Extension
It Starts With Us
Healthy from the Ground Up
Nutrition & Food Access, Physical Activity, and Healthy Lifestyles
Nuetzman, Guffey, and Cecil
Truth and Consequences: The Choice is Yours
Making Healthy Lifestyle Choices (general)
4-H Leadership Core Curriculum
Farmer's Markets
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.
-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
•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
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
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
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 2019-June 2020
Audience: General Public/youth and adults
Activity: Color Your World with Health & Imagination/Second Sunday, Pumpkin Walk, Hoops for Health, Spring into Heath
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: Quarterly community health and wellness events beginning October 2019
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 2019-June 2020
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: Three events since did not get to implement in FY 19 due to death of a teacher near time of event. Will do three events to get back on track with data collection. Fall 2019 and Spring 2020
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 2019-June 2020
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 2019-June 2020
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 2019-2020
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 2020
Audience: General Public
Activity: Big Blue Shape Up (localized Weight the Reality Series)
Content: FIt Blue, 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 2020
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 2020
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 2019-June 2020
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 2019-July 2020
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 2019-June 2020
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 2020
Author: Christy Stearns
Major Program: Making Healthy Lifestyle Choices (general)
According to the 2017 State of Childhood Obesity, Kentucky is ranked third in high school student obesity at 20.2%. Unfortunately, youth in Clinton County struggle to understand healthy eating behaviors as much as their peers throughout the Commonwealth. The Clinton County Cooperative Extension Service implemented the Healthy Lifestyle Choices program for 16 high school food science class students. 88% of students increased knowledge in nutritional concepts taught such as the consequences of con
Author: Christy Stearns
Major Program: Accessing Nutritious Foods (general)
According to the 2019 County Health Rankings, Clinton County has a 16% food insecurity rate. When high poverty, unemployment, and other risk factors related to the coronavirus pandemic combine, the stress of limited food access is overwhelming for many families. Clinton County Extension staff have helped facilitate the monthly commodities food distribution program during the pandemic. A drive through format has been utilized for health and safety purposes. During March and April, a total of 1,28
Author: Christy Stearns
Major Program: Promoting Healthy Homes and Communities (general)
Kentucky Cooperative Extension Service empowers communities to respond to challenges they face and reacting to the COVID-19 pandemic has been no different. One of the first challenges identified was that health care facilities throughout the state did not have enough personal protective equipment for frontline workers to do their jobs during the pandemic. Cooperative Extension staff collaborated with Kentucky Community and Technical College System (KCTCS) across the state to help address the lac
Author: Christy Stearns
Major Program: Cook Together, Eat Together
Eating more fruits and vegetables is a critical behavior for health promotion and disease prevention. Despite the importance of eating more produce, it is also one of the most difficult eating behaviors to change. It has been reported that cooking more meals at home is related to increased fruit and vegetable consumption.A social marketing program to promote healthy, home-cooked family meals, Cook Together, Eat Together, was offered virtually by the Clinton County Cooperative Extension Serv
Author: Christy Stearns
Major Program: Truth and Consequences: The Choice is Yours
KASPER, the Kentucky All Schedule Prescription Electronic Reporting System, tracks controlled substance prescriptions dispensed within the state. KASPER Trend Report data (2020 first quarter) indicates that 460,651 doses of controlled substances were dispensed in Clinton County. Thankfully, the number of doses dispensed has continued to decrease consistently for a number of years as the community has realized the negative impact that excessive quantities of controlled substances has on families.
