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npj Mental Health Research· 2026Q1

Cross-cultural de-centring of Recovery College tools: a 20-country Delphi study

Yasuhiro Kotera, Sara Vilar-Lluch, Dagmar Narusson, Ramona Hiltensperger et al.

Short summary

A 20-country Delphi study successfully adapted the RECOLLECT Change Model and Fidelity Measure for global use, achieving consensus on 11 revised items for understandability and cultural appropriateness.

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Key points

  • International Delphi study involved 54 panellists from 20 countries to assess cross-cultural applicability of RECOLLECT tools.
  • Core principles of Recovery Colleges were broadly endorsed, but key terms like 'coproduction' and 'recovery' had inconsistent interpretations.
  • Wording refinements in Round 2 led to 11 revised items achieving consensus on understandability and cultural appropriateness.
  • The adapted tools are now globally applicable and interoperable, preserving core Recovery College values.

AI-generated from the title and abstract; the full text is not read.

Abstract

Abstract Recovery Colleges are expanding internationally (264 identified in 31 countries across six continents), yet key tools for defining and assessing them were developed in high-income Anglophone contexts. We conducted a two-round international Delphi study using a cross-cultural de-centring approach to examine the cross-cultural applicability of the RECOLLECT Change Model and RECOLLECT Fidelity Measure, and to develop globally applicable and interoperable versions of these tools. In Round 1, 54 panellists from 20 countries rated item importance and cultural difficulty and provided free-text feedback, analysed using corpus-informed linguistic methods. Core principles were broadly endorsed, but “coproduction”, “recovery”, “professionals” and “shifting the balance of power” were interpreted inconsistently, revealing embedded assumptions about equality, autonomy and open-ended participation. Round 1 findings informed wording refinements tested in Round 2 with 41 panellists from 15 countries. All 11 revised items reached consensus for understandability and cultural appropriateness, strengthening the tools while preserving core Recovery College values.

The authors' abstract, as published at the source. npj Mental Health Research, 2026 · DOI ↗

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Field: General Health Professions

General Health ProfessionsHealth Professions