Lewis County CES

Title:

Healthy lifestyle choices make for a happy, healthy life

MAP:

Healthy Lifestyles

Agents Involved:

Philip Konopka, Sherrill Bentley, Mandi Broderick

MAJOR PROGRAM 1:

Farmer's Markets

MAJOR PROGRAM 2:

Plate It Up! Kentucky Proud

MAJOR PROGRAM 3:

Youth Fruit & Vegetable Access

MAJOR PROGRAM 4:

Family and Consumer Sciences 4-H Core Curriculum

Situation:

Lewis County ranks 74th of 120 counties in overall health according to County Health Rankings/Roadmaps. The County has a high poverty level and ranks high in major diseases such as Heart Disease, Breast Cancer and Diabetes. According to Kentucky Health Facts for Lewis County, 45% of adults are obese, 77% are overweight, 41% lack physical activity, 7% get the recommended intake of fruits and vegetables. By using preventative measures such as yearly screenings, proper hand washing, following medical recommendations, exercising and eating a diet high in fruits and vegetable these techniques will lead to a healthier more productive lifestyle.

Long-Term Outcomes:

-Individuals live a longer, healthier, happier life due to diseases being prevented or delayed and have fewer days of illness such as flu, stomach virus and common cold.

-Early detection of illness/disease results in preventing advancement of diseases to later stages where it is untreatable or fatal.

-Reduce obesity level below 40%

Intermediate Outcomes:

- Adults with health related issues will take advantage of mobile units that will come into the county and offer free or reduced cost screenings.

-Youth and adults will practice proper hand washing procedures which will prevent illness such as the flu, stomach virus and common cold.

-Youth and adults will eat more fruits and vegetables and follow proper dietary guidelines.

-Youth and adults will increase their physical activities.

-Youth and adults will gain culinary skills to prepare their own food at home.

Initial Outcomes:

- Individuals will learn to practice preventive health measures such as utilizing yearly screenings, proper hand washing, and food safety.

-Second, fourth, and fifth graders will learn about MyPlate dietary guidelines and the importance of eating fruits and vegetables and learn about the need for exercise.

-By having adults participate in educational workshops and learning how to eat more nutritious and be physically active adults will apply the principles they learn in their daily life.

Evaluation:

Initial Outcome: Adults will take advantage of free or reduced cost health screenings.

Indicator: Participation rates of screenings held at Extension Events.

Method: Sign-in Sheets

Timeline: Winter 2019-Fall 2021

Initial Outcome: Preventive health measurers of yearly screenings, proper hand washing, and food safety are learned.

Indicator: Self reporting

Method: Questionnaire

Timeline: Winter 2019-Fall 2021

Initial Outcome: Youth will learn about MyPlate dietary guidelines

Indicator: 2nd, 4th, and 5th graders learn MyPlate dietary recommendations as well as the importance of exercise.  Adults that participate in nutrition and physical activity workshops will learn the importance of eating fruits and vegetables as well as exercise.

Method: Self Reporting Questionnaire

Timeline: Spring 2019

Intermediate Outcome: Illness and disease will be detected in the early stages.

Indicator: Self reporting by individuals

Method: Interviews of participants in mobile screenings and awareness raised by annual luncheon.

Timeline: Spring 2021

Intermediate Outcome: Proper handwashing procedures will be followed

Indicator: Self reporting by individuals

Method: Questionnaire

Timeline: Spring 2019

Intermediate Outcome: Youth and adults will increase the amount of fruits and vegetables they eat and increase their physical activity.

Indicator: Self reporting

Method: Questionnaire

Timeline: Spring 2019

Intermediate Outcome: Youth and adults will gain culinary skills to prepare their own food at home.

Indicator: Self reporting

Method: Questionnaire

Timeline: Fall 2018

Long-term Outcome: Reduce obesity level below 40 percent in Lewis County.

Indicator: CDC Reports

Method: Will check the CDC reports for Lewis County on-line

Timeline: Summer 2022

Learning Opportunities:

Audience: Lewis County adults and children

Project or Activity: Homemaker lessons and activities, Farmers Market programs

Content or Curriculum: Plate It Up, Kids Bucks, and Farmers Market sampling.

Inputs: Agents, staff, time, Farmers Market vendors, SNAP incentives, Four local grocery stores.

Date: Summer and Fall 2019-2021

Audience: 2nd, 4th, 5th graders and Lewis County adults

Project or Activity: Professor Popcorn, Managing My Diabetes, Walking Challenge

Content or Curriculum: Participants learn proper hand washing, MyPlate, and importance of exercise, Managing My Diabetes curriculum.

Inputs: Professor Popcorn and MyPlate curriculum, agent time, program assistant time, money for samples, Primary Plus employees, SOMC Employees, Osman's Pharmacy, and Lewis County Health Department.

Date: October 2019-April 2022

Audience: Lewis County Youth and Adults

Project or Activity: Culinary Club, Cupcake Wars, Superstar Chef, 4th/5th grade 4H club lessons

Content or Curriculum: Youth and adults will gain culinary skills to prepare their own food at home.

Inputs: 4-H Cooking 101-401 curriculum, Superstar Chef Curriculum, agent time, program assistant time, money for samples.

Date: August 2018- June 2020

Success Stories

Lewis County CDC Coalition Fights Back Against Childhood Obesity

Author: Amanda Broderick

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

A staggering 51% of all Lewis Countians are considered obese- a number 18% higher than the state average. In addition to this 35% of the population is considered physically inactive. This continually unhealthy lifestyle leads to more premature deaths as a result of health complications.In order to help remedy this problem, the Lewis County Extension Office took on the task of building a community coalition to shrink the waistlines of the population over four years. Armed with a hefty grant from

Full Story

Facebook Live Cooking Series Reaches a Busy Population

Author: Amanda Broderick

Major Program: Plate It Up! Kentucky Proud

In a world where many people are busy and on the go it can be difficult for some to find time for in person classes at the extension office. In order to create an educational class that was accessible for everyone the Lewis County Extension FCS program developed the Facebook Live Cooking series. This four lesson class was intended to take place online as a demonstration for how to prepare various Plate it Up! Kentucky Proud recipes as well as an educational portion on the health benefits of the

Full Story

Back Yard Fruit

Author: Philip Konopka

Major Program: Home & Consumer Horticulture

Eastern Kentucky has the highest food insecurity in the United States.  In Lewis County, 2,540 individuals (18.6% of county population) are not sure where their next meal will come from. There is a steady increase in interest from clientele wanting to know how they can become more self-sufficient by growing their own food. Agriculture and horticulture agents in Eastern Kentucky have observed an increase in requests from small backyard fruit growers for guidance. In order to reach a large au

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Professor Popcorn

Author: Glenna Bentley

Major Program: Family and Consumer Sciences 4-H Core Curriculum

In an effort to encourage healthy eating habits and to prevent youth and adult obesity, which is a major health concern in Lewis County, the Lewis County Extension Office conducted the Professor Popcorn program.  According to stateofobesity.org. Kentucky has the eighth highest adult obesity rate in the nation, and the 14th highest obesity rate for youth ages 10 to 17.  According to Kentuckyhealthfacts.org 80% percent of adults in Lewis County are overweight and of the 80%, 47% are cons

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Summer Sensation

Author: Glenna Bentley

Major Program: Health 4-H Core Curriculum

Being healthy is very important and there are many ways to achieve this.  Being physically active, eating right, and learning to reduce stress are some of the ways youth can build strong muscles, lower the risk of serious disease and illness, and lower their emotional stress.The Lewis County Extension Office conducted the program Summer Sensation which was a collaborative effort of the Extension Office, Central and Tollesboro Family Resource Center, and the Lewis County Youth Services Cente

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Colon Cancer Luncheon Helps Grieving Community Learn About Prevention

Author: Amanda Broderick

Major Program: Making Healthy Lifestyle Choices (general)

Out of the slew of cancers that an individual can be diagnosed with colon cancer remains one of the most treatable with early detection. Despite this many individuals do not participate in the recommended screening procedures for detection of the disease. Lewis County in particular is currently failing to meet the Healthy People 2020 objective for colon cancer screenings and diagnosis (statecancerprofile.cancer.gov). The community was also recently shocked with the disease when the wife of the l

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