Healthy Lifestyle ChoicesPlan of Work

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Anderson County CES

Title:
Healthy Lifestyle Choices
MAP:
Nurturing Families and Individuals by Promoting Healthy Lifestyle Choices
Agents Involved:
S. Campbell, T. Yankey
MAJOR PROGRAM 1:
Promoting Healthy Homes and Communities (general)
MAJOR PROGRAM 2:
Mastering Food Choices
MAJOR PROGRAM 4:
4-H Leadership Core Curriculum
Situation:

Improving health and reducing poverty are the two top goals of FCS and 4-H programming.


Health at every stage of life is a national goal of Extension. We are working on chronic disease prevention.


Kentucky adults rank among the 10 highest for poor consumption of fruits and vegetables in the US.


The obesity epidemic threatens the quality and years of life of Kentuckians. Obese individuals are at increased risk for many chronic health conditions, including type 2 diabetes, heart disease, stroke, and some types of cancers.


The obesity rate in Kentucky increased 90 percent over the last 15 years. Kentucky now ranks #5 in obesity (2014), up from #10 in 2012. Kentucky youth rank among the 10 highest for obesity in the US.


Thirty percent of individuals in the Commonwealth report no leisure-time physical activity. Increased consumption of unhealthy food, stress, and built environments that promote physical inactivity are largely responsible for the obesity epidemic. As a result, Kentuckians are dying from heart disease and cancer at higher rates than all Americans and they have a lower life expectancy, 75.5 years, compared to 78 years for Americans.


Minorities and individuals residing in Appalachia bear a heavier brunt of the obesity and chronic disease burden. The goal of the Making Healthy Lifestyle Choices Initiative is to reverse these trends by working with various organizations, agencies, and groups to promote the health and wellness in all Kentuckians.


Poorly controlled diabetes too often results in complications such as heart disease, stroke, high blood pressure, blindness, kidney disease, nervous system disease, dental disease, and amputations. Individuals have the ability to make lifestyle changes as a means of managing their diabetes

Long-Term Outcomes:

Increased quality of life for individuals with diabetes

Decrease in the number of individuals with diabetes-related complications

Increase the potential calculated health savings in dollars for participants in the program. Individuals will continue to take steps to manage their diabetes


Reduce Chronic Disease Risk and Debilitation and Premature Death by Practicing Healthy Lifestyle Choices

•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 well-being of Kentuckians

•Manage and prevent the risk, debilitation, and premature death related to diabetes

•Increase the estimated health savings in dollars for chronic disease.

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

Intermediate Outcomes:

Individuals will see their health care providers and follow their prescribed regimen as a means of managing their diabetes. Implement at least 3 healthy eating practices and will utilize a meal plan to manage their diabetes.


Individuals will improve in their ability to set goals and solve problems related to diabetes management.


•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 stress.


Initial Outcomes:

Increase awareness of diabetes and the problems associated with not managing the disease


Improve knowledge and attitudes related to managing and taking ownership of the disease. Develop skills that would improve self management


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

• Healthy lifestyle choices

•Practice and promotion of daily physical activity

Evaluation:

1. Number of people who took part in physical activity for 30 or more minutes on five or more days of the week (may be completed by a minimum of three 10 minutes of physical activity)


Taking Ownership of Your Diabetes

1. Number of individuals who lost 5 to 7 percent of body weight

2. Number of people who took part in physical activity for 30 or more minutes on five or more days of the week (may be completed by a minimum of three 10 minutes of physical activity)

3. Number of people seen by a health professional as a means of managing their diabetes one or more times during the year

4. Number of people who checked their blood glucose 1 or more times per day

5. Number of people who had their A1C checked in the past year

6. Number of people who utilized a diabetes meal plan (Think your plate/Plate Method, Carbohydrate Counting)

7. Number of people who implemented at least 3 healthy eating practices to help address their diabetes as a result of the program

8. Number of people who had a foot exam in the last year


Family Mealtime

1. Number of individuals and families who reported increase in knowledge related to the benefits of family mealtime

2. Number of individuals and families who reported having family meals on three or more nights of the week

3. Number of individuals and families who reported making healthier choices or choosing more nutrient dense choices as a result of having family meals

4. Number who increase the total number of vegetables in their diet

5. Number who increase the number of dark green leafy, red and yellow/orange, and beans and peas in their diet

6. Number who increased access to vegetables through Farmers Markets, farm-to-institution and community supported agriculture programs


Youth Fruit and Vegetable Access

1. Number of children grades K-2 who could identify vegetables

2. Number of children grades K-2 who could identify fruits

3. Number of children grades 3-5 who report eating vegetables

4.Number of children grades 3-5 who report eating fruit

5. Number of children grades 3-5 who report intention to ask their family to buy their favorite fruit of vegetable

6. Number of children grades 3-5 who report the intent to ask their family to keep fruits in a place where they can reach them

7. Number of children grades 3-5 who report intention to ask their family to keep cut-up vegetables in a place where they can reach them


Initial Outcome: Family mealtime, Taking Ownership of Your Diabetes listed above

Indicator: As listed above in outcomes

Method: Post Survey

Timeline: at end of program


Initial Outcome: Youth Fruit and Vegetable Access

Indicator: Increase in youth fruit and vegetable consumption

Method: Monthly survey of youth and quarterly survey of parents, observations reported by teachers and teaching assistants monthly

Timeline: monthly and quarterly as described in method


Intermediate Outcome: Taking Ownership of Your Diabetes

Indicator: As indicated above

Method: Class discussion, pre/post surveys, diabetes checklist

Timeline: end of program and 3 month followup



Learning Opportunities:

Audience: Families with children ages 0 - 18

Project or Activity:

Content or Curriculum: Family Mealtime

Inputs: Agents 4-H, Ag, FCS, teachers in pre-K, Head Start, Kindergarten

Date: August, Sept, Oct, Nov, Dec, February, April, May


Audience: Adults with Type 2 Diabetes

Project or Activity: 6 session program

Content or Curriculum: Taking Ownership of Your Diabetes

Inputs: FCS Agent, doctor, pharmacist

Date: April, May


Audience: pre-K, Kindergarten, and Head Start youth

Project or Activity: classroom visits, literacy activity

Content or Curriculum: LEAP, SNAP for youth

Inputs: 4-H, FCS, Ag agents, teachers and teacher assistants

Date: Sept - May


Audience: Youth in Anderson County

Project or Activity: Longest Day of Play

Content or Curriculum:SNAP for youth

Inputs: 4-H,volunteers, community 

Date: June 



Success Stories

Cooking Club

Author: Susan Campbell

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

Cooking  Club

Anderson County Clover Chefs was planned, implemented and evaluated by the Cooperative Extension Service. It is an after school cooking club. The club meets once per month and at each meeting the participants prepared one or two recipes and received a nutrition lesson. Due to the age of the participants, it was required that an adult assistant accompany the child to the workshop. Within days of the club being advertised, there were thirty four youth registered. Before the end of the program year

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