Montgomery County CES

Title:

Active Living and Health Promotions

MAP:

Improve Physical and Mental Health

Agents Involved:

Congleton, Comer

MAJOR PROGRAM 1:

Active Living and Health Promotions General

MAJOR PROGRAM 2:

Plate It Up! Kentucky Proud

MAJOR PROGRAM 3:

Cook Together, Eat Together

MAJOR PROGRAM 4:

Food Preparation and Preservation

Situation:

With the increased trend of chronic disease and obesity in Kentucky, individuals, families, and communities need tools and environments that support healthy and active lifestyle choices. CES agents are encouraged to reach diverse audiences to help combat chronic disease and obesity in Kentucky communities. Focusing on a foundation of overall direct health education to increase health literacy and ability to make healthy lifestyle choices. Including, creating spaces or opportunities for active living and health behaviors.

Healthy living is one of three 4-H mission mandates and encompasses: physical activity, personal safety, mental health, addiction prevention, and diversity and inclusion.   In Kentucky 37% of youth 10-17 are overweight or obese, and 51% report not exercising regularly. 25% of youth report some form of emotional or behavioral condition and suicide rates are at record high (KY suicides per 100,000 people: 15.3, 10th highest in nation). Substance Use Disorder and Mental Health disease can affect anyone, with 1,160 reported opioid-involved deaths (a rate of 27.9 deaths per 100,000 persons) in Kentucky and Vaping nearly doubled among middle and high school students — with 27% of high school seniors reporting they had tried the product in 2018.  In the 2019 Kentucky Extension Community Assessment Montgomery County Report, among the top three health issues were the need for fewer overweight or obese youth and adults and fewer chronic diseases.

Long-Term Outcomes:

·Routinely meeting physical activity and dietary recommendations that promote health and wellness (e.g. 150 minutes a week of moderate activity and consuming recommended daily fruits and vegetables)

·Community environment promotes healthy behaviors where people live, learn, work, and play

·Reduce the rate of chronic disease and obesity

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•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

•Improvement in the built environment to promote physical activity and healthy eating

•Improvement in the mental health and well-being of Kentuckians

•Manage and prevent the risk, debilitation, and premature death related to diabetes, cancer, heart disease, stroke and hypertension

•Increase the estimated health savings in dollars for chronic disease.

•Increase policies that address obesity, physical inactivity and promotion of poor nutrition

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Increased number of youth maintaining positive health habits;

Reduce the number of youth reporting drug, alcohol, and tobacco use

Intermediate Outcomes:

·Generate positive attitudes toward changing lifestyle choices to be more healthy

·Increase intake of fruits, vegetables, and other nutrient-dense foods

·Improve self-efficacy in physical activity, movement, and active routes to destinations

·Decrease tobacco/ substance use

•Practice healthy food choices and strengthen individuals’ ability to build healthy eating plans and patterns.

•Maintain appropriate calorie balance during each stage of life: childhood, adolescence, adulthood, pregnancy and breastfeeding and older age

•Practice of physical activity in families and communities and decreased time spent on sedentary behaviors

•Community members advocate for policy

•Changes related to obesity, physical activity and healthy eating.

•Strengthen community coalitions or partnerships to address obesity, physical inactivity and chronic disease.

•Practice healthy lifestyle decision-making that strengthen individuals’ ability to cope with normal life stressors.

Initial Outcomes:

·Increase awareness about lifestyle choices and chronic disease (e.g. tobacco use, poor nutrition, & lack of physical activity) 

·Increase confidence in ability to employ healthy practices 

·Improve food and nutrition-related skills (e.g. preparation techniques, safe food handling)

·Increase motivation to be active

·Increase awareness of accessible safe places for activity 

Improved in awareness of health concerns for youth

Improved understanding of the consequences of risk behaviors

Promote optimal physical, social and emotional health habits

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: FY'2024-25

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: FY'2024-25

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

Method: Self-report survey

Timeline: FY'2024-25

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:   FY'2024-25

Partnering with KSU SNAP-Ed Assistant. 

Outcome to be Evaluated

• Number of youths who indicated they learned about healthy choices through 4-H (KOSA)
• Number of youths who were educated on health and well-being through 4-H programs? (KOSA)
• Number of youths who indicated they made healthy lifestyle choices as are result of what they learned through 4-H programming? (PRACTICE)
• Number of youths who indicated they increased their daily number of servings of fruits and vegetables eaten as a result of 4-H programs? (PRACTICE) 
• Number of youths who indicated “yes or usually” to question “Is 4-H A place where you get to figure out things for yourself?” (SEEC)

Learning Opportunities:

Audience: Communities

Project or Activity:  Policy, Systems, and Environmental Approaches

Content or Curriculum: Faithful Families, Health Coalitions, Story Walk, Shared Space Agreements, Trail Development, Active Community Toolkit, Be More Guide, resources for early care and education settings. Partnering with SNAP Education Assistant from Kentucky State University. 

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, Body Balance, Plate It Up! Kentucky Proud Resources, WIN, Kick Kentucky Cancer, Health Partners, Bingocize, Master Health Volunteer, Keys to Embracing Aging

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:  Physical Activity

Content or Curriculum: Publications, Faithful Families, Story Walk, Master Health Volunteer, Shared Space Agreements, Health Coalitions, Be More, Fit Blue, WIN, Health Partners, Bingocize, Keys to Embracing Aging - Partnerships with KSUNAP-Ed program assistant.

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

Audience: Kentucky Extension Homemakers Association/Volunteers

Project or Activity:  Promoting Healthy Lifestyle Choices 

Content or Curriculum: Master Health Volunteers, Health Bulletins, Monthly Leader Lessons

Inputs: Volunteers, paid staff, community partners

Date: Monthly

4-H youth development

• Mental Health 
  • Curriculum: Building Character and Social-Emotional Learning, Mindful Me, Centering on me, YMHFA   
  • Training: Agent In-services
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• Personal Safety 
  • Curriculum: Code name: Home Alone, Keeping Fit & Healthy- First Aid in Action, Headlines for Health
  • Training: Agent In-services
• Physical Health 
  • Curriculum: 4-H Dancefit, Get Moving Kentucky, Keeping Fit & Healthy, SPARK, Steps to a Healthy Teen, Bicycling for fun, Wheels in Motion, Outdoor Adventures
  • Training: Agent In-services
• Diversity and Inclusion 
  • Curriculum: Building Character and Social-Emotional Learning, Essential Elements, Diversity: The source of Our Strength, Be SAFE: Safe, Affirming, & Fair Environments, Black History,    4-H LIFE   
  • Training: Agent In-services
• Addiction Prevention 
  • Curriculum: Health Rocks!, YMHFA
  • Training: Agent In-services

Date: FY'2024-25

Success Stories