Healthy from the Ground UpPlan of Work

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Clinton County CES

Title:
Healthy from the Ground Up
MAP:
Nutrition & Food Access, Physical Activity, and Healthy Lifestyles
Agents Involved:
Nuetzman, Guffey, and Cecil
MAJOR PROGRAM 1:
Truth and Consequences: The Choice is Yours
MAJOR PROGRAM 2:
Weight the Reality Series
MAJOR PROGRAM 3:
Health 4-H Core Curriculum
MAJOR PROGRAM 4:
Farmer's Markets
Situation:

A review of trend data for Clinton County (estimated population 10,165) reveals a community plagued by poverty, unemployment, substance abuse, low literacy and education levels, and a number of other risk factors. According to the 2008-2012 American Community Survey 5-Year estimated from the US Census Bureau and Foundation for a Healthy Kentucky (www.kentuckyhealthfacts.org), an estimated 28% of the residents live below the poverty line. 18.6% of Clinton County residents are burdened with food insecurity. Clinton County also has an estimated 40% of residents that are obese. Residents have also reported that only 7% get the recommended intake of fruits and vegetables each day. The community has limited stores in rural areas of the community, therefore, access to food, especially high quality nutritious food, is a major concern. USDA Economic Research Service reports that 261 households do not have a vehicle and have low access to supermarkets. There were 2,875 SNAP recipients in 2014 (Kentucky Cabinet for Health and Family Services. Data Book. December 2014). Furthermore, according to 2016 County Health Rankings, Clinton County is ranked 102nd of 120 counties in health outcomes which represent how healthy the county is based on length and quality of life; and the community is ranked 103rd of 120 Kentucky counties in health factors which include behaviors such as physical inactivity, smoking and drinking, teen births, obesity, etc.


Community members of all ages need access to healthy foods as well as increased and enhanced opportunities for physical activity. Clinton County has a variety of barriers to physical activity such as lack of access to places with physical activity opportunities, lack of sidewalks and lighting, high traffic and safety fears, and limited access to stores, schools, and worksites in remote or outlying areas of the community. Due to the adult obesity rate, the county has received support from Centers for Disease Control and Prevention to address healthy eating and physical inactivity from the policy, environmental, and systems perspective.

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

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

-Increase in policies that address obesity, physical inactivity and promotion of proper nutrition

-Instances of food insecurity will decline in the community

-Youth will be food secure when school is not in session

Intermediate Outcomes:

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

•Increased 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.

•Increase in production and consumption of locally grown products

•Increased participation in the farmers market by both vendors and patrons

•Eligible families participate in nutrition assistance programs (SNAP, WIC, Summer Feeding, etc.) and utilize benefits including those for the farmers market (seniors and WIC)

•4-H members realize profits from 4-H garden by selling produce at local farmers market

Initial Outcomes:

Change in awareness, knowledge, opinions, skills, and attitudes needed to make informed choices regarding:

•Healthy lifestyle choices

•Childhood and youth obesity

•Adult weight management

•Practice and promotion of daily physical activity

•Policies that that reduce the level of obesity

•Reduction of chronic disease

•Gardening and the importance of sustainable local agriculture to health and financial well-being

Evaluation:

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

Indicator: Data retrieved from pre and post tests, follow-up evaluations/surveys, 24 hour food recalls, narrative feedback, and observation of hands-on activities

Method: Curricula evaluations

Timeline: Completion of programs and subsequent 3-6 months follow-up evaluations as needed


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. 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.

Timeline: Completion of specific projects, quarterly and annual review

Learning Opportunities:

Audience: Families with young children

Activity: Kids Korner Newsletter

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

Inputs: Kentucky CES publications and resources

Date: July 2018-June 2019


Audience: General Public/youth and adults

Activity: Color Your World with Health & Imagination/Second Sunday

Content or Curriculum: UK Health Care literature, HEEL 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: September/October 2018


Audience: General Public

Activity: Media (weekly newspaper articles and radio spots)

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

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

Date: July 2018-June 2019


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: Two events since did not get to implement in FY 18 due to death of student near time of event. Will do one for sophomores and one for freshman. Fall 2018 and Spring 2019


Audience: KY CES Staff and Respective Community Partners

Activity: Truth and Consequences: The Choice is Yours Trainings for various counties and coalitions

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

Inputs: KY CES Agents and Specialists, CDC, SAMSHA, NIH, etc.

Date: July 2018-June 2019


Audience: General Public/SNAP Recipients

Activity: Nutrition Education Program

Content or Curriculum: Healthy Choices for Every Body, NEP materials, FCS publications

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

Date: July 2018-June 2019


Audience: Farmers Market Vendors and Consumers and General Public at Grocery Stores

Project or Activity: Plate It Up Kentucky Proud and other Extension recipes demonstrations and sampling

Content or Curriculum: Plate It Up Kentucky Proud and NEP

Inputs: Grocery store staff, FRYSC, EPHECT and Healthy Hometown, volunteers, etc.

Date: Quarterly 2018-2019


Audience: Migrant and Hispanic Families

Activity: Hispanic Health Fair/Wellness Day at Keystone Foods

Content or Curriculum: More health literature and curriculum in Spanish is needed for our community.

Inputs: Health Department, medical community, volunteers, etc.

Date: Spring 2019


Audience: General Public

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

Content: 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: Fall 2019


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: Spring 2019


Audience: Extension Homemakers, Community Partners, General Public

Activity: FCS Extension Newsletter

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

Inputs: KY Extension Specialists, eXtension, etc.

Date: Monthly/Bimonthly July 2018-June 2019


Audience: School Age Youth

Activity: Farm to Plate Classes and Enrichment Activities

Content or Curriculum: Farm to School, Acres of Adventure

Inputs: Producers, Cattlemen's Association, Clinton County Schools, etc.

Date: July 2018-July 2019


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: Throughout year


Audience: Youth and Adults

Activity: Substance Abuse Prevention & Education

Content or Curriculum: Various evidence based substance abuse prevention curricula specifically WISE implementation with seniors, KASPER, etc.

Inputs: KY-ASAP, community partners, Extension Staff

Date: Throughout year


Audience: Senior Adults/General Public

Content or Curriculum: Matter of Balance

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

Date: July 2018-June 2019


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: June 2019




Success Stories

Building an Active Community

Author: Christy Stearns

Major Program: Making Healthy Lifestyle Choices (general)

Participation in the UK Cooperative Extension Programs to Reduce Obesity in High Obesity Areas (CDC-1416) prompted our community to take a closer look at how the built environment is a contributing factor to our community’s greater than state and national averages in obesity, high blood pressure, and heart disease. Health Coalition members and community leaders noted that parks and playgrounds were outdated and in need of renovations and updates to make them more appealing to ind

Full Story

Physical Activity and Quality Family Time

Author: Christy Stearns

Major Program: Get Moving Kentucky (Physical Activity Based Programs)

Physical inactivity is a contributing factor to the 40.1% adult obesity rate in Clinton County (Center for Disease Control and Prevention). Simple physical activity for families that doesn’t feel like strenuous exercise can be the starting place for the development of healthier lifestyle choices. The Clinton County Extension Office organized a Pumpkin Walk event to create an awareness of physical activity opportunities available in the community and to encourage families to get o

Full Story

Accessing Nutritious Foods at the Market

Author: Christy Stearns

Major Program: Accessing Nutritious Foods (general)

As a result of our high poverty rate and other risk factors, 18.6% of Clinton County residents are burdened with food insecurity. Residents have also reported that only 7% get the recommended intake of fruits and vegetables each day. Community members of all ages need access to healthy foods. Expansion of the current farmers market and access to healthy locally grown foods were noted in recent work with the CDC High Obesity grant as well as the Community Health Improvement Plan. Efforts to

Full Story

Impacting Food Insecurity

Author: Christy Stearns

Major Program: Accessing Nutritious Foods (general)

The Clinton County Extension Office facilitated a grant from the Rural Child Poverty Nutrition Center from 2015-2018 to increase coordination and participation in USDA child nutrition assistance programs.  All children in the district qualify for free school breakfast and lunch through the Community Eligibility Provision, so efforts focused on the Summer Food Service Program (SFSP) and the Child and Adult Care Food Program (CACFP). Through the support of nearly $100,000 in grant funding, st

Full Story
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