Theses and Dissertations at Montana State University (MSU)
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Item Impact of kinship navigator program on rural kin caregiver wellbeing(Montana State University - Bozeman, College of Education, Health & Human Development, 2024) Foluso, Ayomide Adefunke; Chairperson, Graduate Committee: Brianna Routh; This is a manuscript style paper that includes co-authored chapters.More than 2.6 million children live in kinship families without their parents. Kinship caregivers provide care for children whose parents are unable to care for them, yet often face significant challenges that can impact their wellbeing and the caregiving situation. In line with the passing of the Family First Prevention Services Act in 2018, Kinship Navigator Programs are required to submit for evaluation in the Title IV-E Prevention Services Clearinghouse to seek federal reimbursement. This study evaluated the efficacy of the Montana Kinship Navigator Program in improving caregiver wellbeing through its intervention (Enhanced Case Management) compared to a service-as-usual control (Information and Referral only). The quasi- experimental design compared caregivers in the intervention group (n=59) to the control group (n=33) across measures of wellbeing, services accessed, and navigator assistance at case closure. Data was collected through surveys and program records. The preliminary findings support wider implementation of enhanced case management services. Analysis showed significantly higher wellbeing in the intervention group across domains of coping, enjoying life, and average wellbeing compared to controls. Navigator assistance was significantly higher for the intervention group and positively correlated with multiple wellbeing domains across all participants. Financial and health service accessed showed positive associations with improved health wellbeing across participants. Financial resources emerged as particularly important for improving wellbeing for rural kinship caregivers. White non-Hispanic caregivers were more likely to access more services and navigator support compared to Black, Indigenous, and other People of Color, who in turn were more likely report higher stress. This demonstrates the need for training and culturally informed navigator support to promote equitable access. Implementing enhanced intervention could better address the complex needs of kinship families, particularly in underserved rural communities where resources are limited. MTKNP's recognition by the Clearinghouse and state legislators can result in a more sustainably funded program and positive wellbeing outcomes for kin caregivers and their kin children.Item The mental wellness conversation curriculum: better understanding the gap between facilitator training and community conversations(Montana State University - Bozeman, College of Education, Health & Human Development, 2024) Sutphen, Katharine Nora; Chairperson, Graduate Committee: Michelle U. Grocke-DeweyThis thesis whether the MSU Extension Mental Wellness Conversation Curriculum (MWCC) is effective in terms of adequately preparing newly trained facilitators to lead their own community based MWCC conversations. The MWCC is a mental health and wellness conversation pedagogy designed to be delivered in rural communities by community volunteer facilitators. The Social Ecological Model (SEM) explains the nuance of this program and incorporates supporting studies that leverage community-based and volunteer-led techniques. The results from the volunteer training evaluation data, a pre-and post- survey, indicate a positive change in awareness, knowledge, and beliefs among the 24 facilitators regarding specific mental health and wellness content presented in the training. The results indicate high favorability from volunteers regarding their experience at the MWCC training and optimism about the future of MWCC as a mental health and wellness program. However, despite favorable and statistically significant improvements from pre and post training data, there has been stagnation among community volunteers leading their own MWCC conversations. In response to this finding, a follow up exploration into possible explanations was conducted. Results indicated the importance of volunteer training as a predictor of volunteer engagement success. Additionally, the following themes were explored to understand the impact they had on MWCC volunteer engagement: 1) the duality of agency and autonomy in volunteering, 2) the explanatory power of the Self-determination Theory as it relates to volunteer motivation, 3) the importance of volunteer recruitment strategies and clear objectives, 4) the value of skills-based volunteering, and 5) the importance of content delivery within a training to maximize future engagement. Minor adaptations to the MWCC training and evaluation efforts would be beneficial for improved volunteer engagement going forward. Future research suggestions include further exploring how social context and environmental factors may impact the success of community based MWCC conversations.