Boyle County CES

Title:

Disease Prevention and Management

MAP:

Improving Health and Wellness through Healthy Lifestyle Choices

Agents Involved:

A. Price, K. Ragland, J. Little, A. Amorese

MAJOR PROGRAM 1:

Mastering Food Choices

MAJOR PROGRAM 2:

Making Healthy Lifestyle Choices (general)

MAJOR PROGRAM 3:

4-H Communications and Expressive Arts Core Curriculum

MAJOR PROGRAM 4:

4-H Leadership Core Curriculum

Situation:

Cardiovascular disease is the leading cause of death in Kentucky. 1 of 2 Kentuckians are at risk for developing diabetes.
Diabetes is the fifth leading cause of death in Kentucky.
Proper nutrition is a key to disease prevention.
Kentucky is tied for fourth in the nation in number of obese adults and 19.7% of school age children are classified as obese.
Stress and its resulting diseases, are an ever-increasing concern of medical professionals.
Eating, activity, and lifestyle habits established in childhood
impact us throughout life.
Data collected by local school systems indicates high rates of usage of drugs and alcohol, bullying and suicidal thoughts in youth K-12.
The percentage of adults over the age of 20 reporting no leisure time physical activity in Boyle County is almost as high as the state at 30%. Although, 62% of the population has access to exercise facilities. It would appear that Boyle County residents have plenty of access to opportunities for physical activity, they just don’t utilize them.

Long-Term Outcomes:

Through adoption of healthy life style habits, individuals,
families and communities will have healthier lives.
Youth maintain positive health habits.
Youth are at a lower risk for serious disease and illness.
Youth are at a lower risk for physical and emotional distress.
Youth are competent, capable, contributing adults as a result of their participation in 4-H Health programs.

Intermediate Outcomes:

Individuals will recognize the importance of, choosing appropriately, and making life style changes which lead to becoming healthier. Youth will be more physically active and make healthier food and lifestyle choices.
Youth adopt healthy behaviors that lead to a healthy lifestyle including making healthy lifestyle choices and not engaging in risky behaviors.
Youth practice healthy eating choices.

Initial Outcomes:

Adults and youth will gain knowledge and skills of how to adopt a healthier life style through reduction of cholesterol, fat, sodium, sugar and how to follow dietary guidelines. They will become aware of disease - specific (such as diabetes and heart), behaviors to prevent and treat the disease.
Youth will learn about how their bodies work and how diet, physical activity, and lifestyle choices affect their bodies.
Youth identify healthy lifestyle choices including decisions about food and physical activity.
Youth learn about risky behaviors and their consequences.
Youth aspire to have higher self-esteem.

Evaluation:

Initial Outcome: Better management of and/or disease prevention.
Indicator: The number of individuals who make life style changes which improve health.
Method: Surveys, testimonials, health checks, pre and post-tests.
Timeline: Spring and Fall.

Outcome: Adults and youth make healthier food choices.
Indicator: Adults and youth eat more fruits and vegetables daily and eat less sugar.
Method: Evaluation, observation of selection, testimonials
Timeline: Program year

Intermediate Outcome: Adults and youth will learn how to portion food
Indicator: BMI's will decrease, weight, decreases, body fat will decrease
Method: Measurement, evaluation, testimonials
Timeline: Program year

Initial Outcome: Adults and youth will learn about Health and wellness resources in the community.
Indicator: Resources in community will be utilized
Method: Self reporting, observation, enrollment into programs
Timeline: Program year

Initial Outcome: Will be measured by the number of youth participating in 4-H Health/FCS programs, events, or activities. Change will be assessed by number of youth reporting or demonstrating skills learned or improved upon by participating in such. Evaluation methods will be observation, competition, and standard evaluation at end of program, event or activity.


Indicator:
Method:
Timeline:

Intermediate Outcome: Will be measured by number of youth practicing and applying skills and knowledge gained in 4-H Health/FCS programs, events, or activities. Change will be assessed by the number of youth demonstrating improvement in skills and knowledge relating to healthy lifestyle choices, avoiding risky behaviors and self-esteem. Evaluation methods will be observation, competition, and standard evaluation at end of program, event or activity.
Indicator:
Method:
Timeline:

Long-term Outcome: Will be measured by number of youth reporting making healthy choices and decisions as part of their daily lives. Change will be assessed by number of youth reporting use of information and skills to help them lead a healthy lifestyle. Evaluation methods will be standard evaluation at end of program year.


Indicator:
Method:
Timeline:

Learning Opportunities:

Audience:
*Extension Homemaker Members.
*Food stamp nutrition education participants.
*Youth choosing to participate in physical activity programs.
*Farmers Market Clientele.

Activity:
*Farmers Market.
*Programs: Cooking and nutrition classes, Youth foods projects, and day camps.
*Weight, The Reality Series (nutrition, weight management)
*Youth physical activity programs and events.
*Truth and Consequences
*Boyle County Extension Health Fair and screenings.
*Plate It Up Kentucky.
*Provide recipes for food stamp recipients.
*Provide recipes for farmers market purchasers.
*Evaluate marketing strategies for existing programs.
*Stress Management
*Food Preservation Classes
*Gardening for stress management.
*Home is Where the Health is.
*Matter of Balance.
*Family Mealtime.


Content or Curriculum: UK extension publications, EFNEP curriculums, diabetes
information, and publications, professional speakers such as
doctors, dietitians, teachers, HEEL publications,
Professor Popcorn; Project Food, Land and People;
Truth and consequences curriculum.
Plate it Up, Mind/Body Connection , Weight the Reality Series, Preservation Pubs, Ball Blue Book.

*Diabetes coalition serve as collaborators with extension to
plan and implement programs. Each partner assists with funding.
*Collaboration with other agencies and volunteers required to conduct programs of the food stamp nutrition education program.
* Extension Homemaker members partner with programming and funding.
* Health initiatives conducted in partnership with FRYSC coordinators in Danville and Boyle County systems.
*Health Screenings in partnership with Ephraim McDowell Health and Regional Medical Center
*Health Fairs in partnership with Boyle County Health Department, Bunny Davis Rec Center, McDowell Wellness Center, and other local businesses and organizations.

Date: Throughout the year.



Audience: School-age youth
Project or Activity: In-school education on healthy lifestyle choices
Content or Curriculum: : Professor Popcorn; Activities for Building Character and Social-Emotional Learning; Health Rocks; Truth and Consequences
Inputs:Curricula; Extension professionals, Extension staff, volunteers, teachers, FRYSC staff; program support, 4-H Council funding; partnership with Boyle County Schools, Danville Schools, KY School for the Deaf, Danville Christian Academy and Ephraim McDowell Health; computer support, facilities, project supplies
Date:School year

Audience:4-H Members
Project or Activity: Teen Art Board
Content or Curriculum: KET Toolkit Visual Arts; Portfolio Pathways and Sketchbook Crossroads; 4-H Photography
Inputs:Curricula; Extension professionals, Extension staff, volunteers, artists; program support, 4-H Council funding; partnership with Community Art Center, Ephraim McDowell Health, Boyle County Schools, Danville Schools, KY School for the Deaf, and Danville Christian Academy; computer support, facilities, project supplies; Extension Office
Date: Year Round

Audience:4-H Teens
Project or Activity: Teen v. Food 4-H Cooking project group
Content or Curriculum: Fantastic Foods; International Foods; Teen Cuisine
Inputs: Curricula; Extension professionals, Extension staff, volunteers; program support, 4-H Council funding; partnership with Ephraim McDowell Health; computer support, facilities, project supplies; Extension Office and facilities
Date: School Year

Success Stories