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
School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, NG7 2TU, UK.
Center for Infectious Disease Education and Research, Osaka University, Osaka, Suita, 565-0871, Japan.
Npj Ment Health Res. 2024 Oct 8;3(1):46. doi: 10.1038/s44184-024-00092-9.
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.
康复学院（RCs）是基于学习的心理健康康复社区，遍布全球。然而，在西方、受过教育、工业化、富裕和民主（WEIRD）国家以外，关于康复学院有效性的证据有限。本研究旨在评估文化特征与康复学院保真度之间的关联，以了解文化如何影响康复学院的运营。来自28个WEIRD国家和非WEIRD国家的169所康复学院的服务经理使用基于康复学院关键运营组成部分开发的RECOLLECT保真度测量方法评估了保真度。在控制医疗保健支出的国内生产总值和基尼系数的线性混合效应回归模型中，将霍夫斯泰德的文化维度得分作为预测变量输入。较高的个人主义和放纵，以及较低的不确定性规避与较高的保真度相关，而长期导向是一个临界负预测变量。康复学院的运营主要与WEIRD文化保持一致，这凸显了纳入非WEIRD文化视角以增强康复学院全球影响力的必要性。研究结果可为全球心理健康康复干预措施的完善和评估提供参考。
