Healthy & Active Lifestyles: Nutrition & Food Access, Physical & Mental HealthPlan of Work

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Clinton County CES

Title:
Healthy & Active Lifestyles: Nutrition & Food Access, Physical & Mental Health
MAP:
Improve Physical and Mental Health
Agents Involved:
Stearns, Guffey, & Duvall
MAJOR PROGRAM 1:
Active Living and Health Promotions General
MAJOR PROGRAM 2:
Substance Use Recovery - FCS
MAJOR PROGRAM 3:
Health & Wellbeing
MAJOR PROGRAM 4:
Nutrition and Food Systems General
Situation:

According to the 2020 County Health Rankings, 23% of residents in Clinton County smoke, 35% of residents are obese, and 8% of the population under age 65 is uninsured. Unfortunately our community’s overall health ranking has declined to 93rd in the state for health factors which addresses clinical care, health behaviors, as well as social and economic factors. Additionally, an estimated 25.7% of the residents live below the poverty level and the median household income in 2018 was $31,115 (U.S.Census QuickFacts). Feeding America’s Map the Meal Gap documents that the estimated food insecurity rate for the county is 16%. With such negative trends of chronic disease, individuals and families need tools and environments to support healthy and active lifestyle choices. 

The data parallels what our residents know about our needs and the status of our community. Community Assessment results indicated the following prioritized issues in the Health and Wellness category: fewer chronic diseases (diabetes, heart disease, cancer, etc.); more sources for buying safe, affordable, fresh local foods; and improved affordability of health care insurance. Extension must continue to take an active role in addressing these issues as well as others related to active living and health behaviors. 

Long-Term Outcomes:
Intermediate Outcomes:
Initial Outcomes:


Evaluation:

Initial Outcome: Participants will enhance knowledge of one or more health, nutrition, or physical activity practices

Indicator: Number of individuals with goals, intentions, and increased knowledge of making healthy diet choices and participation in physical activity. Number of individuals who gained knowledge of resources that are available for substance abuse as a result of Extension programming.

Method: Self-report surveys
Timeline: Pre-post implementing curricula or program 

Intermediate Outcome:     Increased purchase and consumption of locally grown produce. Increased participation in and utilization of nutrition assistance benefits. Adoption of practices related to enhanced healthy eating and physical activity. 

Indicator: Producer sales reports, reports from nutrition assistance programs, changes in 24 hour recalls, physical activity logs, follow-up evaluations with program participants using various evaluation instruments

Methods: Program evaluations, sales reports, secondary data from community partners

Timeline: Completion of program, market seasons, annual data 

Long-term Outcome: Decreased number of obese/overweight youth and adults and reduction in chronic disease. Measurable changes/improvements in built environment. Increased policies regarding nutrition and physical activity. Decreased number of food insecure families. Decreased 30 day use of substances among youth. Social norms are less supportive of drug use and abuse.

Indicator: Number of environmental changes promoting health and physical activity, number of policies regarding physical activity and nutrition, decreased CDC obesity rate data, number of food insecure families 

Methods: Qualitative and quantitative reports, state and national data review, environmental scans, etc.

Learning Opportunities:

Audience: General Public 

Activity: Pumpkin Walk, Spring into Health, Downtown Derby, and other community health programs

Content or Curriculum: UK Health Care literature, Health Bulletins, Health Department literature, community agencies, pedometers, screenings, displays, diabetes grant, physical activity options, etc.

Inputs: CES Staff, FRYSC, Healthy Hometown, Early Childhood Council, etc.

Date: 2024-2025

 

Audience: General Public

Activity: Media (newspaper articles, radio spots & live interviews, social media)

Content or Curriculum: Exclusives, FCS Agent News Releases, publications, etc.

Inputs: CES staff, UK Specialists, eXtension, CDC, and other state Extension programs

Date: 2024-2025

 

Audience: Freshman Students and Families

Activity: Truth and Consequences: The Choice is Yours

Content or Curriculum: Truth and Consequences program materials, local statistics, and print materials.

Inputs: Clinton County Schools, various community partners, faith-based community, Chamber, Interagency, etc.

Date: 2024-2025

 

Audience: General Public/SNAP Recipients

Activity: Nutrition Education Program

Content or Curriculum: Healthy Choices for Every Body, LEAP, Super Star Chef, Cook Wild Kentucky, NEP materials, FCS publications

Inputs: Senior Center, Horizon Adult Day, faith-based community, schools, KINnections, volunteers, etc.

Date: 2024-2025

 

Audience: General Public

Activity: Fit Blue/Big Blue Shape Up (localized Weight the Reality Series)

Content: Fit Blue, Couch Potato Challenge, Weight the Reality Series, Get Moving Kentucky, local agencies, health & wellness literature, etc.

Inputs: Extension Staff, Health Department, Cumberland Family Medical, Healthy Hometown, etc.

Date: 2024-2025

 

Audience: Kindergarten Students

Activity: Healthy Living Day at Early Childhood Center

Content: LEAP and other youth education materials

Inputs: Extension Staff, Healthy Hometown, Cumberland Family Medical, Aetna

Date: 2024-2025

 

Audience: Extension Homemakers, Community Partners, General Public

Activity: FCS Extension Newsletter

Content or Curriculum: Exclusives, FCS Agent News Releases, publications, etc.

Inputs: KY Extension Specialists, eXtension, etc.

Date: 2024-2025


Audience: Youth

Activity: Youth Nutrition, Health, & Wellness Enrichment Classes

Content or Curriculum: Wellness in Kentucky, MyPlate, FCS & 4-H Extension Curricula, eXtension, etc.

Inputs: Extension Staff, volunteers, schools, community partners

Date: 2024-2025

 

Audience: Senior Adults/General Public

Content or Curriculum: Bingocize

Inputs: Churches, Nursing Home, Senior Life Improvement, Homemakers, etc.

Date: 2024-2025

 

Audience: Youth and families

Activity: Longest Day of Play

Content or Curriculum:  LEAP, health and wellness bulletins, Health Rocks, etc.

Inputs: Wellness Center, FRYSC, Administrative Office of the Courts, Healthy Hometown, community partners

Date: 2024-2025

 

Audience: Youth and families

Activity: Cook Together, Eat Together

Content or Curriculum: Cook Together, Eat Together 

Inputs: Families, Extension staff, Volunteers

Date: 2024-2025 

 

Audience: 5th Grade Students 

Activity: Recipes for Life

Content or Curriculum: 

Inputs: FRYSC, School, Volunteers

Date: 2024-2025

 

Audience: Communities

Project or Activity: Policy, Systems, & Environmental Approaches: Making Sustainable, Lasting Change within the Community to make healthy choices practical and available to all. 

Content or Curriculum: Faithful Families, Health Coalition, Community Story Walks, Fit Trails, Trail Development, Continued work from CDC Obesity Prevention Grant

Inputs: Volunteers, faith based community, community partners, elected officials, employee health and wellness, etc.

Date: 2024-2025 

 

Audience: Adults 

Project or Activity: Walk with Ease

Content or Curriculum: Walk with Ease program materials

Inputs: Volunteers, employee health and wellness, community partners

Date: 2024-2025

 

Audience: Adults

Project or Activity: Wits Workout

Content or Curriculum: WITS Workout

Inputs: Community partners, volunteers

Date: 2024-2025



Success Stories

Breast Cancer Awareness

Author: Christy Stearns

Major Program: Active Living and Health Promotions General

Kentucky’s breast cancer incidence and mortality rates have been higher than the national average for several years. Preventative measures, including mammography screening, are better utilized in some areas of the state. Overall, 42% of Kentucky females participate in annual mammography screening compared to 31% in Clinton County (www.countyhealthrankings.org). To encourage participation in screening, Clinton County Extension offered a Breast Cancer Awareness event. 14 females attended the

Full Story
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