28-country global study on associations between cultural characteristics and Recovery College fidelity
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
- Aurélie Tinland (ORCID: https://orcid.org/0000-0002-8168-930X)
- Daniel Hayes (ORCID: https://orcid.org/0000-0003-4948-3333)
- Julie Repper (ORCID: https://orcid.org/0000-0002-7020-3415)
- Merly McPhilbin (ORCID: https://orcid.org/0000-0002-5746-3829)
- Samson Tse (ORCID: https://orcid.org/0000-0001-9003-1086)
- Mike Slade (ORCID: https://orcid.org/0000-0001-7020-3434)
- Ramona Hiltensperger (ORCID: https://orcid.org/0000-0003-2544-4188)
- Gianfranco Zuaboni
- Mar García‐Franco (ORCID: https://orcid.org/0000-0002-5843-9003)
- Marianne Farkas
- Elizabeth Camacho (ORCID: https://orcid.org/0000-0001-9574-7710)
- Vicky Stergiopoulos (ORCID: https://orcid.org/0000-0003-3941-9434)
- Wouter Vanderplasschen (ORCID: https://orcid.org/0000-0001-6513-4243)
- Simone Arbour (ORCID: https://orcid.org/0000-0002-4777-1457)
- Amy Ronaldson (ORCID: https://orcid.org/0000-0001-8369-9168)
- Dagmar Narusson (ORCID: https://orcid.org/0000-0001-6774-0060)
- Richard Mpango (ORCID: https://orcid.org/0000-0001-6960-3174)
- Lene Falgaard Eplov (ORCID: https://orcid.org/0000-0002-9334-8692)
- Ashleigh Charles (ORCID: https://orcid.org/0000-0003-2222-4358)
- Susana Ochoa (ORCID: https://orcid.org/0000-0001-6792-1080)
- Tesnime Jebara (ORCID: https://orcid.org/0000-0002-6848-8845)
- Holly Hunter-Brown
- Rebecca L. McNaughton (ORCID: https://orcid.org/0000-0002-8672-8072)
- Marit Borg (ORCID: https://orcid.org/0000-0002-1300-8007)
- Trude Klevan (ORCID: https://orcid.org/0000-0002-6849-7848)
- Ulrika Bejerholm (ORCID: https://orcid.org/0000-0001-7505-6955)
- Claire Henderson (ORCID: https://orcid.org/0000-0002-6998-5659)
- Bernd Puschner (ORCID: https://orcid.org/0000-0002-2929-4271)
- Petra Kubínová
- Ioannis Bakolis (ORCID: https://orcid.org/0000-0002-4800-1630)
- Danielle Dunnett (ORCID: https://orcid.org/0000-0002-9592-6898)
- Sara Meddings
- Yasuhiro Kotera (ORCID: https://orcid.org/0000-0002-0251-0085)
- Clara De Ruysscher (ORCID: https://orcid.org/0000-0001-8601-1875)
- Charlotte Hanlon (ORCID: https://orcid.org/0000-0002-7937-3226)
- Michail Okoliyski
- Stynke Castelein (ORCID: https://orcid.org/0000-0002-8419-568X)
- Takahiko Masuda (ORCID: https://orcid.org/0000-0002-3023-4858)
- Lisa Brophy (ORCID: https://orcid.org/0000-0001-6460-3490)
- Charlotte Toernes
- Chatdanai Sornchai
- Zsuzsa Kondor
- Jason Grant‐Rowles (ORCID: https://orcid.org/0000-0002-3532-1854)
- Claire Harcla
- Denise Silverstone
- Simran Kaur Takhi (ORCID: https://orcid.org/0000-0003-3248-8912)
- Kruawon Tiengtom
- Roger Tan Boon Meng
- Edith Moore
- Yuki Miyamoto (ORCID: https://orcid.org/0000-0002-2192-0469)
- H Jones
- Fabio Lucchi
- Candice Powell
- Ann Butler
- D.J. Elton
- Jonna Tolonen
- Caroline Yeo
- Michael Ryan
Institutions
- Eötvös Loránd University (HU)
- Boston University (US)
- Cardiff and Vale University Health Board (GB)
- University of Nottingham (GB)
- University of Alberta (CA)
- King's College London (GB)
- University of Toronto (CA)
- Lund University (SE)
- Universität Ulm (DE)
- La Trobe University (AU)
- Canadian Mental Health Association (CA)
- University of South-Eastern Norway (NO)
- Nord University (NO)
- Ontario Shores Centre for Mental Health Sciences (CA)
- Nottinghamshire Healthcare NHS Foundation Trust (GB)
- University of Manchester (GB)
- Ghent University (BE)
- Centre for Mental Health (GB)
- Health Service Executive (IE)
- Lentis (NL)
- Assistance Publique Hôpitaux de Marseille (FR)
- Institute of Mental Health (GB)
- Centro de Investigación Biomédica en Red (ES)
- Azienda USL di Bologna (IT)
- Public Health Agency (GB)
- Parc Sanitari Sant Joan de Déu (ES)
- Institute of Mental Health (SG)
- Lund Science (Sweden) (SE)
- Soroti University (UG)
- Institut de Recerca Sant Joan de Déu
- University College London (GB)
- University of Tartu (EE)
- The University of Tokyo (JP)
- University of Hong Kong (HK)
- University of Oulu (FI)
Publication Details
- Journal
- npj Mental Health Research
- Published
- 2024-10-08
- DOI
- https://doi.org/10.1038/s44184-024-00092-9
- Citations
- 23
- Primary Topic
- Mental Health Treatment and Access
- Type
- article
- Field-Weighted Citation Impact
- 14.80
Funders
- National Institute for Health and Care Research
- NIHR Nottingham Biomedical Research Centre