Healthy LifestylesPlan of Work
Union County CES
County Emphasis:
Healthy Lifestyles
Concentration 1:
Health and Wellbeing
Situation:
The opportunities and resources available to support the health and well-being of adults and families in Kentucky vary widely. Disparities in health-promoting knowledge, resources, and infrastructure contribute to higher rates of chronic health conditions and lower quality of life. Prevention, early detection, and care are essential to maintain and/or improve quality of life. Yet, this burden is often placed on individuals to navigate the
healthcare system and traditional public health entities. Additionally, for decades, little attention has been given to the external factors that undoubtedly affect health such as access to care, education, nutritious foods, and safe physical spaces. These same issues and concerns were echoed throughout the 2023 UK Cooperative Extension Community Assessment. Within the top 15 priority issues identified by Kentuckians, “ensuring individuals and families have access to affordable nutritious foods” was #4 and “reducing youth obesity through nutrition education and/or exercise” was #8. Guided by the Cooperative Extension’s National Framework for Health Equity and Well-being, UK Extension aims to become a critical public health partner for addressing disparities in health-promoting knowledge, resources, and infrastructure through comprehensive health, nutrition, and wellness programming that supports adult physical health and well-being.
Youth Focus
Thriving youth are healthy, productive, and engaged (Arnold, 2024). According to Kentucky Kids Count Database (AECF, 2023) 41% of Kentucky teenagers are obese or overweight. Youth are also experiencing alarming levels of negativity about themselves, their confidence in the future, and their ability to find contentment in life (McKinsey & Company, 2022). 30% of youth are chronically absent (United States Department of Education, 2024). The University of Kentucky Cooperative Extension Service Needs Assessment (2024) identified key priorities issues related to health and wellbeing as need for improved access to mental health and wellbeing resources, reducing youth obesity through nutrition education and/or exercise, minimizing bullying and/or school violence. To address these issues, Kentucky 4-H creates opportunities for youth in the five domains of physical, emotional, social, spiritual, and intellectual health and well-being.
County Situation:
Per the Green River District Health Department community health assessment, the obesity rate for Union County is currently at 40% and 33% of people reporting little to no regular physical activity. It is important for the extension office to offer programing educating youth and adults the basics of healthy eating and the importance of physical activity to promote overall health.
Long-Term Outcomes:
Adult
- Routinely meeting guidelines and recommendations for health behaviors that promote wellness and quality of life
- Community environments that equitably support health-promoting behaviors where people live, learn, work, and play
- Increased availability and accessibility to community-based health resources
- Reduced rate and burden of non-communicable chronic diseases and injury
- Decreased health disparity prevalence in Kentucky counties
- Improved quality of life
Youth
- Kentucky 4-H members report decreased obesity.
- Increased number of 4-Hers who pursue employment in the health and wellbeing field.
- Youth will increase contributions to their communities through applying critical thinking, problem-solving, and effective communication learning in the 4-H Health and Well-Being Core Content Area.
Intermediate Outcomes:
Adult
- Increased health-promoting behaviors that support family, community, and occupational health and safety
- Increased and/or strengthened partnerships to address community health or safety issues
- Increased organizational/site/community support for health-promoting behaviors that equitably address community health or safety issues
Youth
- 4-H members will practice general wellness habits.
- Increased self-reflection and exploration of personal values and beliefs related to health and well-being among 4-Hers.
- 4-H members will increase physical activity.
Initial Outcomes:
Adult
Health promoting behaviors include but are not limited to, regular physical activity, safe preparation and consumption of nutritious foods, vaccinations, moderate or no consumption of alcohol, avoiding/reducing/eliminating tobacco use, health screenings, sleep, stress management, health literacy, pest prevention/reduction/management, and occupational safety.
- Increased knowledge about health-promoting behaviors.
- Increased awareness of community resources to support health-promoting behaviors.
- Increased confidence in making decisions related to health-promoting behaviors.
- Improved skills related to health-promoting behaviors
Youth
- Increased knowledge of positive mental health practices
- Increased knowledge and awareness of healthy habits and practices among 4-Hers.
- Improved attitudes and beliefs towards healthy habits and practices among 4-Hers.
- Increased knowledge of general wellness practices
Evaluation:
Adult
Outcome: Increased knowledge about health-promoting behaviors (e.g., how to prepare nutritious foods, benefits of routine vaccinations/screenings) (initial)
Indicator: Number of participants who reported/demonstrates improved knowledge, skills, opinions, or confidence regarding a health-promoting behavior as a result of a participating in a health and well-being program
Method: Observation by Agent or self-reported surveys
Timeline: Post-program/curricula survey administration
Outcome: Increased confidence and motivation to engage in health-promoting behaviors (e.g. add physical activity, consume more nutritious foods, receive vaccination or screen) (initial)
Indicator: Number of participants who reported/demonstrates improved knowledge, skills, opinions, or confidence regarding a health-promoting behavior as a result of a participating in a health and well-being program
Method: Self-reported surveys
Timeline: Post-program/curricula survey administration or follow up evaluation
Outcome: Increased intentions to employ health-promoting behaviors (e.g. vaccinations, screenings, preparation/consumption of nutritious foods, active living, pest prevention) (initial)
Indicator: Number of participants who reported intentions to implement a behavior learned from a health and well-being program
Method: Demonstration or self-reported surveys
Timeline: Post-program/curricula survey administration
Outcome: Increased health-promoting behaviors that support family and community health (e.g., physical activity, consuming nutritious foods, routine vaccinations and screenings) (intermediate)
Indicator:
Number of physical activity minutes recorded by a participant
Number of participants who reported consuming more nutritious foods and/or beverages
Number of participants who reported a change in a health-promoting behavior as a result of participating in a health and well-being program
Method: Self-reported surveys
Timeline: Repeated self-reported surveys and/or follow-up evaluations to capture change over time
Outcome: Increased and/or strengthened partnerships to address community health issues (intermediate)
Indicator: Number of community partners (community organizations, institutions, agencies, or individuals) worked with to offer health and well-being programming in the community
Method: Agent record of community partnerships utilized in programming
Timeline: Ongoing; Each partnership should be reported once per reporting period
Outcome: Increased organizational/site/community supports for health-promoting behaviors (intermediate)
Indicator: Number of volunteers who supported health and well-being programming in the community
Method: Agent record of volunteers utilized in programming
Timeline: Ongoing: Each volunteer should be reported once per reporting period
Outcome: Increased organizational/site/community supports for health-promoting behaviors that equitably address community health and safety issues (intermediate)
Indicator: Number of projects or initiatives working to improve a community health or safety issue
Method: Documentation (direct observation, photo, repeated survey) or interviews
Timeline: Ongoing/as changes are made and projects progress
Youth
Outcome: Increased knowledge and awareness of healthy habits and practices among 4-Hers.
Indicator:
- Number of youth who reported that they have identified an interest in health or wellbeing initiatives in their community.
- Number of youth who reported that they understand the importance of habits or choices that promote health and wellbeing.
- Number of youth who reported that they learned ways to be physically active
- Number of youth who reported that they learned how physical activity contributes to overall health
- Number of youth who reported that they learned how food impacts their overall health.
- Number of youth who reported that they have identified at least one job/career in health and wellbeing that fits their interest.
Method: Standard Evaluation for 4-H Health and Wellbeing: Survey
Timeline: Immediately after program/event
Outcome: 4-H members will increase physical activity
Indicator:
- Number of youth who reported that they have used knowledge and/or skills learned in health and wellbeing programs to complete a project.
- Number of youth who reported that they have used nutrition as a way to improve their overall health.
- Number of youth who reported that they have taken steps to pursue gaining more knowledge for a job in health and wellbeing based on their interests.
Method: Standard Evaluation for 4-H Health and Wellbeing: Survey
Timeline: End of Club/Program Year
Outcome: Youth will increase contributions to their communities through applying critical thinking, problem-solving, and effective communication learning in the 4-H Health and Well-Being Core Content Area.
Indicator: Long-term evaluation will be conducted using the National 4-H Index Study
Method: Standard Evaluation for 4-H Health and Wellbeing: Survey
Timeline: 1 or more years
Learning Opportunities:
Audience: Senior Citizens
Project or Activity: Wits Workout
Content or Curriculum: Wits Workout curriculum
Inputs: FCS agent
Date: Monthly or bi-monthly
Audience: Pre School Age children
Project or Activity: nutrition education
Content or Curriculum: LEAP
Inputs: FCS agent
Date: School year
Audience: School Age children
Project or Activity: nutrition education
Content or Curriculum: My Plate, Plate It Up
Inputs: FCS agent
Date: School year
Audience: Pre School Age children
Project or Activity: Kindergarten Readiness
Content or Curriculum: Laugh and Learn
Inputs: FCS agent
Date: Monthly
Audience: Adults
Project or Activity: Increasing Physical Activity
Content or Curriculum: Walking Club/Walk Your Way Challenge, UK publications
Inputs: FCS Agent
Date: 6-12 weekly meetings in spring/fall
Audience: All Ages
Project or Activity: Health Fairs (schools/senior centers/community events)
Content or Curriculum: Agent Developed
Inputs: FCS Agent
Date: winter/spring/summer/fall
Audience: New/Expectant Mothers
Project or Activity: Shower for Expectant Parents
Content or Curriculum: Parenting Curriculum, UK Publications
Inputs: Deaconess Hospital Henderson, UC Schools
Date: June
Audience: Preschool children and families
Project or Activity: The Mouse in the House math/literacy day
Content or Curriculum: LEAP
Inputs: FCS agent, Early Childhood Council
Date: March
Audience: Adult Women
Project or Activity: Heart Health Lunch and Learn
Content or Curriculum: UK Publications
Inputs: Deaconess Hospital Union Co
Date: February
Youth
Audience: Youth
Project or Activity: Nutrition and Food Preparation
Content or Curriculum: Jump Into Food and Fitness
Inputs: 4-H Family and Consumer Sciences programs in which youth experience a sense of belonging, and developmental relationships, explore their spark, and actively engage in meaningful opportunities.
Accredited and certified volunteers in 4-H FCS projects.
Kentucky Extension Homemakers Association
Four residential camping facilities.
Cooperative Extension Educational facilities.
Utilization of approved research-based curriculum.
Outreach of the Cooperative Extension Land-Grant System.
Funding from the Kentucky 4-H Foundation, Inc.
Funding from local, state, and federal sources.
Engagement of youth and volunteers in program delivery.
Engaging communities in identifying and implementing programming based on local needs
Date: September 1 – August 30
Audience: Youth
Project or Activity: Nutrition and Food Preparation
Content or Curriculum: Wellness in Kentucky
Inputs: 4-H Family and Consumer Sciences programs in which youth experience a sense of belonging, and developmental relationships, explore their spark, and actively engage in meaningful opportunities.
Accredited and certified volunteers in 4-H FCS projects.
Kentucky Extension Homemakers Association
Four residential camping facilities.
Cooperative Extension Educational facilities.
Utilization of approved research-based curriculum.
Outreach of the Cooperative Extension Land-Grant System.
Funding from the Kentucky 4-H Foundation, Inc.
Funding from local, state, and federal sources.
Engagement of youth and volunteers in program delivery.
Engaging communities in identifying and implementing programming based on local needs
Date: September 1 – August 30
Evaluation:
Adult
Outcome: Increased knowledge about health-promoting behaviors (e.g., how to prepare nutritious foods, benefits of routine vaccinations/screenings) (initial)
Indicator: Number of participants who reported/demonstrates improved knowledge, skills, opinions, or confidence regarding a health-promoting behavior as a result of a participating in a health and well-being program
Method: Observation by Agent or self-reported surveys
Timeline: Post-program/curricula survey administration
Outcome: Increased confidence and motivation to engage in health-promoting behaviors (e.g. add physical activity, consume more nutritious foods, receive vaccination or screen) (initial)
Indicator: Number of participants who reported/demonstrates improved knowledge, skills, opinions, or confidence regarding a health-promoting behavior as a result of a participating in a health and well-being program
Method: Self-reported surveys
Timeline: Post-program/curricula survey administration or follow up evaluation
Outcome: Increased intentions to employ health-promoting behaviors (e.g. vaccinations, screenings, preparation/consumption of nutritious foods, active living, pest prevention) (initial)
Indicator: Number of participants who reported intentions to implement a behavior learned from a health and well-being program
Method: Demonstration or self-reported surveys
Timeline: Post-program/curricula survey administration
Outcome: Increased health-promoting behaviors that support family and community health (e.g., physical activity, consuming nutritious foods, routine vaccinations and screenings) (intermediate)
Indicator:
Number of physical activity minutes recorded by a participant
Number of participants who reported consuming more nutritious foods and/or beverages
Number of participants who reported a change in a health-promoting behavior as a result of participating in a health and well-being program
Method: Self-reported surveys
Timeline: Repeated self-reported surveys and/or follow-up evaluations to capture change over time
Outcome: Increased and/or strengthened partnerships to address community health issues (intermediate)
Indicator: Number of community partners (community organizations, institutions, agencies, or individuals) worked with to offer health and well-being programming in the community
Method: Agent record of community partnerships utilized in programming
Timeline: Ongoing; Each partnership should be reported once per reporting period
Outcome: Increased organizational/site/community supports for health-promoting behaviors (intermediate)
Indicator: Number of volunteers who supported health and well-being programming in the community
Method: Agent record of volunteers utilized in programming
Timeline: Ongoing: Each volunteer should be reported once per reporting period
Outcome: Increased organizational/site/community supports for health-promoting behaviors that equitably address community health and safety issues (intermediate)
Indicator: Number of projects or initiatives working to improve a community health or safety issue
Method: Documentation (direct observation, photo, repeated survey) or interviews
Timeline: Ongoing/as changes are made and projects progress
Youth
Outcome: Increased knowledge and awareness of healthy habits and practices among 4-Hers.
Indicator:
- Number of youth who reported that they have identified an interest in health or wellbeing initiatives in their community.
- Number of youth who reported that they understand the importance of habits or choices that promote health and wellbeing.
- Number of youth who reported that they learned ways to be physically active
- Number of youth who reported that they learned how physical activity contributes to overall health
- Number of youth who reported that they learned how food impacts their overall health.
- Number of youth who reported that they have identified at least one job/career in health and wellbeing that fits their interest.
Method: Standard Evaluation for 4-H Health and Wellbeing: Survey
Timeline: Immediately after program/event
Outcome: 4-H members will increase physical activity
Indicator:
- Number of youth who reported that they have used knowledge and/or skills learned in health and wellbeing programs to complete a project.
- Number of youth who reported that they have used nutrition as a way to improve their overall health.
- Number of youth who reported that they have taken steps to pursue gaining more knowledge for a job in health and wellbeing based on their interests.
Method: Standard Evaluation for 4-H Health and Wellbeing: Survey
Timeline: End of Club/Program Year
Outcome: Youth will increase contributions to their communities through applying critical thinking, problem-solving, and effective communication learning in the 4-H Health and Well-Being Core Content Area.
Indicator: Long-term evaluation will be conducted using the National 4-H Index Study
Method: Standard Evaluation for 4-H Health and Wellbeing: Survey
Timeline: 1 or more years
- Acting Associate Dean & Director — Craig Wood, Ph.D.
- S107 Ag. Science Center North
- Lexington, KY 40546-0091
- +1 (859) 257-4302
© 2024 University of Kentucky, Martin-Gatton College of Agriculture, Food and Environment