ArticleNpj mental health research2024
28-country global study on associations between cultural characteristics and Recovery College fidelity.
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13 citing papers in PubMed.
- Social inclusion of people with severe mental illness: a review of current practices, evidence and unmet needs, and future directions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026Article
- Organisational variation in Recovery College implementation: 31-college qualitative study.BJPsych open · 2026Article
- Development and evaluation of a mental health recovery priority measure for cross-cultural research: global INSPIRE.Social psychiatry and psychiatric epidemiology · 2025Article
- Cultural impacts on shared decision-making: A cross-European study of psychiatrist preferences in 38 countries.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- Applying Critical Discourse Analysis to Cross-Cultural Mental Health Recovery Research.JMIR formative research · 2025Article
- Epidemiological Analysis of Suicidal Behaviour in Spain from 2017 to 2022 and Comparative Perspectives with Japan: A Retrospective Observational Study.Healthcare (Basel, Switzerland) · 2025Article
- Cross-cultural Comparison of Recovery College Implementation Between Japan and England: Corpus-based Discourse Analysis.International journal of mental health and addiction · 2025Article
- The content of Recovery College courses in England: a 71 college document analysis.Frontiers in psychiatry · 2025Article
- Cultural influences on fidelity components in recovery colleges: a study across 28 countries and territories.General psychiatry · 2025Article
- Enhancing cross-cultural applicability in recovery colleges: A global Delphi study protocol.PloS one · 2025Article
- Fair space? Community relations as a booster for improving resilience.Frontiers in public health · 2025Article
- Validation of the Japanese version of the Patient Health Questionnaire-4 (PHQ-4-J) to screen for depression and anxiety.Discover mental health · 2024Article
- A Narrative Review of Compassion Focused Therapy on Positive Mental Health Outcomes.Behavioral sciences (Basel, Switzerland) · 2024Review
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Authors and funding
58 authors.
Yasuhiro KoteraSchool of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, NG7 2TU, UK. yasuhiro.kotera@nottingham.ac.uk.
Amy RonaldsonHealth Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, London, SE5 8AF, UK.
Daniel HayesHealth Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, London, SE5 8AF, UK.
Holly Hunter-BrownHealth Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, London, SE5 8AF, UK.
Merly McPhilbinSchool of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, NG7 2TU, UK.
Danielle DunnettHealth Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, London, SE5 8AF, UK.
Tesnime JebaraHealth Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, London, SE5 8AF, UK.
Simran TakhiSchool of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, NG7 2TU, UK.
Takahiko MasudaDepartment of Psychology, University of Alberta, P-355, Biological Sciences, Edmonton, AB, T6G 2E9, Canada.
Elizabeth CamachoSchool of Health Sciences, Faculty of Biology, Medicine & Health, The University of Manchester, Oxford Road, Manchester, M13 9PL, UK.
Ioannis BakolisDepartment of Biostatistics and Health Informatics, King's College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, London, SE5 8AF, UK.
Julie RepperImROC, Nottinghamshire Healthcare NHS Foundation Trust, Duncan Macmillan House, Porchester Road, Mapperley, Nottingham, NG3 6AA, UK.
Sara MeddingsImROC, Nottinghamshire Healthcare NHS Foundation Trust, Duncan Macmillan House, Porchester Road, Mapperley, Nottingham, NG3 6AA, UK.
Vicky StergiopoulosDepartment of Psychiatry, University of Toronto, Toronto, Ontario, M5T 1R8, Canada.
Lisa BrophySchool of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, VIC, 110091, Australia.
Clara De RuysscherDepartment of Special Needs Education, Ghent University, Henri Dunantlaan 2, 9000, Ghent, Belgium.
Michail OkoliyskiWHO Country Office in Bulgaria, World Health Organization, 15, Ivan Geshov Blvd, 1431, Sofia, Bulgaria.
Petra KubinováCentre for Mental Health Care Development, Lublaňská 1730/21, 120 00 Praha 2, Prague, Czech Republic.
Lene EplovCORE: Copenhagen Research Center for Mental Health, Mental Health Centre Copenhagen, Kobenhavn, Denmark.
Charlotte ToernesCORE: Copenhagen Research Center for Mental Health, Mental Health Centre Copenhagen, Kobenhavn, Denmark.
Dagmar NarussonUniversity of Tartu, Institute of Social Studies, Lossi 36, Tartu, Estonia.
Aurélie TinlandDepartment of Psychiatry, Marseille Public Hospital, 147 Boulevard Baille, F-, 13005, Marseille, France.
Bernd PuschnerDepartment of Psychiatry II, Ulm University, Günzburg, Germany.
Ramona HiltenspergerDepartment of Psychiatry II, Ulm University, Günzburg, Germany.
Fabio LucchiDepartment of Mental Health and Addiction Services, Ausl Bologna, Bologna, Italy.
Yuki MiyamotoDepartment of Psychiatric Nursing, Graduate School of Medicine, University of Tokyo, Bunkyo-ku, Tokyo, 1130033, Japan.
Stynke CasteleinLentis Psychiatric Institute, Lentis Research, Groningen, the Netherlands; University of Groningen, Faculty of Behavioural and Social Sciences, Department of Clinical Psychology and Experimental Psychopathology, Groningen, The Netherlands.
Marit BorgDepartment of Health, Social and Welfare Studies, University of South-Eastern Norway, Postboks 235, 3603, Kongsberg, Norway.
Trude Gøril KlevanDepartment of Health, Social and Welfare Studies, University of South-Eastern Norway, Postboks 235, 3603, Kongsberg, Norway.
Roger Tan Boon MengMedical Social Work Department, Institute of Mental Health, 10 Buangkok View, 539747, Singapore, Singapore.
Chatdanai SornchaiExcellence Center Srithanya Hospital, Department of Mental Health, 47 Talat Kwan, Mueang Nonthaburi District, Nonthaburi, 11000, Thailand.
Kruawon TiengtomExcellence Center Srithanya Hospital, Department of Mental Health, 47 Talat Kwan, Mueang Nonthaburi District, Nonthaburi, 11000, Thailand.
Marianne FarkasCenter for Psychiatric Rehabilitation, Boston University, Boston, MA, 02215, USA.
Hannah Moreland JonesCardiff and Vale Recovery & Wellbeing College, Park Lodge, Whitchurch, Cardiff, CF14 7BL, UK.
Edith MooreDrive Direction, 8 C Lambie Drive, Manukau, 2241, New Zealand.
Ann ButlerPublic Health Agency, Towerhill, Armagh, Northern Ireland, BT61 9DR, UK.
Richard MpangoSchool of Health Sciences, Soroti University, P. O. Box 211, Soroti, Uganda.
Samson TseDepartment of Social Work and Social Administration, The University of Hong Kong, Pokfulam Road, Hong Kong, China.
Zsuzsa KondorSpecial Education Faculty, ELTE University, Institute of Disability and Social Participation, Ecseri Street 3, Budapest, 1097, Hungary.
Michael RyanCommunity Health Organisation, Health Service Executive (HSE), Dublin, Ireland.
Gianfranco ZuaboniRecovery College Berne, University Hospital of Psychiatry and Psychotherapy, University Berne Psychiatric Services, Bolligenstrasse 60, 3000, Berne, Switzerland.
Dan EltonRECOLLECT Lived Experience Advisory Panel, London, UK.
Jason Grant-RowlesRECOLLECT Lived Experience Advisory Panel, London, UK.
Rebecca McNaughtonRECOLLECT Lived Experience Advisory Panel, London, UK.
Charlotte HanlonWHO Collaborating Centre for Mental Health Research and Training, King's College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, London, SE5 8AF, UK.
Claire HarclaDiscovery College, Headspace Early Psychosis, Alfred Mental and Addiction Health, South East Melbourne, Melbourn, VIC, Australia.
Wouter VanderplasschenRecovery & Addiction cluster, Ghent University, Department of Special Needs Education, H. Dunantlaan 2, B-9000, Gent, Belgium.
Simone ArbourOntario Shores Centre for Mental Health Sciences, 700 Gordon Street, Whitby, ON, L1N 5S9, Canada.
Denise SilverstoneCanadian Mental Health Association (National), Toronto, ON, M5T 2Z5, Canada.
Ulrika BejerholmDepartment of Health Sciences, Lund University, SE-221 00, Lund, Sweden.
Candice PowellMind HK, 18 One Capital Place, Luard Rd, Wan Chai, Hong Kong.
Susana OchoaMERITT Group. Institut de Recerca Sant Joan de Deu, Parc Sanitari Sant Joan de Deu, CIBERSAM, ISCIII, Sant Boi de Llobregat, 08330, Spain.
Mar Garcia-FrancoMERITT Group. Institut de Recerca Sant Joan de Deu, Parc Sanitari Sant Joan de Deu, CIBERSAM, ISCIII, Sant Boi de Llobregat, 08330, Spain.
Jonna TolonenUnit of Population Health, University of Oulu, P.O.BOX 8000, FI-90014 University of Oulu, Oulu, Finland.
Caroline YeoFaculty of Engineering, University of Nottingham, Nottingham, NG7 2RD, UK.
Ashleigh CharlesSchool of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, NG7 2TU, UK.
Claire Henderson *Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology and Neuroscience, De Crespigny Park, London, SE5 8AF, UK.
Mike Slade *School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, NG7 2TU, UK.
Funding
National Institute for Health and Care Research NIHR200605World Health Organization 001
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.
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