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

Kotera, Y. ; Bejerholm, U. LU and Slade, Mike (2024) In npj Mental Health Research 3(1).
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... (More)
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. © The Author(s) 2024. (Less)
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published
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npj Mental Health Research
volume
3
issue
1
article number
46
publisher
Nature Publishing Group
external identifiers
  • scopus:105004852447
ISSN
2731-4251
DOI
10.1038/s44184-024-00092-9
language
English
LU publication?
yes
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5b3350fc-7622-437a-a6ec-a92e0a9bf74e
date added to LUP
2026-03-11 11:16:43
date last changed
2026-03-11 11:17:36
@article{5b3350fc-7622-437a-a6ec-a92e0a9bf74e,
  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. © The Author(s) 2024.}},
  author       = {{Kotera, Y. and Bejerholm, U. and Slade, Mike}},
  issn         = {{2731-4251}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{Nature Publishing Group}},
  series       = {{npj Mental Health Research}},
  title        = {{28-country global study on associations between cultural characteristics and Recovery College fidelity}},
  url          = {{http://dx.doi.org/10.1038/s44184-024-00092-9}},
  doi          = {{10.1038/s44184-024-00092-9}},
  volume       = {{3}},
  year         = {{2024}},
}