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Original studies in peer\u2010reviewed journals of any language and design that examined mutual\u2010support groups for AOD use in these regions were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key Findings<\/jats:title><jats:p>Forty\u2010six studies were identified from 1612 de\u2010duplicated records, predominantly from Japan (34.8%) and Iran (32.6%), with none from Southeast Asia. Most were cross\u2010sectional (47.8%) and examined 12\u2010step groups (76.1%). Culture\u2010oriented adaptation strategies (values, beliefs, traditions) were most reported, with religion\/spirituality most employed and friends\/family involvement often proposed as important. Across all employed strategies, the use of community spaces (e.g., community centres, places of worship) was most common. Preliminary evidence suggests that strategies, especially those addressing nuanced sociocultural factors, correlate with positive AOD recovery outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications<\/jats:title><jats:p>Findings reveal culture\u2010, language\u2010 and community\u2010oriented strategies that can be utilised to meet the cultural needs of target populations. Mutual\u2010support group membership is associated with positive outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Strategies to enhance cultural appropriateness of mutual\u2010support groups in East and South Asia were identified. Evidence on the effectiveness of mutual\u2010support groups, particularly in Southeast Asia, remains limited. Future investigation can elucidate potential differences in effectiveness between types and extents of strategies used to enhance cultural appropriateness of mutual\u2010support groups in these regions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.14094","type":"journal-article","created":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T02:54:54Z","timestamp":1750733694000},"page":"1711-1755","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Mutual\u2010Support Groups for Alcohol and Other Drug Use in East, South and Southeast Asia: A Scoping Review"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0095-1303","authenticated-orcid":false,"given":"Wan Jie","family":"Tan","sequence":"first","affiliation":[{"name":"School of Psychology University of Wollongong  Wollongong 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