{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:56:28Z","timestamp":1787320588408,"version":"build-2736575974"},"reference-count":71,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Healthcare workers are key in supporting mental health recovery, though the approach is poorly understood in many Asian countries. In Thailand, no recovery\u2010oriented training currently exists, highlighting the need for a culturally adapted intervention that incorporates locally meaningful concepts and clarifies unfamiliar recovery principles. The present study aimed to culturally adapt an existing recovery training intervention (REFOCUS\/REFOCUS\u2010PULSAR) for use by healthcare workers in Thailand (REFOCUS\u2010THAIREC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Experience\u2010Based Co\u2010Design (EBCD) was used to culturally adapt content and implementation strategies of the REFOCUS\/REFOCUS\u2010PULSAR interventions, guided by the ADAPT framework and the Model for Adaptation Design and Impact. Thirty\u2010one participants were involved one or more of the EBCD stages, including healthcare professionals (HCPs), people with mental illness (PwM), and carers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four key adaptations were identified: a catalyst film illustrating service user experiences, a recovery\u2010oriented care planning component, two case studies illustrating recovery journeys, and a recovery\u2010oriented language guide. Six implementation strategies were proposed, including experiential learning, digital delivery options, preparation for lived experience trainers, separate training streams for professional and non\u2010professional groups, practical care planning tools and the use of recovery outcome measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>REFOCUS\u2010THAIREC provides a culturally relevant training approach for Thai healthcare workers and a foundation for implementing recovery\u2010oriented practice in community mental health services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>Mental health service users, carers and HCPs were involved as partners in the co\u2010design process and reviewed research materials, including the Thai Global INSPIRE questionnaire, interview topic guide and training manua.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70738","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T05:21:30Z","timestamp":1782192090000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Cultural Adaptation and Implementation Strategy of a Recovery\u2010Oriented Mental Health Training Intervention (REFOCUS\u2010THAIREC) for Healthcare Workers in Thailand: An Experience\u2010Based Co\u2010Design"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9397-1215","authenticated-orcid":false,"given":"Natthapon","family":"Inta","sequence":"first","affiliation":[{"name":"Florence Nightingale Faculty of Nursing, Midwifery &amp; 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