28-country global study on associations between cultural characteristics and Recovery College fidelity

Kotera, Yasuhiro; Ronaldson, Amy; Hayes, Daniel; Hunter-Brown, Holly; McPhilbin, Merly; Dunnett, Danielle; Jebara, Tesnime; Takhi, Simran; Masuda, Takahiko; Camacho, Elizabeth; Bakolis, Ioannis; Repper, Julie; Meddings, Sara; Stergiopoulos, Vicky; Brophy, Lisa; De Ruysscher, Clara; Okoliyski, Michail; Kubinová, Petra; Eplov, Lene; Narusson, Dagmar; Puschner, Bernd; Hiltensperger, Ramona; Lucchi, Fabio; Miyamoto, Yuki; Borg, Marit; Klevan, Trude Gøril; Tan, Roger; Meng, Boon; Sornchai, Chatdanai; Tiengtom, Kruawon; Farkas, Marianne; Moreland Jones, Hannah; Moore, Edith; Butler, Ann; Mpango, Richard; Tse, Samson; Kondor, Zsuzsa; Ryan, Michael; Zuaboni, Gianfranco; Elton, Dan; Grant-Rowles, Jason; McNaughton, Rebecca; Hanlon, Charlotte; Harcla, Claire; Vanderplasschen, Wouter; Arbour, Simone; Silverstone, Denise; Bejerholm, Ulrika; Powell, Candice; Ochoa, Susana; Garcia-Franco, Mar; Tolonen, Jonna; Yeo, Caroline; Charles, Ashleigh; Henderson, Claire; Slade, Mike

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.

Citation

Kotera, Y., Ronaldson, A., Hayes, D., Hunter-Brown, H., McPhilbin, M., Dunnett, D., Jebara, T., Takhi, S., Masuda, T., Camacho, E., Bakolis, I., Repper, J., Meddings, S., Stergiopoulos, V., Brophy, L., De Ruysscher, C., Okoliyski, M., Kubinová, P., Eplov, L., Narusson, D., …Slade, M. (2024). 28-country global study on associations between cultural characteristics and Recovery College fidelity. npj Mental Health Research, 3(1), Article 46. https://doi.org/10.1038/s44184-024-00092-9

• Journal Article Type: Article
• Acceptance Date: Sep 30, 2024
• Online Publication Date: Oct 8, 2024
• Publication Date: Oct 8, 2024
• Deposit Date: Oct 3, 2024
• Publicly Available Date: Oct 9, 2024
• Journal: npj Mental Health Research
• Electronic ISSN: 2731-4251
• Publisher: Springer Nature
• Peer Reviewed: Peer Reviewed
• Volume: 3
• Issue: 1
• Article Number: 46
• DOI: https://doi.org/10.1038/s44184-024-00092-9
• Public URL: https://nottingham-repository.worktribe.com/output/40285647
• Publisher URL: https://www.nature.com/articles/s44184-024-00092-9
• Additional Information: Received: 11 January 2024; Accepted: 30 September 2024; First Online: 8 October 2024; : The authors declare no competing interests.