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; Toernes, Charlotte; Narusson, Dagmar; Tinland, Aurélie; Puschner, Bernd; Hiltensperger, Ramona; Lucchi, Fabio; Miyamoto, Yuki; Castelein, Stynke; Borg, Marit; Klevan, Trude Gøril; Tan Boon Meng, Roger; 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 (2024-10-08)
Springer
08.10.2024
Kotera, Y., Ronaldson, A., Hayes, D. et al. 28-country global study on associations between cultural characteristics and Recovery College fidelity. npj Mental Health Res 3, 46 (2024). https://doi.org/10.1038/s44184-024-00092-9.
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© The Author(s) 2024. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
https://creativecommons.org/licenses/by/4.0/
© The Author(s) 2024. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:oulu-202410106244
https://urn.fi/URN:NBN:fi:oulu-202410106244
Tiivistelmä
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.
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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