Rice Kevin, Simaitis Gytis, Pernice Francesca
Research, Analytics, Knowledge, and Evaluation Department, Fountain House Inc.
Department of Theoretical and Behavioral Foundations, Wayne State University.
Psychiatr Rehabil J. 2024 Sep;47(3):200-208. doi: 10.1037/prj0000615. Epub 2024 Jul 25.
The COVID-19 pandemic had a profound impact on the mental health of individuals with serious mental illness, with restricting social gatherings and limiting access to essential community and psychosocial support services. For programs like clubhouses, adapting typically in-person programming to online settings led to the creation of virtual clubhouse programming that persists at many sites even after reopening. Although it has been documented how clubhouses adapted their programming online, it has not been investigated at the individual level how those programs were utilized over time, by different member cohorts, and how they persist in comparison to one another.
The present article presents descriptive and inferential statistics, analysis of variance, and secondary trend analysis of the Fountain House clubhouse in-person and virtual engagements of three member cohorts who enrolled in either three time periods before pandemic restrictions (the prior cohort), during pandemic restrictions (the pandemic cohort), and after lockdown restrictions (the reopening cohort).
Initial findings show that the prior cohort sustained their overall rate of engagement across time periods. The pandemic cohort had a significantly higher rate of engagement than the prior cohort within the during period but demonstrated a significant decrease in engagement rate between the during and after period. Prior and pandemic cohorts had statistically similar virtual and in-person engagement ratios in the after period, but the reopen cohort differed significantly with a predominant ratio of in-person engagements.
Member engagement trends within in-person and virtual offerings across the three different pandemic related time periods indicate important considerations for the sustainability and innovation of clubhouse virtual programming. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
新冠疫情对患有严重精神疾病的个体的心理健康产生了深远影响，限制社交聚会并限制了获得基本社区和心理社会支持服务的机会。对于像俱乐部这样的项目，将通常的面对面活动调整为在线形式导致了虚拟俱乐部活动的创建，即使在重新开放后，许多场所的虚拟俱乐部活动仍在持续。虽然已经记录了俱乐部如何将其活动调整到线上，但尚未在个体层面研究这些项目如何随着时间推移被不同成员群体使用，以及它们相互之间的持续性如何。
本文展示了对喷泉屋俱乐部在疫情限制前（前期队列）、疫情限制期间（疫情队列）和封锁限制后（重新开放队列）三个时间段注册的三个成员群体的面对面和虚拟参与情况的描述性和推断性统计、方差分析以及二次趋势分析。
初步研究结果表明，前期队列在各个时间段内保持了总体参与率。疫情队列在疫情期间的参与率显著高于前期队列，但在疫情期间和之后的时间段内参与率显著下降。前期和疫情队列在之后的时间段内虚拟和面对面参与比例在统计学上相似，但重新开放队列的面对面参与比例占主导，差异显著。
在与疫情相关的三个不同时间段内，面对面和虚拟活动中的成员参与趋势表明，对于俱乐部虚拟活动的可持续性和创新性有重要的考虑因素。（PsycInfo数据库记录（c）2024美国心理学会，保留所有权利）
