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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; ... Slade, Mike; + view all (2024) 28-country global study on associations between cultural characteristics and Recovery College fidelity. npj Mental Health Research , 3 , Article 46. 10.1038/s44184-024-00092-9. Green open access

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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.

Type: Article
Title: 28-country global study on associations between cultural characteristics and Recovery College fidelity
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1038/s44184-024-00092-9
Publisher version: https://doi.org/10.1038/s44184-024-00092-9
Language: English
Additional information: © The Author(s), 2024. This is an Open Access article distributed under the terms of the Creative Commons Attribution Licence (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. https://creativecommons.org/licenses/by/4.0/
Keywords: Psychology, Quality of life
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/10198490
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