Pike County CES

Title:

Active Living and Health Promotions

MAP:

Improve Physical and Mental Health

Agents Involved:

Froman, Porter, Stumbo, Workman

MAJOR PROGRAM 1:

Active Living and Health Promotions General

Situation:

With the increased trend of chronic disease and obesity in Kentucky, individuals, families, and communities need tools and environments that support healthy and active lifestyle choices. CES agents are encouraged to reach diverse audiences to help combat chronic disease and obesity in Kentucky communities. Focusing on a foundation of overall direct health education to increase health literacy and ability to make healthy lifestyle choices. Including, creating spaces or opportunities for active living and health behaviors.

Healthy living is one of three 4-H mission mandates and encompasses: physical activity, personal safety, mental health, addiction prevention, and diversity and inclusion.  In Kentucky 37% of youth 10-17 are overweight or obese, and 51% report not exercising regularly. 25% of youth report some form of emotional or behavioral condition and suicide rates are at record high (KY suicides per 100,000 people: 15.3, 10th highest in nation). Substance Use Disorder and Mental Health disease can affect anyone, with 1,160 reported opioid-involved deaths (a rate of 27.9 deaths per 100,000 persons) in Kentucky and Vaping nearly doubled among middle and high school students — with 27% of high school seniors reporting they had tried the product in 2018.

Long-Term Outcomes:

• Routinely meeting physical activity and dietary recommendations that promote health and wellness (e.g. 150 minutes a week of moderate activity and consuming recommended daily fruits and vegetables)
• Community environment promotes healthy behaviors where people live, learn, work, and play
• Reduce the rate of chronic disease and obesity
• Reduced fatalities
• Reduced number of children in foster care
• Reduced incarceration
• Increased number of youth maintaining positive health habits;
• Increased number of youth at a lower risk for serious disease and illness;
• Increased number of youth at a lower risk for physical and emotional distress
• Reduce the number of youth reporting drug, alcohol, and tobacco use

Intermediate Outcomes:

• Generate positive attitudes toward changing lifestyle choices to be more healthy
• Increase intake of fruits, vegetables, and other nutrient-dense foods
• Improve self-efficacy in physical activity, movement, and active routes to destinations 
• Decrease tobacco/ substance use
• Increased adoption and mastery of healthy behaviors that lead to a healthy lifestyle 
• New coalitions developed to address Substance Use Disorder and Mental Health 
• Improved access and utilization of resources
• Improved perceived stress and ability to cope
• Youth will contribute to their communities
• Youth will practice refusal skills, 
• Youth will intervene to prevent use/abuse  
• All agents trained in Youth Mental Health First Aid

Initial Outcomes:

• Increase awareness about lifestyle choices and chronic disease (e.g. tobacco use, poor nutrition, & lack of physical activity) 
• Increase confidence in ability to employ healthy practices 
• Improve food and nutrition-related skills (e.g. preparation techniques, safe food handling)
• Increase motivation to be active
• Increase awareness of accessible safe places for activity
• Improved in awareness of health concerns for youth
• Improved education about Substance Use Disorder and Mental Health disease
• Improved education about diversity and Inclusion 
• Reduced stigma of individuals with Substance Use Disorder and Mental Health disease
• Improved understanding of the consequences of risk behaviors
• Promote optimal physical, social and emotional health habits 

Evaluation:

Evaluation: 

Outcome:  Nutrition knowledge and dietary intake

Indicator:  Number of individuals who reported: eating 4-6 servings of fruits and/or vegetables daily; utilize the food label to make healthy food choices; choosing smaller portions

Method: Self-report surveys

Timeline:  Pre-post implementing curricula or program

Outcome: Physical Activity knowledge, skills, and competencies 

Indicator:  Number of individuals who reported: knowledge and skills gained about the benefits of physical activity; adoption of physical activity practices; increase in physical activity levels

Method: Self-report survey

Timeline:  Pre-post implementing curricula or program

Outcome:  Substance Use

Indicator:  Number of individuals who reported: gained knowledge of the resources that are available for substance use in the community as a result of Extension programming

Method: Self-report survey

Timeline: Pre-post implementing curricula or program

Outcome: Chronic Disease Prevention

Indicator:  Number of individuals who reported: participants who had one or more health indicator (cholesterol, blood pressure, body mass index, blood glucose) improved.

Method: Self-report survey

Timeline:  Pre-post implementing curricula or program

Outcome: Number of youth who indicated they learned about healthy food choices through 4-H

Method: Classroom surveys, Facebook and e-mail quotes.

Number of youth who were educated on health and well-being through 4-H programs? (KOSA)

Number of youth who indicated they made healthy lifestyle choices as are result of what they learned through 4-H programming? (PRACTICE)

Number of youth who indicated they increased their daily number of servings of fruits and vegetables eaten as a result of 4-H programs? (PRACTICE) 

Number of youth who indicated “yes or usually” to the Common Measures Experience Survey Question #6 “Is 4-H A place where you get to figure out things for yourself?” (SEEC)

Number of youth who indicated “yes or usually” to the Common Measures Experience Survey Question #13 “Is 4-H a place where you have a chance to be a leader?” (SEEC)

Learning Opportunities:

Learning Opportunities: 

Audience: Communities

Project or Activity:  Policy, Systems, and Environmental Approaches

Content or Curriculum: Faithful Families, Health Coalitions, Shared Space Agreements

Inputs: Volunteers, faith-based organizations, community partners, key stakeholders, elected officials, Health Coalitions, Employee Health and Wellness, SNAP-Ed Toolkit 

Date: Ongoing projects throughout the year

Audience: Families and Individuals

Project or Activity:  Chronic Disease Prevention

Content or Curriculum: Publications, Health Bulletins, Cook Together Eat Together, Mastering Food Choices, Dining with Diabetes, Fit Blue, and Faithful Families, Plate It Up! Kentucky Proud Resources, Health Partners, Keys to Embracing Aging

Inputs: Programmatic materials, paid staff, community partners, faith-based organizations, health coalitions, Healthcare Providers, Health Department, Non-profits, Schools, Company Health & Wellness, Homemakers, Community Centers, etc. 

Date: Ongoing projects throughout the year

Project or Activity:  Physical Activity

Content or Curriculum: Publications, Faithful Families, Shared Space Agreements, Health Coalitions, Fit Blue, Health Partners, and Keys to Embracing Aging

Inputs: Paid staff, volunteers, facilities, health coalitions, Healthcare Providers, Health Department, Non-profits, Schools, Company Health & Wellness, FBOs, Homemakers, Community Centers

Date: Periodically each year

Audience: Kentucky Extension Homemakers Association/Volunteers

Project or Activity:  Promoting Healthy Lifestyle Choices 

Content or Curriculum: Health Bulletins, Monthly Leader Lessons

Inputs: Volunteers, paid staff, community partners

Date: Monthly

• Mental Health 
  • Curriculum: Building Character and Social-Emotional Learning, Mindful Me, Centering on me, Youth Mental Health First Aid  
• Personal Safety 
  • Curriculum: Code name: Home Alone, Keeping Fit & Healthy- First Aid in Action, Headlines for Health
• Physical Health 
  • Curriculum: 4-H Dance-fit, Get Moving Kentucky, Keeping Fit & Healthy, SPARK, Steps to a Healthy Teen, Bicycling for fun, Wheels in Motion, Outdoor Adventures, U.S.D.A website.
• Diversity and Inclusion 
  • Curriculum: Building Character and Social-Emotional Learning, Essential Elements, Diversity: The source of Our Strength, Be SAFE: Safe, Affirming, & Fair Environments, Black History, 4-H LIFE   
  • Curriculum: Health Rocks!, Youth Mental Health First Aid

Success Stories