Boyle County CES

Title:

Disease Prevention and Management

MAP:

Improving Health and Wellness through Healthy Lifestyle Choices

Agents Involved:

A. Bruzek, K. Ragland, A. Sheffield

MAJOR PROGRAM 1:

Horticulture, Consumer and Home

MAJOR PROGRAM 2:

Active Living and Health Promotions General

MAJOR PROGRAM 3:

Substance Use Prevention and Recovery General

MAJOR PROGRAM 4:

Family and Consumer Science

Situation:

Fewer chronic diseases and fewer overweight or obese youth were identified as the most important issues that can be directly impacted by the educational programs and support of the Extension Service in the 2019 Boyle County Extension Community Assessment.  The availability of substance use prevention programs and more support for prevention of school violence and bullying also ranked as important issues. The Boyle County Extension Council has identified helping pre-middle school youth make healthier food and lifestyle choices as their number one priority for Extension staff.  Data support this focus by the community on health and prevention:

• Cardiovascular disease is the state’s leading cause of death.
• Diabetes is the fifth leading cause of death with 50% of Kentuckians with or at-risk of developing the disease.
• In number of obese adults, Kentucky ranks fourth in the nation and nearly 20% of school-age children are classified as obese.
• The percentage of local adults over 20 reporting no leisure time physical activity is 30%.
• Local KIP data indicate high rates of drug and alcohol usage, bullying and suicidal thoughts among youth K-12 (2018 KIP Survey).

Long-Term Outcomes:

The county has lower incidence of heart disease and diabetes.

Lower rates of negative and risky behaviors among youth K-12.

Intermediate Outcomes:

Clientele choose to be more physically active.

Clientele practice healthier habits and use screenings to improve health.

Clientele forego substance abuse and risky behaviors.

Initial Outcomes:

Clientele learn about physical activity programs and opportunities in the community.

Clientele review dietary guidelines.

Clientele recognize the negative effects of certain foods, behaviors, and choices on health. 

Youth learn how their bodies work and the impacts of diet, physical activity and lifestyle choices. 

Evaluation:

Initial Outcome: Clientele learn about physical activity programs and opportunities in the community. 

Indicator: Home and Consumer Horticulture 1031; Fit Blue/Get Moving KY 2021; Making Healthy Lifestyle Choices – General 2027; 4-H HCC 4061

Method:  Record of clientele participating in programs; in-program activities; post-program evaluations; follow up contacts with program participants

Timeline: Year-round 

Initial Outcome: Clientele review dietary guidelines. 

Indicator:  Home and Consumer Horticulture 1031; Farmers’ Markets 1054; Making Healthy Lifestyle Choices General 2027; Accessing Nutritious Foods General 2066; Mastering Food Choices 2026; National Dining with Diabetes 2072; Food Preparation 2065; 4-H FCSCC 4041

Method:  Record of clientele participating in programs; in-program activities and verbal reviews; post-program evaluations

Timeline:  Year-round

Initial Outcome: Clientele recognize the negative effects of certain foods, behaviors, and choices on health.

Indicator: Making Healthy Lifestyle Choices General 2027; Accessing Nutritious Foods General 2066; Mastering Food Choices 2026; National Dining with Diabetes 2072; Food Preparation 2065; Truth and Consequences 2022; 4-H FCSCC 4041

Method: Record of clientele participating in programs; in-program activities and reviews; post-program evaluation; follow-up contacts with program participants

Timeline:  Year-round

Initial Outcome: Youth learn how their bodies work and the impacts of diet, physical activity and lifestyle choices. 

Indicator:  LEAP 2071; SuperStar Chef 2073; Food Preparation 2065; Making Healthy Lifestyle Choices General 2027; Fit Blue/Get Moving KY 2021; Truth and Consequences 2022; 4-H FCSCC 4041; 4-H HCC 4061

Method:  Record of clientele participating in educational programs; in-program hands-on activities and verbal reviews; post-program evaluations

Timeline:  Year-round

Intermediate Outcome: Clientele choose to be more physically active.

Indicator:  Home and Consumer Horticulture 1031; Making Healthy Lifestyle Choices General 2027; Fit Blue/Get Moving KY 2021; 4-H FCSCC 4041; 4-H HCC 4061

Method:  Number of clientele participating in physical activities; enrollments in physical activity programs; follow up contacts with program participants.

Timeline:  Up to 1 year

Intermediate Outcome: Clientele practice healthier habits and use screenings to improve health.  

Indicator:  Home and Consumer Horticulture 1031; 4-H FCSCC 4041; 4-H HCC 4061; LEAP 2071; Embracing Life as We Age General 2005; Making Healthy Lifestyle Choices General 2027; Mastering Food Choices 2026; National Dining with Diabetes 2072; Food Preparation 2065; Fit Blue/Get Moving KY 2021

Method:  Number of clientele using healthier habits and information gained through program participation; follow up contacts with program participants

Timeline:  1 month to 10 years

Intermediate Outcome:  Clientele forego substance abuse and risky behaviors.

Indicator: Making Healthy Lifestyle Choices General 2027; Truth and Consequences 2022; Real Skills for Every Day Life 2054; 4-H YDP 4001

Method:  Number of clientele reporting no substance abuse or reflecting thoughts of self harm or suicide; follow-up contacts with program participants; community survey data

Timeline: 1-10 years

Long-term Outcome: The county has lower incidence of heart disease and diabetes.

Indicator: 4-H YDP 4001; Making Healthy Lifestyle Choices General 2027

Method:  County survey data

Timeline: 5-10 years

Long-term Outcome: Lower rates of negative and risky behaviors among youth K-12.

Indicator: 4-H YDP 4001; Making Healthy Lifestyle Choices General 2027

Method:  KIP data

Timeline: 2-10 years

Learning Opportunities:

Audience:  Youth ages 6-18

Project or Activity:  4-H Youth Development Programs

Content or Curriculum:  Individual project curricula, camping program, teen programming

Inputs:  Curricula; Extension professionals; Extension staff; volunteers; program support; 4-H Council funding; donations from individuals and businesses; area, district, and statewide programming; UK specialists; Extension office and facilities

Date:  Year-round

Audience:  Youth ages 11-18

Project or Activity: 4-H Pre-Teen and Teen Programming

Content or Curriculum: Fantastic Foods, International Foods, Teen Cuisine, Activities for Building Character and Social-Emotional Learning, High School Financial Planning, National 4-H Communications series, Public Adventures, My Leadership series, Team Building with Teens

Inputs: Curricula, Extension professionals and staff, volunteers, program support, 4-H Council funding, sponsored conferences and camps (e.g., Teen Conference, summer camp, ISSUES, Summit, etc.), UK specialists, computer support, Extension office and facilities

Date: Year-round

Audience: Youth grades K-3

Project or Activity: Exploring My Plate with Professor Popcorn

Content or Curriculum:  Exploring My Plate with Professor Popcorn

Inputs: Curriculum, Extension professionals and staff, program support, District Board funding, computer support, partnerships with local school systems; Extension office and facilities

Date: School year

Audience: Adults and Children

Project or Activity: Adults will learn physical benefits of gardening, adults and children will learn how to grow healthy foods

Content or Curriculum: Gardening 101, ID-36, Master Gardener, Plant Camp, Raised Bed Gardening, Gardening For Health

Inputs:, Extension professionals and staff, program support, partnerships with local school systems; Extension office and facilities

Date: Year Round

Audience: Adults

Project or Activity: Programs that cover all components of healthy living

Content or Curriculum: Fit Blue, Making Healthy Lifestyle Choices, Cook together Eat Together

Inputs: CES staff and specialists, state, local, and federal partners, community partners in the health field, KEHA

Date: Year round

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Success Stories