Background Recovery colleges (RCs) support personal recovery through education, skill development and social support for people with mental health problems, carers and staff. Guided by co-production and adult learning...Background Recovery colleges (RCs) support personal recovery through education, skill development and social support for people with mental health problems, carers and staff. Guided by co-production and adult learning principles, RCs represent a recent mental health innovation. Since the first RC opened in England in 2009, RCs have expanded to 28 countries and territories. However, most RC research has been conducted in Western countries with similar cultural characteristics, limiting understanding of how RCs can be culturally adapted. The 12-item Recovery Colleges Characterisation and Testing (RECOLLECT) Fidelity Measure (RFM) evaluates the operational fidelity of RCs based on 12 components, but cultural influences on these components remain underexplored.Aims To assess associations between Hofstede’s cultural dimensions and RFM items to identify cultural influences on fidelity components.Methods A cross-sectional survey of RC managers was conducted across all 221 RCs. Mixed-effects regression models examined associations between Hofstede’s country-level cultural dimensions and item-level RFM scores, adjusted for healthcare expenditure and income inequality. Four cultural dimensions, obtained from Hofstede, were analysed: individualism (prioritising personal needs), indulgence (enjoyment-oriented), uncertainty avoidance (preference for predictability) and long-term orientation (future-focused).Results The RFM was completed by 169 (76%) RC managers. Seven RFM items showed associations with cultural dimensions. Equality was linked to short-term orientation, while learning was associated with individualism and uncertainty avoidance. Both individualism and indulgence influenced co-production and community focus. Commitment to recovery was shaped by all four cultural dimensions, with the strongest associations seen for individualism and indulgence. Individualism enhanced explicit focus on strengths-based practice, while uncertainty avoidance influenced course distinctiveness.Conclusions This study demonstrates how culture shapes RC fidelity components, providing actionable insights for cultural adaptation. Incorporating under-represented dimensions, such as collectivism and restraint, could improve the RFM’s global applicability, facilitating implementation. Future research should explore cultural nuances, engage diverse stakeholders and refine fidelity measures to enhance RC inclusivity and effectiveness worldwide.展开更多
One of the most important points in the meta-analyses is certainly represented by the assessment of the quality of the studies included in such research. The meta-analyses are considered the highest level of evidence ...One of the most important points in the meta-analyses is certainly represented by the assessment of the quality of the studies included in such research. The meta-analyses are considered the highest level of evidence in science. Also for this reason, the quality of the studies included should be accurately evaluated by standardized tools. The overall results of the metaanalysis depend indeed also on a rigorous evaluation of the studies quality. Among all the possible tools for this complex evaluation, the Newcastle Ottawa Scale(NOS) is one of the most used worldwide, above all for observational studies. In this review, we will discuss the strengths and limitation of the NOS, also on the basis of the branch of science in which it has been applied.展开更多
Unintended pregnancy often ends with induced abortion,an outcome that affects a woman’s physical and mental health and consumes social resources.A national fertility survey conducted by the former National Health and...Unintended pregnancy often ends with induced abortion,an outcome that affects a woman’s physical and mental health and consumes social resources.A national fertility survey conducted by the former National Health and Family Planning Com-mission in 2017,gathered data on pregnancies among married women aged 15-49 to analyze the changing circumstances of such pregnancies and the factors that influ-ence their occurrence.The analysis found that the incidence of unintended pregnan-cies among married women in China was 42.4‰in 2017,and that such pregnancies accounted for 22.9%of all pregnancies in China for the years 2010-2017.Of all abortions,91.9%were used to terminate unintended pregnancies,and of unintended pregnancies,67.1%ended with induced abortions.The incidence of unintended pregnancy and that of induced abortion to terminate the unintended pregnancy were higher among women living in an urban rather than a rural area,having previously given birth to a boy,having a large number of children,being at the older end of their childbearing years,or having a shorter interpregnancy interval.Only 37.3%of women chose long-term contraceptive methods after an induced abortion caused by an unintended pregnancy;their sense of self-protection was not strong.It is neces-sary to strengthen education and advocacy,enhance women’s awareness of the pro-tection contraceptives offer,and improve the quality of and access to contraceptive services to reduce the incidence of unintended pregnancy,and reduce the incidence of induced abortion to terminate unintended pregnancy.展开更多
基金This study is part of the RECOLLECT 2 programme,a five-year(2020-2025)project funded by the National Institute for Health and Care Research,which investigates the effectiveness and cost-effectiveness of recovery colleges.
文摘Background Recovery colleges (RCs) support personal recovery through education, skill development and social support for people with mental health problems, carers and staff. Guided by co-production and adult learning principles, RCs represent a recent mental health innovation. Since the first RC opened in England in 2009, RCs have expanded to 28 countries and territories. However, most RC research has been conducted in Western countries with similar cultural characteristics, limiting understanding of how RCs can be culturally adapted. The 12-item Recovery Colleges Characterisation and Testing (RECOLLECT) Fidelity Measure (RFM) evaluates the operational fidelity of RCs based on 12 components, but cultural influences on these components remain underexplored.Aims To assess associations between Hofstede’s cultural dimensions and RFM items to identify cultural influences on fidelity components.Methods A cross-sectional survey of RC managers was conducted across all 221 RCs. Mixed-effects regression models examined associations between Hofstede’s country-level cultural dimensions and item-level RFM scores, adjusted for healthcare expenditure and income inequality. Four cultural dimensions, obtained from Hofstede, were analysed: individualism (prioritising personal needs), indulgence (enjoyment-oriented), uncertainty avoidance (preference for predictability) and long-term orientation (future-focused).Results The RFM was completed by 169 (76%) RC managers. Seven RFM items showed associations with cultural dimensions. Equality was linked to short-term orientation, while learning was associated with individualism and uncertainty avoidance. Both individualism and indulgence influenced co-production and community focus. Commitment to recovery was shaped by all four cultural dimensions, with the strongest associations seen for individualism and indulgence. Individualism enhanced explicit focus on strengths-based practice, while uncertainty avoidance influenced course distinctiveness.Conclusions This study demonstrates how culture shapes RC fidelity components, providing actionable insights for cultural adaptation. Incorporating under-represented dimensions, such as collectivism and restraint, could improve the RFM’s global applicability, facilitating implementation. Future research should explore cultural nuances, engage diverse stakeholders and refine fidelity measures to enhance RC inclusivity and effectiveness worldwide.
文摘One of the most important points in the meta-analyses is certainly represented by the assessment of the quality of the studies included in such research. The meta-analyses are considered the highest level of evidence in science. Also for this reason, the quality of the studies included should be accurately evaluated by standardized tools. The overall results of the metaanalysis depend indeed also on a rigorous evaluation of the studies quality. Among all the possible tools for this complex evaluation, the Newcastle Ottawa Scale(NOS) is one of the most used worldwide, above all for observational studies. In this review, we will discuss the strengths and limitation of the NOS, also on the basis of the branch of science in which it has been applied.
文摘Unintended pregnancy often ends with induced abortion,an outcome that affects a woman’s physical and mental health and consumes social resources.A national fertility survey conducted by the former National Health and Family Planning Com-mission in 2017,gathered data on pregnancies among married women aged 15-49 to analyze the changing circumstances of such pregnancies and the factors that influ-ence their occurrence.The analysis found that the incidence of unintended pregnan-cies among married women in China was 42.4‰in 2017,and that such pregnancies accounted for 22.9%of all pregnancies in China for the years 2010-2017.Of all abortions,91.9%were used to terminate unintended pregnancies,and of unintended pregnancies,67.1%ended with induced abortions.The incidence of unintended pregnancy and that of induced abortion to terminate the unintended pregnancy were higher among women living in an urban rather than a rural area,having previously given birth to a boy,having a large number of children,being at the older end of their childbearing years,or having a shorter interpregnancy interval.Only 37.3%of women chose long-term contraceptive methods after an induced abortion caused by an unintended pregnancy;their sense of self-protection was not strong.It is neces-sary to strengthen education and advocacy,enhance women’s awareness of the pro-tection contraceptives offer,and improve the quality of and access to contraceptive services to reduce the incidence of unintended pregnancy,and reduce the incidence of induced abortion to terminate unintended pregnancy.
