Making Healthy Lifestyle ChoicesPlan of Work

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Shelby County CES

Title:
Making Healthy Lifestyle Choices
MAP:
Healthy Lifestyles
Agents Involved:
Regina Browning, Sheila Fawbush, Corinne Belton
MAJOR PROGRAM 1:
Family and Consumer Science
MAJOR PROGRAM 2:
Health
MAJOR PROGRAM 3:
Nutrition and Food Systems General
MAJOR PROGRAM 4:
Active Living and Health Promotions General
Situation:


The obesity epidemic threatens the quality and years of Kentuckians' lives. Obese individuals are at increased risk for many chronic health conditions, including type 2 diabetes, heart disease, stroke, and some types of cancers. The obesity rate in Kentucky increased 90 percent over the last 15 years. Thirty percent of individuals in the Commonwealth report no leisure-time physical activity. Increased consumption of unhealthy food, stress, and built environments that promote physical inactivity are largely responsible for the obesity epidemic. As a result, Kentuckians are dying from heart disease and cancer at higher rates than all Americans and they have a lower life expectancy, 75.5 years, compared to 78 years for Americans. Minorities bear a heavier brunt of the obesity and chronic disease burden. The goals of the Making Healthy Lifestyle Choices Initiative is to reverse these trends by working with various organizations, agencies, and groups to promote the health and wellness of all Shelby Countians. This issue as one identified by the FCS Advisory Council, Shelby County 4-H Council and the Shelby County Extension Council.

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.


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

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

 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.

 Improvement in the mental health and well-being of Kentuckians.

Increase the estimated health savings in dollars for chronic disease.


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

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

Maintain appropriate calorie balance during each stage of life.

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

Community members advocate for policy.

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

Practice healthy lifestyle decision-making that strengthen individuals' ability to cope with normal life stressors.

Changes related to obesity, physical activity and healthy eating.


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 

Change in awareness and KOSA 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

* Policies that reduce the obesity level

* Reduction of chronic disease


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



Initial Outcome: Change in KOSA regarding physical activity, nutrition, and prevention of chronic disease.

Indicator: Number of individuals gaining KOSA in healthy choices

Method: pre and post tests, program forms, end of session goal setting, end of session questionnaire

Timeline: completion of program


Initial Outcome:  Substance Use Prevention

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

Method: Self-report survey

Timeline: Pre-post implementing curricula or program


Intermediate 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


Intermediate Outcome:  Availability / Access to healthy lifestyle choices 

Indicator:  Number of communities, health coalitions, or organizations who reported: implemented policy, system, and/or environmental changes to promote healthy eating and active living

Method: Self-report survey

Timeline:  Pre-post implementing curricula or program


Intermediate Outcome: Changes in practices regarding physical activity, nutrition, and prevention of chronic disease.

Indicator: Number of individuals adopting healthy lifestyle choices

Method: personal narrative, observation, follow-up surveys

Timeline: 3 months or more after program completion


Long-term Outcome: Obesity decreases, reduction in chronic disease

Indicator: County Health Data

Method: County Health Data research

Timeline: Annually for ten years

Learning Opportunities:


Audience: Adults and Youth

Project or Activity: First Saturday Walk About

Content or Curriculum: Planned physical activity - a group walk

Inputs: Family Activity Center location

Date: First Saturday of each month (July 2021 - June 2022)


Audience: Adults

Project or Activity: Red Dress Luncheon

Content or Curriculum: Heart Health Speaker, Heart Health Lunch, FCS publications, UK Health Pubs, American Heart Association materials, American Diabetes Association materials

Inputs: sponsors, community partners, publications

Date: Feb 2022


Audience: Adults

Project or Activity: Weight the Reality Series: Becoming Weight Wise

Content or Curriculum: Weight the Reality Series: Becoming Weight Wise

Inputs: Kentucky CES publications and resources

Date: Feb - May 2022


Audience: Adults and Youth

Project or Activity: Get Moving Kentucky

Content or Curriculum: Get Moving Kentucky

Inputs: Get Moving Kentucky publications and forms

Date: April - June 2022


Audience: Women over 50

Project or Activity: Annual Ovarian Cancer Awareness Project/Screening

Content or Curriculum: Ovarian Cancer Screening at UK, Ovarian Cancer information

Inputs: UK Ovarian Cancer Screening Techs and location, Ovarian Cancer Information

Date: October and November 2021,  June 2022


Audience: Adults and Youth

Project or Activity: Health and Fitness Fun Day

Content or Curriculum: Bike Rodeo, sun safety, fire safety, drug prevention, health screenings, physical activity demonstrations

Inputs: Family Activity Center location, Bike Rodeo, sun safety, fire safety, drug prevention, health screenings, community partners, door prizes, corporate sponsors

Date: April 2022


Audience: 4-H School Clubs

Project or Activity: Nutrition Program

Content or Curriculum: 4-H Health Curriculum, My Plate Resources, 4-H Cooking Curriculum

Inputs: curriculum

Date: March 2022


Audience: 4-H Campers

Project or Activity: Physical Activity Opportunities, Outdoor Recreation

Content or Curriculum: 4-H Health Curriculum, 4-H Camp Programming

Inputs:outdoor recreation opportunities

Timeline: June or July 2022


Audience: 4-H Youth

Project or Activity: Food-A-Rama including nutrition/cooking demo

Content or Curriculum: 4-H Health Curriculum, 4-H Cooking Curriculum, My Plate Resources

Inputs: curriculum, demo supplies

Date: July 2022


Audience: 4-H Members

Project or Activity: 4-H Cooking Programs

Content or Curriculum: 4-H Health Curriculum, 4-H Cooking Curriculum

Inputs: 4-H Health Curriculum, 4-H Cooking Curriculum, My Plate Resources

Date: April 2022, various times throughout year


Audience: Extension Homemakers & other adults

Project or Activity: Prepare to Care

Content: UK Publications, AARP

Input: UK Publications, AARP

Date: Apr - May 2022


Audience: Extension Homemakers & other adults

Project or Activity: Bingocize

Content: Bingocize Curriculum, movement, Bingo

Input: Bingocize Curriculum

Date: Aug - Oct 2021; Apr - Jun 2022

Updated 4/15/21



Success Stories

County Walk Challenge

Author: Sheila Fawbush

Major Program: Active Living and Health Promotions General

Physical activity is one of the best ways to maintain your physical and mental health especially in the recent period of COVID guidelines of isolation and social distancing.  But, one study states that almost 80 percent of adults are not meeting the minimum guidelines for physical activity.  The lack of physical activity is linked to approximately half of all American adults having one or more preventable chronic diseases.  According to “Kentucky Health News”, Kentucky

Full Story

4-Hers Learn to Eat Right Every Day

Author: Sheila Fawbush

Major Program: Nutrition and Food Systems General

Kentucky has the third-highest childhood obesity rate in the country and the seventh-highest rate in adult obesity, Trust for America’s Health’s “F as in Fat” report shows.   Sixty percent of Kentucky women and 80 percent of men living in the state are either overweight or obese.   Next to Mississippi, Kentucky youth drink the most soft drinks in the country – up to 89 gallons per person, according to information compiled from the USDA’s Food Environ

Full Story

4-Hers learn to "Eat Right, Be Active Everyday!" for Health

Author: Regina Browning

Major Program: Health

The prevalence of obesity in America has been an ongoing and increasing issue. In Kentucky, 30% of adults are obese, while Shelby County has a 30.9% obesity rate. The low-income preschool obesity rates are alarming as well, with 21.3% of children being overweight or obese in Shelby County, and 15.9% of children being overweight and obese in the entire state. According to Kentucky Health News in early 2014, only 23% of Kentuckians consume the recommended 5 or more servings a day of fruits and veg

Full Story
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