28-country global study on associations between cultural characteristics and Recovery College fidelity.
Journal: Npj mental health research
Volume: 3
Issue: 1
Year of Publication:
Affiliated Institutions:
School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, NG TU, UK. yasuhiro.kotera@nottingham.ac.uk.
Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, London, SE AF, UK.
School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, NG TU, UK.
Department of Psychology, University of Alberta, P-, Biological Sciences, Edmonton, AB, TG E, Canada.
School of Health Sciences, Faculty of Biology, Medicine & Health, The University of Manchester, Oxford Road, Manchester, M PL, UK.
Department of Biostatistics and Health Informatics, King's College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, London, SE AF, UK.
ImROC, Nottinghamshire Healthcare NHS Foundation Trust, Duncan Macmillan House, Porchester Road, Mapperley, Nottingham, NG AA, UK.
Department of Psychiatry, University of Toronto, Toronto, Ontario, MT R, Canada.
School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, VIC, , Australia.
Department of Special Needs Education, Ghent University, Henri Dunantlaan , , Ghent, Belgium.
WHO Country Office in Bulgaria, World Health Organization, , Ivan Geshov Blvd, , Sofia, Bulgaria.
Centre for Mental Health Care Development, Lublaňská /, Praha , Prague, Czech Republic.
CORE: Copenhagen Research Center for Mental Health, Mental Health Centre Copenhagen, Kobenhavn, Denmark.
University of Tartu, Institute of Social Studies, Lossi , Tartu, Estonia.
Department of Psychiatry, Marseille Public Hospital, Boulevard Baille, F-, , Marseille, France.
Department of Psychiatry II, Ulm University, Günzburg, Germany.
Department of Mental Health and Addiction Services, Ausl Bologna, Bologna, Italy.
Department of Psychiatric Nursing, Graduate School of Medicine, University of Tokyo, Bunkyo-ku, Tokyo, , Japan.
Lentis Psychiatric Institute, Lentis Research, Groningen, the Netherlands; University of Groningen, Faculty of Behavioural and Social Sciences, Department of Clinical Psychology and Experimental Psychopathology, Groningen, The Netherlands.
Department of Health, Social and Welfare Studies, University of South-Eastern Norway, Postboks , , Kongsberg, Norway.
Medical Social Work Department, Institute of Mental Health, Buangkok View, , Singapore, Singapore.
Excellence Center Srithanya Hospital, Department of Mental Health, Talat Kwan, Mueang Nonthaburi District, Nonthaburi, , Thailand.
Center for Psychiatric Rehabilitation, Boston University, Boston, MA, , USA.
Cardiff and Vale Recovery & Wellbeing College, Park Lodge, Whitchurch, Cardiff, CF BL, UK.
Drive Direction, C Lambie Drive, Manukau, , New Zealand.
Public Health Agency, Towerhill, Armagh, Northern Ireland, BT DR, UK.
School of Health Sciences, Soroti University, P. O. Box , Soroti, Uganda.
Department of Social Work and Social Administration, The University of Hong Kong, Pokfulam Road, Hong Kong, China.
Special Education Faculty, ELTE University, Institute of Disability and Social Participation, Ecseri Street , Budapest, , Hungary.
Community Health Organisation, Health Service Executive (HSE), Dublin, Ireland.
Recovery College Berne, University Hospital of Psychiatry and Psychotherapy, University Berne Psychiatric Services, Bolligenstrasse , , Berne, Switzerland.
RECOLLECT Lived Experience Advisory Panel, London, UK.
WHO Collaborating Centre for Mental Health Research and Training, King's College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, London, SE AF, UK.
Discovery College, Headspace Early Psychosis, Alfred Mental and Addiction Health, South East Melbourne, Melbourn, VIC, Australia.
Recovery & Addiction cluster, Ghent University, Department of Special Needs Education, H. Dunantlaan , B-, Gent, Belgium.
Ontario Shores Centre for Mental Health Sciences, Gordon Street, Whitby, ON, LN S, Canada.
Canadian Mental Health Association (National), Toronto, ON, MT Z, Canada.
Department of Health Sciences, Lund University, SE- , Lund, Sweden.
Mind HK, One Capital Place, Luard Rd, Wan Chai, Hong Kong.
MERITT Group. Institut de Recerca Sant Joan de Deu, Parc Sanitari Sant Joan de Deu, CIBERSAM, ISCIII, Sant Boi de Llobregat, , Spain.
Unit of Population Health, University of Oulu, P.O.BOX , FI- University of Oulu, Oulu, Finland.
Faculty of Engineering, University of Nottingham, Nottingham, NG RD, UK.
Abstract summary
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.
Authors & Co-authors:
Kotera Yasuhiro Y
Ronaldson Amy A
Hayes Daniel D
Hunter-Brown Holly H
McPhilbin Merly M
Dunnett Danielle D
Jebara Tesnime T
Takhi Simran S
Masuda Takahiko T
Camacho Elizabeth E
Bakolis Ioannis I
Repper Julie J
Meddings Sara S
Stergiopoulos Vicky V
Brophy Lisa L
De Ruysscher Clara C
Okoliyski Michail M
Kubinová Petra P
Eplov Lene L
Toernes Charlotte C
Narusson Dagmar D
Tinland Aurélie A
Puschner Bernd B
Hiltensperger Ramona R
Lucchi Fabio F
Miyamoto Yuki Y
Castelein Stynke S
Borg Marit M
Klevan Trude Gøril TG
Tan Boon Meng Roger R
Sornchai Chatdanai C
Tiengtom Kruawon K
Farkas Marianne M
Moreland Jones Hannah H
Moore Edith E
Butler Ann A
Mpango Richard R
Tse Samson S
Kondor Zsuzsa Z
Ryan Michael M
Zuaboni Gianfranco G
Elton Dan D
Grant-Rowles Jason J
McNaughton Rebecca R
Hanlon Charlotte C
Harcla Claire C
Vanderplasschen Wouter W
Arbour Simone S
Silverstone Denise D
Bejerholm Ulrika U
Powell Candice C
Ochoa Susana S
Garcia-Franco Mar M
Tolonen Jonna J
Yeo Caroline C
Charles Ashleigh A
Henderson Claire C
Slade Mike M
Study Outcome
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