Increase health literacy & activity and encourage nutritious food choices.Plan of Work

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Hickman County CES

Title:
Increase health literacy & activity and encourage nutritious food choices.
MAP:
Making Healthy Lifestyle Choices
Agents Involved:
Melissa Goodman, Paula McCuiston, Mattea Mitchell
MAJOR PROGRAM 1:
4-H Leadership Core Curriculum
MAJOR PROGRAM 2:
Making Healthy Lifestyle Choices (general)
MAJOR PROGRAM 3:
Accessing Nutritious Foods (general)
MAJOR PROGRAM 4:
Building Healthy Coalitions
Situation:

Lifestyle and behavioral risk factors contribute greatly to the onset of the chronic diseases that are the leading causes of death for Kentuckians. On overall health indicators a national report card ranks Kentucky 44th out of 50 states (United Health Foundation State Health Rankings, 2015). According to the County Heath ranking, Hickman County ranks 73 out of 120 counties in the state for health outcomes and 23 out of 120 for health factors with greatest challenges being adult obesity (35%), physical inactivity (32%) diabetic monitoring (88%), and access to exercise opportunities (53%).



Youth in Hickman County are at risk for being obese and developing diabetes. Other challenges that face the youth of Hickman County are lack of physical activity and the overall health related issues including disease. When children become overweight at a young age, they are more likely to continue being overweight into adolescence and adulthood. Our Extension Council and County Issues Forum in Hickman County agrees with this assessment and supports this program plan.


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


• Improvement in the mental health and wellbeing of Kentuckians


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


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



Intermediate Outcomes:

•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:

•Participants will understand importance of and learn how to be physically fit.


•Participants will aspire to include exercises in daily life.


•Participants will learn the differences between portion sizes and serving sizes


•Participants will learn to prepare or choose a healthy snack


•Participants will gain knowledge of the relationship between disease and weight


•Participants will learn how to read food labels


•Participants will understand relationship between caloric intake and energy output


•Participants will understand health related terminology


•Participants will increase knowledge of the benefits of physical activity



Evaluation:

Initial Outcome: Youth will understand the importance of and learn how to be being physically fit

Indicator: Increase in knowledge of physical activity

Method: Observation, Surveys

Timeline: 2019-2020 Program Year



Intermediate Outcome: Youth will practice healthy living skills

Indicator: Youth will participate in physical activities

Method: Observation, follow up surveys

Timeline: 2019-2020 School year



Intermediate Outcome: Youth will increase time spent doing physical activity

Indicator: Positive Response of 30 minutes of physical activity

Method: Self-Reports through surveys/questionnaires

Timeline: 2019-2020 School year



Initial Outcome: Participants will increase knowledge related to eating less foods that are eaten in excess.

Indicator: Number of individuals who reported increase in knowledge related to eating less of foods/food components which are commonly eaten in excess (sodium, saturated fats, trans fat, cholesterol, SoFAS, refined grains

Method: Evaluation from Weight the Reality Series and Making Healthy Lifestyle Choices Curriculum

Timeline: Fall 2019



Intermediate Outcome: Participants will make lifestyle changes.

Indicator: Number of individuals who made lifestyle changes (diet, exercise, managing stressors, etc.) for the purpose of improving their health

Method: Evaluation and Surveys Pre and Post

Timeline: Spring 2020


Learning Opportunities:

Audience: Pre-K-Elementary to 4th grade

Project or Activity: Germ Busters

Content or Curriculum: CDC Hand Washing Resources, American Cleaning Institute Materials

Inputs: Extension Staff, Youth, HCES, FRYSC

Date: Fall 2019



Audience: Elementary / High School

Project or Activity: Health Fair

Content or Curriculum: UK Curriculum, Think Your Drink, SOFA's

Inputs: Extension Staff, SNAP Ed Assistant, HEEL Program, KAPS Family Resource Center, Community Education Coordinator, Hickman County School System, and other community organizations

Date: 2019-2020 School Year



Audience: Youth

Project or Activity: Bullying

Content or Curriculum: Safe and Caring Schools Curriculum

Inputs: 4-H Agent, School Guidance Counselor, School Facility

Date: 2019-2020 School Year



Audience: Elementary and Middle School Students

Project or Activity: Ready Set Run! Club

Content or Curriculum: Ready, Set, Run! Program, National Alliance for Youth Sports (NAYS), Get Moving Kentucky Youth

Inputs: FCS Agent, 4-H Agent, Extension Volunteers, PE Teacher, School Staff, Local Running Club, Business and Community Support

Date: 2019-2020 School Year



Audience: Youth

Project or Activity: Professor Popcorn

Content or Curriculum: Professor Popcorn

Inputs: 4-H Agent, Youth, SNAP Ed, Elementary School Facility

Date: 2019-2020 School Year



Audience: Preschool and Primary Students

Project or Activity: LEAP - Preschool and Primary

Content or Curriculum: LEAP Curriculum

Inputs: Extension Staff FCS, 4-H and Ag, Pre-K and Head Start, SNAP Ed

Date: Spring 2020



Audience: Youth, Afterschool Program Participants

Project or Activity: Falcon Fit

Content or Curriculum: SPARK, Get Moving KY

Inputs: 4-H Agents, FRYSC Coordinator

Date: Fall 2019-Spring 2020



Audience: Adults

Project or Activity: Get Fit Hickman County

Content or Curriculum: Weight the Reality Series, Making Healthy Life Style Choices, General FCS Nutrition Publication

Inputs: FCS Agent, Challenge Runner, Social Media- Facebook Group, UK Health and Wellness

 Date: 2019-2020 Program Year



Audience: Adults

Project or Activity: Weight the Reality Series

Content or Curriculum: Weight the Reality Series Curriculum

Inputs: FCS Agent, Purchase District Health Department

Date: Fall 2019



Audience: General Adult Population

Project or Activity: Holiday and Summer Zero Weight Gain Challenge

Content or Curriculum: UK Health and Wellness, FCS General Health Publications

Inputs: FCS Agent, Social Media- Facebook Group

Date: Thanksgiving to Christmas Holiday Break/ Summer Break



Audience: Adults with Diabetes or Family with Diabetes

Project or Activity: Taking Ownership of Diabetes

Content or Curriculum: Taking Ownership of Diabetes

Inputs: FCS Agent, Purchase District Health Department, Diabetes Coalition

Date: Support Group Once a Month through 2019-2020 program year



Audience: Older Adults and Caregivers

Project or Activity: Dementia Awareness/Caregiver Support

Content or Curriculum: Know the 10 Signs w/ the Alzheimer’s Association

Inputs: FCS Agent, JOY Group, Alzheimer's Association, Hickman County Senior Center

Date: Fall 2019



Audience: Families

Project or Activity: Families on the Move

Content or Curriculum: Families on the Move UK Extension FCS Curriculum

Inputs: FCS Agent, Purchase District Health Department, Purchase Area Health Coalition

Date: Spring 2020




Success Stories

Story Walk at the Farmers Market

Author: Melissa Goodman

Major Program: Making Healthy Lifestyle Choices (general)

Story Walk at the Farmers Market

In 2013-2015, 31.9% of adults in Hickman County age 20 and over reported no leisure-time physical activity. At the same time, only 69.2 children entering kindergarten are ready to learn. Physical activity, healthy local food choices, and early community literacy opportunities were strategically combined through the Story Walk experience.                The Hickman County 4-H, FCS, and ANR agents collaborated with the Family Resource Youth Service Cent

Full Story

Extension Day Camp in a Box

Author: Melissa Goodman

Major Program: Accessing Nutritious Foods (general)

Extension Day Camp in a Box

Extension Day Camp in a BoxOn March 16, 2020, the University of Kentucky Cooperative Extension Service began a quick transition to remote working conditions due to the Covid-19 pandemic.  The Hickman County Cooperative Extension Service quickly looked for ways to continue programming and reaching youth and families in our community.  One of these ways was to create two-day camp boxes; one titled “Extension Explorers” and the other “Extension Day Camp in a Box.”

Full Story

Get Fit Hickman County

Author: Melissa Goodman

Major Program: Making Healthy Lifestyle Choices (general)

Low levels of physical activity, unhealthy nutrition, and poor mental health are all determinants of several chronic diseases. These behaviors are now considered major public health concerns and require effective behavior change interventions. Building physical activity into the day does not require special equipment or a certain location. However, the World Health Organization (Jane et al., 2018) has recognized the importance of social resources as a valuable agent for behavior change in health

Full Story
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