Increase physical and mental health literacy & activity.Plan of Work

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Hickman County CES

Title:
Increase physical and mental health literacy & activity.
MAP:
Making Healthy Lifestyle Choices
Agents Involved:
John David Tucker, Mike Keller, Melissa Goodman
MAJOR PROGRAM 1:
Health
MAJOR PROGRAM 2:
Active Living and Health Promotions General
MAJOR PROGRAM 3:
Nutrition and Food Systems General
MAJOR PROGRAM 4:
Building Healthy Coalitions
Situation:

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 43rd out of 50 states (United Health Foundation State Health Rankings, 2019). According to the 2020 County Heath ranking, Hickman County ranks 30 out of 120 counties in the state for health outcomes and 56 out of 120 for health factors with greatest challenges being physical inactivity (35%), adult obesity (30%), adulting smoking (22%), and insufficient sleep (38%).

Top priority issues or health and wellness according to the Kentucky Extension Community Assessment for Hickman County were improved affordability of health insurance and fewer chronic diseases. We know that prevention is key when it comes to chronic diseases, especially for youth. Youth in Hickman County is at risk of 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.



Long-Term Outcomes:



Intermediate Outcomes:


Initial Outcomes:


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 indicators (cholesterol, blood pressure, body mass index, blood glucose) improved.

Method: Self-report survey

Timeline:  Pre-post implementing curricula or program


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


Outcome:  Nutrition knowledge, skills, and competencies

Indicator:  Number of individuals who reported: use knowledge and skills to improve food-shopping management; utilize the food label to make healthy food choices; choosing smaller portions; increased food preservation knowledge; demonstrated recommended food preservation practices

Method: Self-report surveys; specific curricula or program evaluations

Timeline:  Pre-post implementing curricula or program


Outcome: Preparing and preserving food 

Indicator:  Number of individuals who reported: preparing more home-cooked meals; modifying ingredients and/or preparation techniques to improve nutrition

Method: Self-report survey; specific curricula or program evaluations

Timeline:  Pre-post implementing curricula or program


Outcome:  Dietary intake 

Indicator:  Number of individuals who reported: eating 4-6 servings of fruits and/or vegetables daily

Method: Self-report surveys about fruit and vegetable intake or other dietary improvements; specific curricula or program evaluations

Timeline: Pre-post implementing curricula or program


Outcome:  Increased knowledge of substance use     

Indicator:  Number of individuals attending programs          

Method:  Retroactive pre-post

Timeline: Following every addiction 101 training 


Outcome:  Improved social skills and/or self-efficacy in KY Youth

Indicator:  Number of students undergoing Botvin

Method:  Retroactive pre-post

Timeline: Following Botvin LifeSkills


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: 2023-2024 Program Year


Outcome: Youth will practice healthy living skills

Indicator: Youth will participate in physical activities

Method: Observation, follow up surveys

Timeline: 2023-2024 school year


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: 2023-2024 School year

Learning Opportunities:

Audience: Youth

Project or Activity: Germ Busters

Content or Curriculum: CDC Hand Washing Resources, American Cleaning Institute Materials

Inputs: Extension Staff, Youth, HCES, FRYSC

Date: Fall 2023


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: 2023-2024 School Year


Project or Activity: Bullying

Content or Curriculum: Safe and Caring Schools Curriculum

Inputs: 4-H Agent, School Guidance Counselor, School Facility

Date: 2023-2024 School Year


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:  Spring 2024


Project or Activity: Professor Popcorn

Content or Curriculum: Professor Popcorn

Inputs: 4-H Agent, Youth, SNAP-Ed, Elementary School Facility

Date: 2023-2024 School Year


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 2024


Project or Activity: Dance Fit

Content or Curriculum: 4-H Dance Fit

Inputs: 4-H Agents, FRYSC Coordinator

Date: 2023-2024 School Year


Project or Activity:  Prevention Program

Content or Curriculum: Botvin LifeSkills, Adolescent Brain Health

Inputs: Coordinate with Hickman Co. School Staff

Date: 2023-2024 School Year


Audience: Communities

Project or Activity:  Policy, Systems, and Environmental Approaches

Content or Curriculum: Faithful Families, Health Coalitions, Story Walk, Shared Space Agreements,  Active Community Toolkit, Be More Guide, resources for early care and education settings

Inputs: Volunteers, grant funds, faith-based organizations, community partners, key stakeholders, elected officials, Department of Transportation, 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, Faithful Families, Plate It Up! Kentucky Proud Resources, Keys to Embracing Aging, Dementia 101

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: Get Fit Hickman County- Social Media, Challenges (Holiday and Summer)

Content or Curriculum: Weight the Reality Series, Fit Blue, General FCS Nutrition Publication, UK Health and Wellness, FCS General Health Publications

Inputs: FCS Agent, Challenge Runner, Social Media- Facebook Group, UK Health and Wellness

 Date: 2023-2024 Program Year


Project or Activity:  Physical Activity

Content or Curriculum: Publications, Faithful Families, Story Walk, Shared Space Agreements, Health Coalitions, Fit Blue, WIN, 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


Project or Activity:  Food Preparation for Better Health

Content or Curriculum: Cook Together Eat Together, Mastering Food Choices, Dining with Diabetes, Super Star Chef, Champion Food Volunteer, Faithful Families, Body Balance, Plate It Up! Kentucky Proud Resources, plans for prenatal- and infant/toddler-specific curriculum, resources for early care and education settings

Inputs: Programmatic materials, paid staff, community partners, faith-based organizations, health coalitions

Date: Ongoing projects throughout the year


Project or Activity:  Food Preservation

Content or Curriculum: Publications, Trainings, Home-Based Micro-Processing Training, Champion Food Volunteers

Inputs: Paid staff, volunteers, facilities, programmatic materials, NEP

Date: July – September for adults and youth


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


Project or Activity:  Promoting Nutrition with Volunteers

Content or Curriculum: Champion Food Volunteers, Mastering Food Choices, International Cuisine publications, Food preservation workshops, Monthly Leader Lessons

Inputs: Volunteers, paid staff, community partners




Success Stories

Bingocize

Author: Keller

Major Program: Aging-General

Hickman County seniors noted a fear of falling or additional injury when out and about or during exercise as a reason for neglecting to exercise.  6 of the 7 seniors who attended the initial information session listed this fear f injury or falling as the primary reason to not exercise or be more active, which 7 of 7 all agreed has effected them due to lower levels of energy and an increased level of depression, ranging from mild to more serious.Bingocize is a program developed by Dr. Jason

Full Story
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