Extension
It Starts With Us
Increase health literacy & activity and encourage nutritious food choices.
Making Healthy Lifestyle Choices
Melissa Goodman, Paula McCuiston, Mattea Mitchell
Health 4-H Core Curriculum
Making Healthy Lifestyle Choices (general)
Accessing Nutritious Foods (general)
Building Healthy Coalitions
Lifestyle and behavioral risk factors contribute greatly to the onset of the chronic diseases that are the leading causes of death for Kentuckians. On overall health indicators a national report card ranks Kentucky 44th out of 50 states (United Health Foundation State Health Rankings, 2015). According to the County Heath ranking, Hickman County ranks 73 out of 120 counties in the state for health outcomes and 23 out of 120 for health factors with greatest challenges being adult obesity (35%), physical inactivity (32%) diabetic monitoring (88%), and access to exercise opportunities (53%).
Youth in Hickman County are at risk for being obese and developing diabetes. Other challenges that face the youth of Hickman County are lack of physical activity and the overall health related issues including disease. When children become overweight at a young age, they are more likely to continue being overweight into adolescence and adulthood. Our Extension Council and County Issues Forum in Hickman County agrees with this assessment and supports this program plan.
•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 wellbeing of Kentuckians
•Manage and prevent the risk, debilitation, and premature death related to diabetes, cancer, heart disease, stroke and hypertension
•Increase policies that address obesity, physical inactivity and promotion of poor nutrition
•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
•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.
•Practice healthy lifestyle decision-making that strengthen individuals’ ability to cope with normal life stressors
•Participants will understand importance of and learn how to be physically fit.
•Participants will aspire to include exercises in daily life.
•Participants will learn the differences between portion sizes and serving sizes
•Participants will learn to prepare or choose a healthy snack
•Participants will gain knowledge of the relationship between disease and weight
•Participants will learn how to read food labels
•Participants will understand relationship between caloric intake and energy output
•Participants will understand health related terminology
•Participants will increase knowledge of the benefits of physical activity
Initial Outcome: Youth will understand the importance of and learn how to be being physically fit
Indicator: Increase in knowledge of physical activity
Method: Observation, Surveys
Timeline: 17-18 Program Year
Intermediate Outcome: Youth will practice healthy living skills
Indicator: Youth will participate in physical activities
Method: Observation, follow up surveys
Timeline: 17-18 School year
Intermediate Outcome: Youth will increase time spent doing physical activity
Indicator: Positive Response of 30 minutes of physical activity
Method: Self-Reports through surveys/questionnaires
Timeline: 17-18 School year
Initial Outcome: Participants will increase knowledge related to eating less foods that are eaten in excess.
Indicator: Number of individuals who reported increase in knowledge related to eating less of foods/food components which are commonly eaten in excess (sodium, saturated fats, trans fat, cholesterol, SoFAS, refined grains
Method: Evaluation from Weight the Reality Series and Making Healthy Lifestyle Choices Curriculum
Timeline: Fall 2017
Intermediate Outcome: Participants will make lifestyle changes.
Indicator: Number of individuals who made lifestyle changes (diet, exercise, managing stressors, etc.) for the purpose of improving their health
Method: Evaluation and Surveys Pre and Post
Timeline: Spring 2018
Audience: Pre-K-Elementary to 4th grade
Project or Activity: Germ Busters
Content or Curriculum: CDC Hand Washing Resources, American Cleaning Institute Materials
Inputs: Extension Staff, Youth, HCES, FRYSC
Date: Fall 2017
Audience: Elementary / High School
Project or Activity: Health Fair
Content or Curriculum: UK Curriculum, Think Your Drink, SOFA's
Inputs: Extension Staff, SNAP Ed Assistant, HEEL Program, KAPS Family Resource Center, Community Education Coordinator, Hickman County School System, and other community organizations
Date: 17-18 School Year
Audience: Youth
Project or Activity: Bullying
Content or Curriculum: Safe and Caring Schools Curriculum
Inputs: 4-H Agent, School Guidance Counselor, School Facility
Date: 17-18 School Year
Audience: Elementary and Middle School Students
Project or Activity: Ready Set Run! Club
Content or Curriculum: Ready, Set, Run! Program, National Alliance for Youth Sports (NAYS), Get Moving Kentucky Youth
Inputs: FCS Agent, 4-H Agent, Extension Volunteers, PE Teacher, School Staff, Local Running Club, Business and Community Support
Date: 17-18 School Year
Audience: Youth
Project or Activity: Professor Popcorn
Content or Curriculum: Professor Popcorn
Inputs: 4-H Agent, Youth, SNAP Ed, Elementary School Facility
Date: 17-18 School Year
Audience: Preschool and Primary Students
Project or Activity: LEAP - Preschool and Primary
Content or Curriculum: LEAP Curriculum
Inputs: Extension Staff FCS, 4-H and Ag, Pre-K and Head Start, SNAP Ed
Date: Spring 18
Audience: Youth, Afterschool Program Participants
Project or Activity: Falcon Fit
Content or Curriculum: SPARK, Get Moving KY
Inputs: 4-H Agents, FRYSC Coordinator
Date: Fall 2017-Spring 2018
Audience: Adults
Project or Activity: Get Fit Hickman County
Content or Curriculum: Weight the Reality Series, Making Healthy Life Style Choices, General FCS Nutrition Publication
Inputs: FCS Agent, Challenge Runner, Social Media- Facebook Group, UK Health and Wellness
Date: 2017-2018 Program Year
Audience: Adults
Project or Activity: Weight the Reality Series
Content or Curriculum: Weight the Reality Series Curriculum
Inputs: FCS Agent, Purchase District Health Department
Date: Fall 2017
Audience: General Adult Population
Project or Activity: Holiday and Summer Zero Weight Gain Challenge
Content or Curriculum: UK Health and Wellness, FCS General Health Publications
Inputs: FCS Agent, Social Media- Facebook Group
Date: Thanksgiving to Christmas Holiday Break/ Summer Break
Audience: Adults with Diabetes or Family with Diabetes
Project or Activity: Taking Ownership of Diabetes
Content or Curriculum: Taking Ownership of Diabetes
Inputs: FCS Agent, Purchase District Health Department, Diabetes Coalition
Date: Support Group Once a Month through 17-18 program year
Audience: Older Adults and Caregivers
Project or Activity: Dementia Awareness/Caregiver Support
Content or Curriculum: Know the 10 Signs w/ the Alzheimer’s Association
Inputs: FCS Agent, JOY Group, Alzheimer's Association, Hickman County Senior Center
Date: Fall 2017
Audience: Families
Project or Activity: Families on the Move
Content or Curriculum: Families on the Move UK Extension FCS Curriculum
Inputs: FCS Agent, Purchase District Health Department, Purchase Area Health Coalition
Date: Spring 2018
Author: Mattea Mitchell
Major Program: Agriculture 4-H Core Curriculum
Throughout the program, students were able to visualize what part of the plant they were consuming. Students were able to be creative in making their "stems" tasty!Lettuce wraps (leaves of the plant) for the win!According to the Center for Disease Control and Prevention, the percentage of children aged 6–11 years in the United States who were obese increased from 7% in 1980 to nearly 18% in 2012. Similarly, the percentage of adolescents aged 12–19 years who were obese incre
Author: Melissa Goodman
Major Program: Keys to Embracing Aging
Keys to Embracing Aging Brain Program Success StoryA healthy brain is crucial to survival, growth and everyday successes (Smith, 2010). Similar to the rest of the body, the brain needs exercise and maintenance in order to optimize and protect its current and future health. In particular, the brain needs socialization, mental stimulation, physical activity, nutrition and sleep (AARP/Dana Alliance for Brain Initiatives, 2009; Alzheimer’s Association, 2011). Carlisle County presented Keys to
Author: Paula McCuiston
Major Program: Family and Consumer Sciences 4-H Core Curriculum
~~According to the Centers for Disease Control and Prevention, the single most important thing we can do to keep from getting sick and spreading illness to others is to wash our hands. This program teaches correct hand-washing steps, when to wash hands and the importance of hand-washing. The Hickman County FCS, ANR and 4-H Agents utilize experiential learning to teach handwashing skills with a germ bag and black light. Students take home the American Cleaning Institute “Don’t Do the
Author: Paula McCuiston
Major Program: Health 4-H Core Curriculum
Ready Set RunAccording to the Centers for Disease Control and Prevention website, obesity still remains at about 17% among our nation’s young people ranging in ages 2-19 years even though the rate of obesity in 2-5 year olds has been on a downward slope. This is the second year for this program because the local support and interest in this program had grown tremendously. The Hickman County ANR, FCS and 4-H Agents teamed up to form our second Ready Set Run Club.
Author: Mattea Mitchell
Major Program: Health 4-H Core Curriculum
Hickman County Elementary and Middle School students and parent volunteers prior to the Chicken Fest 5K. According to the Centers for Disease Control and Prevention website, obesity still remains at about 17% among our nation’s young people ranging in ages 2-19 years even though the rate of obesity in 2-5 year olds has been on a downward slope. This is the second year for this program because the local support and interest in this program had grown tremendously. The Hickman
Author: Melissa Goodman
Major Program: Making Healthy Lifestyle Choices (general)
McCracken County Lesson Leader Session of Sweet Enough Without All That SugarAccording to the 2015-2020 Dietary Guidelines, about half of all American adults—117 million individuals—have one or more preventable chronic diseases, many of which are related to poor eating and lack of physical activity. The dietary guidelines encourage people to eat more nutrient-dense foods as well as foods low in fat, sodium, and sugar. Added sugars account for more than 13 percent of calories per
Author: Paula McCuiston
Major Program: Health 4-H Core Curriculum
According to the Center for Disease Control and Prevention, the percentage of children aged 6–11 years in the United States who were obese increased from 7% in 1980 to nearly 18% in 2012. Similarly, the percentage of adolescents aged 12–19 years who were obese increased from 5% to nearly 21% over the same period. Because of this we feel that it is important for youth to learn the importance of healthy foods, proper eating habits and exercise. We also feel that youth enjoy learning ho
Author: Melissa Goodman
Major Program: Food Preparation
When working with clientele who have busy schedules, an often heard cry is that of too little time to cook for their families. According to Consumer Reports in 2016 more than $720 billion were spent at restaurants across the United States. A recent Forbes poll shows that millennials spend more than 44% of their food budget eating outside of the home. With obesity rates for adults at 39.7%, we can easily confer the direct correlation between fast food/eating out and being overweight. In order to
Author: Melissa Goodman
Major Program: Youth Fruit & Vegetable Access
LEAP into Health: Primary Students increasing Fruit and Vegetable Consumption On any given day, less than 15% of school children eat the recommended servings of fruit; less than 20% eat the recommended servings of vegetables. In 2013, 29% of 4th graders in Kentucky were reading at the below basic reading level. Because the need for healthy reinforcements is so great for our Kentucky children, the LEAP for Health program for preschoolers was implemented. The curriculum targets children ages
Author: Melissa Goodman
Major Program: Making Healthy Lifestyle Choices (general)
Access to healthcare services is critical to good health, yet rural residents face a variety of access barriers.Ideally, residents should be able to conveniently and confidently access services such as primary care, dental care, behavioral health, emergency care, and public health services. According to Healthy People 2020, access to healthcare is important for:Overall physical, social, and mental health statusPrevention of diseaseDetection and treatment of illnessesQuality of lifePreventable de
