npj Mental Health Research (Oct 2024)
28-country global study on associations between cultural characteristics and Recovery College fidelity
- 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
Affiliations
- Yasuhiro Kotera
- School of Health Sciences, Institute of Mental Health, University of Nottingham
- Amy Ronaldson
- Health Service and Population Research Department, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park
- Daniel Hayes
- Health Service and Population Research Department, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park
- Holly Hunter-Brown
- Health Service and Population Research Department, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park
- Merly McPhilbin
- School of Health Sciences, Institute of Mental Health, University of Nottingham
- Danielle Dunnett
- Health Service and Population Research Department, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park
- Tesnime Jebara
- Health Service and Population Research Department, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park
- Simran Takhi
- School of Health Sciences, Institute of Mental Health, University of Nottingham
- Takahiko Masuda
- Department of Psychology, University of Alberta, P-355, Biological Sciences
- Elizabeth Camacho
- School of Health Sciences, Faculty of Biology, Medicine & Health, The University of Manchester, Oxford Road
- Ioannis Bakolis
- Department of Biostatistics and Health Informatics, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park
- Julie Repper
- ImROC, Nottinghamshire Healthcare NHS Foundation Trust, Duncan Macmillan House, Porchester Road, Mapperley
- Sara Meddings
- ImROC, Nottinghamshire Healthcare NHS Foundation Trust, Duncan Macmillan House, Porchester Road, Mapperley
- Vicky Stergiopoulos
- Department of Psychiatry, University of Toronto, Toronto
- Lisa Brophy
- School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University
- Clara De Ruysscher
- Department of Special Needs Education, Ghent University, Henri Dunantlaan 2
- Michail Okoliyski
- WHO Country Office in Bulgaria, World Health Organization, 15, Ivan Geshov Blvd
- Petra Kubinová
- Centre for Mental Health Care Development, Lublaňská 1730/21, 120 00 Praha 2
- Lene Eplov
- CORE: Copenhagen Research Center for Mental Health, Mental Health Centre Copenhagen
- Charlotte Toernes
- CORE: Copenhagen Research Center for Mental Health, Mental Health Centre Copenhagen
- Dagmar Narusson
- University of Tartu, Institute of Social Studies, Lossi 36
- Aurélie Tinland
- Department of Psychiatry, Marseille Public Hospital, 147 Boulevard Baille, F-
- Bernd Puschner
- Department of Psychiatry II, Ulm University
- Ramona Hiltensperger
- Department of Psychiatry II, Ulm University
- Fabio Lucchi
- Department of Mental Health and Addiction Services, Ausl Bologna
- Yuki Miyamoto
- Department of Psychiatric Nursing, Graduate School of Medicine, University of Tokyo, Bunkyo-ku
- Stynke Castelein
- Lentis Psychiatric Institute, Lentis Research, Groningen, the Netherlands; University of Groningen, Faculty of Behavioural and Social Sciences, Department of Clinical Psychology and Experimental Psychopathology
- Marit Borg
- Department of Health, Social and Welfare Studies, University of South-Eastern Norway, Postboks 235
- Trude Gøril Klevan
- Department of Health, Social and Welfare Studies, University of South-Eastern Norway, Postboks 235
- Roger Tan Boon Meng
- Medical Social Work Department, Institute of Mental Health, 10 Buangkok View
- Chatdanai Sornchai
- Excellence Center Srithanya Hospital, Department of Mental Health, 47 Talat Kwan, Mueang Nonthaburi District
- Kruawon Tiengtom
- Excellence Center Srithanya Hospital, Department of Mental Health, 47 Talat Kwan, Mueang Nonthaburi District
- Marianne Farkas
- Center for Psychiatric Rehabilitation, Boston University
- Hannah Moreland Jones
- Cardiff and Vale Recovery & Wellbeing College, Park Lodge, Whitchurch
- Edith Moore
- Drive Direction, 8 C Lambie Drive
- Ann Butler
- Public Health Agency, Towerhill
- Richard Mpango
- School of Health Sciences, Soroti University, P. O. Box 211
- Samson Tse
- Department of Social Work and Social Administration, The University of Hong Kong, Pokfulam Road
- Zsuzsa Kondor
- Special Education Faculty, ELTE University, Institute of Disability and Social Participation
- Michael Ryan
- Community Health Organisation, Health Service Executive (HSE)
- Gianfranco Zuaboni
- Recovery College Berne, University Hospital of Psychiatry and Psychotherapy, University Berne Psychiatric Services, Bolligenstrasse 60
- Dan Elton
- RECOLLECT Lived Experience Advisory Panel
- Jason Grant-Rowles
- RECOLLECT Lived Experience Advisory Panel
- Rebecca McNaughton
- RECOLLECT Lived Experience Advisory Panel
- Charlotte Hanlon
- WHO Collaborating Centre for Mental Health Research and Training, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park
- Claire Harcla
- Discovery College, Headspace Early Psychosis, Alfred Mental and Addiction Health, South East Melbourne
- Wouter Vanderplasschen
- Recovery & Addiction cluster, Ghent University, Department of Special Needs Education, H. Dunantlaan 2
- Simone Arbour
- Ontario Shores Centre for Mental Health Sciences
- Denise Silverstone
- Canadian Mental Health Association (National)
- Ulrika Bejerholm
- Department of Health Sciences, Lund University
- Candice Powell
- Mind HK, 18 One Capital Place, Luard Rd
- Susana Ochoa
- MERITT Group. Institut de Recerca Sant Joan de Deu, Parc Sanitari Sant Joan de Deu, CIBERSAM, ISCIII
- Mar Garcia-Franco
- MERITT Group. Institut de Recerca Sant Joan de Deu, Parc Sanitari Sant Joan de Deu, CIBERSAM, ISCIII
- Jonna Tolonen
- Unit of Population Health, University of Oulu, P.O.BOX 8000, FI-90014 University of Oulu
- Caroline Yeo
- Faculty of Engineering, University of Nottingham
- Ashleigh Charles
- School of Health Sciences, Institute of Mental Health, University of Nottingham
- Claire Henderson
- Health Service and Population Research Department, King’s College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park
- Mike Slade
- School of Health Sciences, Institute of Mental Health, University of Nottingham
- DOI
- https://doi.org/10.1038/s44184-024-00092-9
- Journal volume & issue
-
Vol. 3,
no. 1
pp. 1 – 15
Abstract
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.
