Extension
It Starts With Us
Healthy from the Ground Up
Nutrition & Food Access, Physical Activity, and Healthy Lifestyles
Nuetzman, Guffey, and Cecil
Truth and Consequences: The Choice is Yours
Weight the Reality Series
Health 4-H Core Curriculum
Farmer's Markets
A review of trend data for Clinton County (estimated population 10,165) reveals a community plagued by poverty, unemployment, substance abuse, low literacy and education levels, and a number of other risk factors. According to the 2008-2012 American Community Survey 5-Year estimated from the US Census Bureau and Foundation for a Healthy Kentucky (www.kentuckyhealthfacts.org), an estimated 28% of the residents live below the poverty line. 18.6% of Clinton County residents are burdened with food insecurity. Clinton County also has an estimated 40% of residents that are obese. Residents have also reported that only 7% get the recommended intake of fruits and vegetables each day. The community has limited stores in rural areas of the community, therefore, access to food, especially high quality nutritious food, is a major concern. USDA Economic Research Service reports that 261 households do not have a vehicle and have low access to supermarkets. There were 2,875 SNAP recipients in 2014 (Kentucky Cabinet for Health and Family Services. Data Book. December 2014). Furthermore, according to 2016 County Health Rankings, Clinton County is ranked 102nd of 120 counties in health outcomes which represent how healthy the county is based on length and quality of life; and the community is ranked 103rd of 120 Kentucky counties in health factors which include behaviors such as physical inactivity, smoking and drinking, teen births, obesity, etc.
Community members of all ages need access to healthy foods as well as increased and enhanced opportunities for physical activity. Clinton County has a variety of barriers to physical activity such as lack of access to places with physical activity opportunities, lack of sidewalks and lighting, high traffic and safety fears, and limited access to stores, schools, and worksites in remote or outlying areas of the community. Due to the adult obesity rate, the county has received support from Centers for Disease Control and Prevention to address healthy eating and physical inactivity from the policy, environmental, and systems perspective.
-A decrease in the number of obese and overweight children, youth, adults and elderly
-Increase in the practice and promotion of physical activity and healthy eating daily
-Improvement in the built environment to promote physical activity and healthy eating
-Increase in policies that address obesity, physical inactivity and promotion of proper nutrition
-Instances of food insecurity will decline in the community
-Youth will be food secure when school is not in session
•Practice healthy food choices and strengthen individuals’ ability to build healthy eating plans and patterns
•Increased practice of physical activity in families and communities and decreased time spent on sedentary behaviors
•Community members advocate for policy
•Changes related to obesity, physical activity and healthy eating.
•Strengthen community coalitions or partnerships to address obesity, physical inactivity and chronic disease.
•Increase in production and consumption of locally grown products
•Increased participation in the farmers market by both vendors and patrons
•Eligible families participate in nutrition assistance programs (SNAP, WIC, Summer Feeding, etc.) and utilize benefits including those for the farmers market (seniors and WIC)
•4-H members realize profits from 4-H garden by selling produce at local farmers market
Change in awareness, knowledge, opinions, skills, and attitudes needed to make informed choices regarding:
•Healthy lifestyle choices
•Childhood and youth obesity
•Adult weight management
•Practice and promotion of daily physical activity
•Policies that that reduce the level of obesity
•Reduction of chronic disease
•Gardening and the importance of sustainable local agriculture to health and financial well-being
Initial Outcome: Participants will enhance knowledge of one or more health, nutrition, or physical activity practices
Indicator: Data retrieved from pre and post tests, follow-up evaluations/surveys, 24 hour food recalls, narrative feedback, and observation of hands-on activities
Method: Curricula evaluations
Timeline: Completion of programs and subsequent 3-6 months follow-up evaluations as needed
Intermediate Outcome: Increased purchase and consumption of locally grown produce. Increased participation in and utilization of nutrition assistance benefits. Adoption of practices related to enhanced healthy eating and physical activity.
Indicator: Producer sales reports, reports from nutrition assistance programs, changes in 24 hour recalls, physical activity logs, follow-up evaluations with program participants using various evaluation instruments
Methods: Program evaluations, sales reports, secondary data from community partners
Timeline: Completion of program, market seasons, annual data
Long-term Outcome: Decreased number of obese/overweight youth and adults. Measurable changes/improvements in built environment. Increased policies regarding nutrition and physical activity. Decreased number of food insecure families. Decreased 30 day use of substances among youth. Social norms are less supportive of drug use and abuse.
Indicator: Number of environmental changes promoting health and physical activity, number of policies regarding physical activity and nutrition, decreased CDC obesity rate data, number of food insecure families
Methods: Qualitative and quantitative reports, state and national data review, environmental scans, etc.
Timeline: Completion of specific projects, quarterly and annual review
Audience: Families with young children
Activity: Kids Korner Newsletter
Content or Curriculum: Exclusives, FCS Agent News Releases, publications, etc.
Inputs: Kentucky CES publications and resources
Date: July 2017-June 2018
Audience: General Public/youth and adults
Activity: Color Your World with Health & Imagination/Second Sunday
Content or Curriculum: UK Health Care literature, HEEL bulletins, Health Department literature, community agencies, pedometers, screenings, displays, diabetes grant, physical activity options, etc.
Inputs: CES Staff, FRYSC, Healthy Hometown, Early Childhood Council, etc.
Date: September 2017
Audience: General Public
Activity: Media (weekly newspaper articles and radio spots)
Content or Curriculum: Exclusives, FCS Agent News Releases, publications, HEEL materials, etc.
Inputs: CES staff, UK Specialists, eXtension, CDC, and other state Extension programs
Date: July 2017-June 2018
Audience: Freshman Students and Families
Activity: Truth and Consequences: The Choice is Yours
Content or Curriculum: Truth and Consequences program materials, local statistics and print materials.
Inputs: Clinton County Schools, various community partners, faith based community, Chamber, Interagency, etc.
Date: Spring 2018
Audience: KY CES Staff and Respective Community Partners
Activity: Truth and Consequences: The Choice is Yours Trainings for various counties and coalitions
Content or Curriculum: Truth and Consequences program materials, local statistics, and print materials.
Inputs: KY CES Agents and Specialists, CDC, SAMSHA, NIH, etc.
Date: July 2017-June 2018
Audience: General Public/SNAP Recipients
Activity: Nutrition Education Program
Content or Curriculum: Healthy Choices for Every Body, NEP materials, FCS publications
Inputs: Senior Center, Horizon Adult Day, faith based community, schools, KINnections, volunteers, etc.
Date: July 2017-June 2018
Audience: Farmers Market Vendors and Consumers and General Public at Grocery Stores
Project or Activity: Plate It Up Kentucky Proud and other Extension recipes demonstrations and sampling
Content or Curriculum: Plate It Up Kentucky Proud and NEP
Inputs: Grocery store staff, FRYSC, EPHECT and Healthy Hometown, volunteers, etc.
Date: Quarterly 2017-2018
Audience: Migrant and Hispanic Families
Activity: Hispanic Health Fair/Wellness Day at Keystone Foods
Content or Curriculum: More health literature and curriculum in Spanish is needed for our community.
Inputs: Health Department, medical community, volunteers, etc.
Date: Spring 2018
Audience: General Public
Activity: Big Blue Shape Up (localized Weight the Reality Series)
Content: Weight the Reality Series, Get Moving Kentucky, local agencies, health & wellness literature, etc.
Inputs: Extension Staff, Health Department, Cumberland Family Medical, Healthy Hometown, etc.
Date: Fall 2018
Audience: Kindergarten Students
Activity: Healthy Living Day at Early Childhood Center
Content: LEAP and other youth education materials
Inputs: Extension Staff, Healthy Hometown, Cumberland Family Medical, Aetna
Date: Spring 2018
Audience: Extension Homemakers, Community Partners, General Public
Activity: FCS Extension Newsletter
Content or Curriculum: Exclusives, FCS Agent News Releases, publications, HEEL materials, etc.
Inputs: KY Extension Specialists, eXtension, etc.
Date: Monthly/Bimonthly July 2017-June 2018
Audience: School Age Youth
Activity: Farm to Plate Classes and Enrichment Activities
Content or Curriculum: Farm to School, Acres of Adventure
Inputs: Producers, Cattlemen's Association, Clinton County Schools, etc.
Date: July 2017-July 2018
Audience: Youth
Activity: Youth Nutrition, Health, & Wellness Enrichment Classes
Content or Curriculum: Wellness in Kentucky, MyPlate, FCS & 4-H Extension Curricula, eXtension, etc.
Inputs: Extension Staff, volunteers, schools, community partners
Date: Throughout year
Audience: Youth and Adults
Activity: Substance Abuse Prevention & Education
Content or Curriculum: Various evidence based substance abuse prevention curricula specifically WISE implementation with seniors, KASPER, etc.
Inputs: KY-ASAP, community partners, Extension Staff
Date: Throughout year
Audience: Senior Adults/General Public
Content or Curriculum: Matter of Balance
Inputs: Churches, Nursing Home, Senior Life Improvement, Homemakers, etc.
Date: July 2017-June 2018
Author: James Cecil
Major Program: Health 4-H Core Curriculum
In 2018 we opened our yearly Sally up to the other counties that we are going to be camping with this year. Cumberland and Casey both participated and came to Clinton County to participate in our Sally. We were able to talk about some healthy life choices like how exercise is good for your body and how water is much better for you to consume instead of soft drinks. I am amazed at how much children really enjoy learning and exercising while having fun. All students learned
Author: Christy Stearns
Major Program: Get Moving Kentucky (Physical Activity Based Programs)
According to the Centers for Disease Control and Prevention, 40.1% of Clinton County adult residents are obese. Over the past three years, over $65,000 of support and resources from the UK Cooperative Extension Programs to Reduce Obesity in High Obesity Areas (CDC-1416) has helped enhance the built environment of the community and expand opportunities for physical activity. The Clinton County Extension Office organized a Longest Day of Play event to create an awareness of physical activity
Author: Christy Stearns
Major Program: Accessing Nutritious Foods (general)
According to Feeding America, the overall food insecurity rate in Clinton County is 16.5%. In an effort to address food insecurity, the Clinton County Extension Office coordinated an “I Can Help Fight Hunger” event at a local grocery store. The event promoted the summer feeding program, provided Plate It Up Kentucky Proud recipe samples, increased awareness of the food insecurity need throughout the community, and collected canned and non-perishable food items that will be distribute
