Scholarship & Research
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Item Developing a family based program to reduce the incidence of obesity in American Indian children(Montana State University - Bozeman, College of Nursing, 2021) Crowley, Jacy Kate; Chairperson, Graduate Committee: Angela JukkalaChildhood obesity is a significant health problem resulting in decreased lifespan related to chronic health problems. Prevalence of childhood obesity is experienced in American Indian (AI) children at greater rates than their non-native peers. Social determinants of health significantly impact AIs; socioeconomic status, geographic location of reservations, and family and community dynamics uniquely impact health outcomes and risk factors of AI families and communities. This scholarly project investigates the disparity of childhood obesity within the AI community and the potential of a culturally relevant and acceptable family-based program to reduce the prevalence. A community advisory board (CAB) and components of successful AI-specific programs will guide the development of a culturally relevant family-based program. This project aims to reduce the prevalence of childhood obesity in AI children by supporting nutritional knowledge and sovereignty, family engagement, and positive behavior support and coping mechanisms. A culturally relevant family-based program has the potential to reduce the prevalence of childhood obesity in AI children and improve health equity.Item Medicaid expansion and child maltreatment(Montana State University - Bozeman, College of Agriculture, 2019) Holom, Nicholas George; Chairperson, Graduate Committee: Wendy A. StockWith the recent major changes to the Medicaid program through the Affordable Care Act (ACA) and through individual states' expansions to Medicaid, more effort has been applied to understanding the effects of the Medicaid program beyond health. The prevalence of child maltreatment among families of low-income and poor health motivates the question of how expansions to Medicaid may affect child maltreatment. This study contributes to the literature by examining the contemporaneous effects of changes to Medicaid on child maltreatment. I find that increased Medicaid eligibility reduces the incidence of both reported and substantiated child neglect and child sex abuse.Item An assessment of the feelings and coping behaviors of and resources for families of alcoholics(Montana State University - Bozeman, 1978) Feyen, Arlene Marie Wilson