Disease Prevention and Management
Improving Health and Wellness through Healthy Lifestyle Choices
A. Bruzek, K. Ragland, A. Sheffield
Horticulture, Consumer and Home
Active Living and Health Promotions General
Substance Use Prevention and Recovery General
Family and Consumer Science
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).
The county has lower incidence of heart disease and diabetes.
Lower rates of negative and risky behaviors among youth K-12.
Clientele choose to be more physically active.
Clientele practice healthier habits and use screenings to improve health.
Clientele forego substance abuse and risky behaviors.
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.
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
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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