Making proactive choices for a healthier lifePlan of Work
Jefferson County CES
Title:
Making proactive choices for a healthier life
MAP:
Healthy individuals
Agents Involved:
P. Adkins, C. Hall, J. Palmer, C. Robles, and K. Smith
MAJOR PROGRAM 1:
Local Food Systems
MAJOR PROGRAM 2:
Active Living and Health Promotions General
MAJOR PROGRAM 3:
Local Food System Development and Mapping
Situation:
According to the 2014 Louisville Metro Health Equity Report, Jefferson County residents are experiencing chronic diseases at a higher rate than the national average. 29% of Louisville residents live in neighborhoods that experience higher death rates due to stroke compared to the US rate (41.9%). If interventions can bring these neighborhoods down to the national level, we would be able to save 33 people every year. Louisville is experiencing heart disease-related deaths at a higher level (212.4%) than the national average (194%). In fact, if we could bring these neighborhoods down to the national rate, we could save 155 people every year.
Poverty is one of the strongest social determinants of health. Louisville has a slightly higher proportion of adults in poverty (13.3%) compared to the national rate (12.4%). In Louisville, 24% of children live in poverty compared to the national average (20%) and Kentucky (25.1%).
The obesity epidemic threatens the quality and years of life of Kentuckians. Obese individuals are at increased risk for many chronic health conditions, including type 2 diabetes, heart disease, stroke, and some types of cancers. The obesity rate in Kentucky increased 90% over the last 15 years. Thirty percent of individuals in the Commonwealth report no leisure-time physical activity. Increased consumption of unhealthy food, stress, and built environments that promote physical inactivity are largely responsible for the obesity epidemic. As a result, Kentuckians are dying from heart disease and cancer at higher rates than all Americans and they have a lower life expectancy, 75.5 years, compared to 78 years for Americans.
Long-Term Outcomes:
• 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.
• Manage and prevent the risk, debilitation, and premature death related to diabetes, cancer, heart disease, stroke and hypertension.
Intermediate Outcomes:
• Increased adoption and mastery of healthy behaviors that lead to a healthy lifestyle that include making healthy lifestyle choices.
• Practice healthy food choices, physical activity, and strengthen individuals’ ability to build healthy eating plans and patterns.
• Strengthen community coalitions or partnerships to address obesity, physical inactivity and chronic disease.
Initial Outcomes:
• Youth and adults will learn the importance of healthy lifestyle choices.
• Youth and adults understand the benefits of making proactive healthy choices.
• Youth and adults will gain an understanding in healthy lifestyles and the necessary skills for a healthy lifestyle.
Evaluation:
Initial Outcome: Strengthen community coalitions or partnerships to address obesity, physical inactivity and chronic disease.
Indicator: Increase in coalitions and partnerships
Method: Extension records and observation
Timeline: After programs and coalition building
Intermediate Outcome: Youth and adults understand the benefits of making proactive healthy choices.
Indicator: Reported understanding of benefits
Method: Pre- and post-surveys
Timeline: Before and after programs
Long-term Outcome: Increase in the practice and promotion of physical activity and healthy eating daily.
Indicator: Reported increase in physical activity and healthy eating
Method: Pre- and post-surveys
Timeline: Before and after programs
Learning Opportunities:
Audience: Home & Commercial Producers
Project or Activity: Certification & training
Content or Curriculum: GAP training manual, Farmers Market Sampling
Certificate
Inputs: Agent, curriculum, classroom, garden site(s)
Date: July 1, 2024 – June 30, 2025
Audience: Youth & Adults
Project or Activity: Community Garden implementation; school garden
Content or Curriculum: Master Gardener; Extension publications
Inputs: Master Gardener volunteers; specialists; content
curriculum
Date: July 1, 2024 – June 30, 2025
Audience: Youth & Adults
Project or Activity: Food Demonstration, Nutrition Education, Food
Preservation
Content or Curriculum: Making Healthy Lifestyle Choices, Plate It Up
Inputs: CES Staff, CES Agents, Specialists, CES publications,
community partners
Date: July 1, 2024 – June 30, 2025
Audience: Youth
Project or Activity: Reality Store
Content or Curriculum: Health Rocks, Exploring the Treasures of 4-H, My
Financial Future, Step Up to Leadership, Moneywise,
MITT, STEPS to a Healthy Teen
Inputs: Paid staff, volunteers, facilities, outside funding
Date: September 2024 – April 2025
Audience: Youth
Project or Activity: Dollars & Sense
Content or Curriculum: Health Rocks, Exploring the Treasures of 4-H, My
Financial Future, Step Up to Leadership, Moneywise,
MITT, STEPS to a Healthy Teen
Inputs: Paid staff, volunteers, facilities, outside funding
Date: September 2024 – April 2025
Audience: Youth
Project or Activity: Jr. MANRRS
Content or Curriculum: Health Rocks, Exploring the Treasures of 4-H, My
Financial Future, Step Up to Leadership, Moneywise,
MITT, STEPS to a Healthy Teen
Inputs: Paid staff, volunteers, facilities, outside funding
Date: September 2024 – April 2025
Audience: Youth
Project or Activity: In-School Club
Content or Curriculum: Health Rocks, Exploring the Treasures of 4-H,
My Financial Future, Step Up to Leadership,
Moneywise, MITT, STEPS to a Healthy Teen
Inputs: Paid staff, volunteers, facilities, outside funding
Date: September 2024- April 2025
Audience: Youth
Project or Activity: SPIN Clubs
Content or Curriculum: Health Rocks, Exploring the Treasures of 4-H,
My Financial Future, Step Up to Leadership,
Moneywise, MITT, STEPS to a Healthy Teen
Inputs: Paid staff, volunteers, facilities, outside funding
Date: September 2024 – April 2025
Audience: General Public
Project or Activity: Weight Management, Food Demonstrations, and
Nutrition Education
Content or Curriculum: Making Healthy Lifestyle Choices, Weight the
Reality Series
Inputs: Kentucky CES publications and resources
Date: July 1, 2024 – June 30, 2025
Audience: Extension Homemakers
Project or Activity: Economical Food Entrees
Content or Curriculum: Kentucky Extension Homemakers Association (KEHA)
Inputs: Kentucky CES publication and resources
Date: September 2024 – May 2025
Audience: General Public
Project or Activity: Cooking Matters
Content or Curriculum: Making Healthy Lifestyle Choices
Inputs: Kentucky CES publication and resources and My Plate
Date: July 2024– June 2025
Success Stories
Sowing Seeds with Faith Summer Camp Undertake 4-H Camp
Author: Chanda Hall
Major Program: Camping
The 2025 Sowing Seeds with Faith 4-H Camp experience created meaningful and measurable outcomes for participating youth, families, and our broader community. A total of 62 inner-city youth and 14 adult volunteers attended the one-day camp, many for the first time, engaging in immersive outdoor and team-building experiences.Post-camp evaluations were completed by 52 youth participants (84%) and all adult chaperones. The data reflects significant growth in several key areas:89% of youth reported f
Full Story
4-H Summer Success Story: Growing Skills, Confidence, and Community in Jefferson County
Author: Chanda Hall
Major Program: Family and Consumer Science
Number and Description of Participants / Target Audience:During the summer of 2025, over 450 youth across Jefferson County participated in hands-on 4-H programming offered at six local community sites: Greater Galilee, Sowing Seeds with Faith, Earth & Spirit Center, Cyril Algier, California Community Center, and Southwick Community Center. The target audience included primarily elementary and middle school youth, many from under-resourced neighborhoods, who gained access to enriching summer
Full Story
© 2024 University of Kentucky, Martin-Gatton College of Agriculture, Food and Environment