Knott County CES

Title:

Making Healthy Lifestyle Choices

MAP:

Family Wellness

Agents Involved:

Linda Combs

MAJOR PROGRAM 2:

Substance Use Prevention and Recovery General

MAJOR PROGRAM 3:

Active Living and Health Promotions General

Situation:

With the unemployment rate in the county on the rise up to 15.6% through 2015 and early 2016, community leaders through surveys, council meetings, and one-on-one face meetings have directed Extension programming to focus on areas dealing with: family relations, drugs, unemployment, motivating children to succeed, peer pressure, helping aging baby boomers learn to adapt to the aging process and financial management. Many of Knott County families struggle with one or more of these problems. Children who start kindergarten with delayed development and fewer assets are by far more likely to repeat grades, get tracked into lower-tier classes and drop out of high school. Knott County’s population of seniors is 13.4% a number that is expected to increase due to aging baby boomers.

According to the CDC’s County Diabetes Atlas, in Knott County in 2012:

• 15.0% (18.3%-11.9%) of adults reported having been diagnosed with diabetes

• 40.7% (46.3%-35.3%) of adults 18 years and over were obese

• 37.6% (43.8%-32.0%) of adults reported no leisure-time exercise in the past

Long-Term Outcomes:

•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 dai

•Improvement in the mental health and wellbeing of Knott county residents.

•Manage and prevent the risk, debilitation, and premature death related to diabetes, cancer, heart disease, stroke and hypertension

Intermediate Outcomes:

•Practice healthy food choices and strengthen individuals’ ability to build healthy eating plans and patterns.

•Maintain appropriate calorie balance during each stage of life: childhood, adolescence, adulthood, pregnancy and breastfeeding and older age

•Practice of physical activity in families and communities and decreased time spent on sedentary behaviors

•Strengthen community coalitions or partnerships to address obesity, physical inactivity and chronic disease.

Initial Outcomes:

Change in awareness, knowledge, opinions, skills, and attitudes needed to make informed choices regarding:

• Healthy lifestyle choices

•Childhood and youth obesity

•Adult weight management

•Healthy aging

•Practice and promotion of daily physical activity

Evaluation:

Initial Outcome: Knott County residents will make healthier lifestyle choices in regards to: preventive health care, obesity, getting physically fit, food safety.

Indicator: Number of participants that show positive changes in wellness activities.

Method: pre and post evaluations, observations, surveys.

Timeline: on-going, beginning and end of programs and after programs are completed.

Intermediate Outcome: county residents are physically moving more and eating healthier

Indicator: number of people buying fresh produce, number of people moving more

Method: pre and post surveys, observations, surveys

Timeline: ongoing, follow up evaluation

Long-term Outcome: decrease in the number of obese children and adults

Indicator: amount of produce bought, increased physical activity

Method: post (long term) evaluations, observations, CDC reports

Timeline: on-going

Learning Opportunities:

Audience: youth

Project or Activity: Truth and Consequences the Choice is Yours

Content or Curriculum: Truth and Consequences the Choice is Yours

Inputs: Agents, program assistant

Date: Fall 2019

Audience: Adults

Project or Activity: Making Healthy Lifestyle Choices

Content or Curriculum: UK Extension materials

Inputs: FCS Agent

Date: on-going

Audience: Adults

Project or Activity: Addiction 101

Content or curriculum:  UK extension curriculum

Input:  Linda Combs, Knott Co FCS

Date: March 2020

Success Stories