julie Repper, Sara Meddings, Vicky Stergiopoulos, Lisa Brophy, Clara De Ruysscher, Michail Okoliyski, Petra Kubinová, Lene Eplov, Charlotte Toernes, Dagmar Narusson, Aurélie Tinland, Bernd Puschner, Ramona Hiltensperger, Fabio Lucchi, Yuki Miyamoto, Stynke Castelein, Marit Borg, Trude Gøril Klevan, Roger Tan Boon Meng, Chatdanai Sornchai, Kruawon Tiengtom, Marianne Farkas, Hannah Moreland Jones, Edith Moore, Ann Butler, Richard Mpango, Samson Tse, Zsuzsa Kondor, Michael Ryan, Gianfranco Zuaboni, Dan Elton, Jason Grant-Rowles, Rebecca McNaughton, Charlotte Hanlon, Claire Harcla, Wouter Vanderplasschen, Simone Arbour, Denise Silverstone, Ulrika Bejerholm, Candice Powell, Susana Ochoa, Mar Garcia-Franco, Jonna Tolonen, Caroline Yeo, Ashleigh Charles, Claire Henderson, Mike Slade
{"title":"28-country global study on associations between cultural characteristics and Recovery College fidelity","authors":"Yasuhiro Kotera, Amy Ronaldson, Daniel Hayes, Holly Hunter-Brown, Merly McPhilbin, Danielle Dunnett, Tesnime Jebara, Simran Takhi, Takahiko Masuda, Elizabeth Camacho, Ioannis Bakolis, Julie Repper, Sara Meddings, Vicky Stergiopoulos, Lisa Brophy, Clara De Ruysscher, Michail Okoliyski, Petra Kubinová, Lene Eplov, Charlotte Toernes, Dagmar Narusson, Aurélie Tinland, Bernd Puschner, Ramona Hiltensperger, Fabio Lucchi, Yuki Miyamoto, Stynke Castelein, Marit Borg, Trude Gøril Klevan, Roger Tan Boon Meng, Chatdanai Sornchai, Kruawon Tiengtom, Marianne Farkas, Hannah Moreland Jones, Edith Moore, Ann Butler, Richard Mpango, Samson Tse, Zsuzsa Kondor, Michael Ryan, Gianfranco Zuaboni, Dan Elton, Jason Grant-Rowles, Rebecca McNaughton, Charlotte Hanlon, Claire Harcla, Wouter Vanderplasschen, Simone Arbour, Denise Silverstone, Ulrika Bejerholm, Candice Powell, Susana Ochoa, Mar Garcia-Franco, Jonna Tolonen, Caroline Yeo, Ashleigh Charles, Claire Henderson, Mike Slade","doi":"10.1038/s44184-024-00092-9","DOIUrl":null,"url":null,"abstract":"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.","PeriodicalId":74321,"journal":{"name":"Npj mental health research","volume":" ","pages":"1-15"},"PeriodicalIF":0.0000,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s44184-024-00092-9.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Npj mental health research","FirstCategoryId":"1085","ListUrlMain":"https://www.nature.com/articles/s44184-024-00092-9","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
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.
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