Lincoln County CES

Title:

Making Healthy Lifestyle Choices & Accessing Nutritious Foods

MAP:

Improving Health, Wellness & Quality of LIfe

Agents Involved:

Courtney Brock, Rita Stewart, Will Stallard

MAJOR PROGRAM 1:

Accessing Nutritious Foods (general)

MAJOR PROGRAM 2:

Food Preservation

MAJOR PROGRAM 3:

Making Healthy Lifestyle Choices (general)

MAJOR PROGRAM 4:

Health 4-H Core Curriculum

Situation:

The obesity epidemic threatens the quality and years of life of Kentuckians. Obesity has important consequences on the health and economy of our county. Obesity is linked to many chronic health conditions, including diabetes, heart disease, stroke, and some types of cancer. Among adult in Kentucky, the medical costs associated with obesity are estimated at 147 billion dollars. Kentucky ranks among the ten highest for poor consumption of fruits and vegetables.. Kentucky youth rank among the ten highest for obesity. In Lincoln County, 39% of adults reported no physical activity during the last month. Only 14.2% of adults reported eating five or more servings of fruits and vegetables per day. Many chronic diseases, such as diabetes, heart disease, and stroke, are also prevalent in Lincoln County. As a result, Lincoln County residents have an increased risk of premature death (or loss of years of potential life prior to age 75). 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. Minorities and individuals residing in Appalachia bear a heavier brunt of the obesity and chronic disease burden.

Long-Term Outcomes:

Empower families to make proactive choices to improve individual health and well-being, whether accessing nutritious foods and increasing the number of fruits and vegetables consumed; increasing literacy for chronic disease prevention; preparing healthier, safer meals; and participating in regular physical activity. By making better choices related to their health and their families’ health, they will have less risk of chronic disease, spend less on health care, experience fewer sick days, and have a better quality of life. There will be an increase in the practice and promotion of physical activity and healthy eating on a daily basis. Participants will better manage and prevent the risk, debilitation, and premature death related to diabetes, cancer, heart disease, stroke, and hypertension. Adults and youth will better manage their weight. The individual, family, community, and our country are all then impacted in terms of savings related to healthier living.

Intermediate Outcomes:

Participants will access more local and nutritious foods, especially fruits and vegetables. Such access may include redeeming Farmers Market Nutrition Program benefits. They will plant, harvest, and preserve produce. Participants will also apply improved food preparation skills, food management skills, food safety and healthy eating and physical activity habits. They will practice making healthy food choices and strengthen their ability to build healthy eating plans and patterns. Participants will make positive lifestyle changes related to obesity, physical activity, and healthy eating, leading to better weight management and a reduction of chronic disease.

Initial Outcomes:

Participants will experience changes in awareness, knowledge, opinions, skills, and attitudes needed to make informed choices regarding healthy lifestyles (nutrition and physical activity), childhood and youth obesity, weight management, practice and promotion of daily physical activity, reduction of chronic disease, food safety, and accessing nutritious foods

Evaluation:

Long-Term Outcome: Empower families to make proactive choices about food and physical activity. By making better choices related to their health and their families’health, they will have less risk of chronic disease, spend less on health care, experience fewer sick days, and have a better quality of life.
Indicator: Improvement in the number of people reporting being more responsible for their own health
Method: compilation of evaluations, case studies, etc.
Timeline: 3-5 years

Intermediate Outcome: Participants will practice healthy food choices and strengthen individuals' ability to build healthy eating plans and patterns. They will access more local and nutritious foods, especially fruits and vegetables. Such access may include redeeming Farmers Market Nutrition Program benefits.
Indicator: Practice healthy food choices and increase physical activity
Method: evaluation
Timeline: All year and at the completion of specific programs

Initial Outcome: Participants will experience changes in awareness, knowledge, opinions, skills, and attitudes needed to make informed choices regarding healthy lifestyles (nutrition and physical activity), childhood and youth obesity, weight management, practice and promotion of daily physical activity, reduction of chronic disease, food safety, and accessing nutritious foods.
Indicator: Changes in awareness, knowledge, opinions, skills, and attitudes needed to make informed choices regarding healthy lifestyle choices (nutrition and physical activity).
Method: evaluation, questioning at programs
Timeline: Year round and at the completion of specific programs

Learning Opportunities:

Audience: General Public
Activity: Plate It Up Kentucky Proud Demonstrations
Content or Curriculum: Plate It Up Kentucky Proud recipes/information
Inputs: Lincoln County Public Library, Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Family and Youth Service Centers, Lincoln County School System, local industries, Community Leaders, Boneyville Baptist Church and AME Church.
Date: All Year

Audience: General Public
Activity: Farmers Market Program
Content or Curriculum: FCS Plate It Up Materials, KDA training guides/powerpoints
Inputs: Lincoln County Public Library, Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Family and Youth Service Centers, Lincoln County School System, local industries, Community Leaders, Boneyville Baptist Church and AME Church.
Date: All Year


Audience: General Public
Activity: Making Healthy Lifestyle Choices Program
Content or Curriculum: FCS Curriculums: Making Healthy Lifestyle Choices Program/Weight The Reality Series Information
Inputs: Lincoln County Public Library, Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Family and Youth Service Centers, Lincoln County School System, local industries, Community Leaders, Boneyville Baptist Church and AME Church.
Date: Fall

Audience: General Public
Activity: Mulit-County Program: Living Well: Food, Fun & Flavor
Content or Curriculum: FCS Curriculum
Inputs: Lincoln County Public Library, Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Family and Youth Service Centers, Lincoln County School System, local industries, Community Leaders, Boneyville Baptist Church and AME Church.
Date: November

Audience: General Public
Activity: Boneyville Community Outreach Program at Boneyville Church
Content or Curriculum: Health Education and Screenings, farming and gardening updates, youth activities.
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church, AME Church, and others.
Date: Fall

Audience: Early Childhood Parents
Activity: Early Childhood Nutrition Education Programs
Content or Curriculum: FCS Publications, HEEL Program Materials/ Got Vegetables Program
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: Spring

Audience: General Public
Activity: Provide nutritional information related to disease prevention and management (low-fat, low cholesterol, reduced sugar and salt especially) as requested by clientele
Content or Curriculum: FCS Materials, HEEL Program Materials, 4-H Professor Popcorn
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: All Year As Needed by Clientele

Audience: General Public
Activity: Newsletter, Newspaper, and Radio Programs
Content or Curriculum: Health Education (HEEL Information), FCS Exclusives, 4-H Nutrition Information
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: All Year

Audience: Limited Resource Families
Activity: SNAP Program Efforts and Programs
Content or Curriculum: FCS Publications, HEEL Program Materials
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: All Year

Audience: General Public
Activity: Pressure Canner Gauge Testing Opportunities
Content or Curriculum: Food Preservation/Food Safety Guidelines
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Affinia Brake Parts Inc., Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: Spring/Summer

Audience: General Public
Activity: Food Preservation Education Opportunities/Workshops
Content or Curriculum: Food Preservation Guidelines
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: Spring/Summer

Audience: General Public
Activity: Family Mealtime/Dining Programs
Content or Curriculum: Family Mealtime/Dining FCS Materials/Curriculum
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: Spring/Summer

Audience: General Public
Activity: Home-Based Processing and Microprocessing Workshops
Content or Curriculum: FCS and State Curriculum and Materials
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: As Requested

Audience: Elementary School Students
Activity: Physical Activity Educational Program in Elementary Schools
Content or Curriculum: FCS Materials, HEEL Program Materials, 4-H Health Curriculum
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: As requested by teachers

Audience: Senior Citizens
Activity: Senior Citizens Center Nutrition Education Programs
Content or Curriculum: Kentucky Gets FoodWise, Food Fundamentals, FCS Publications and Programs emphasizing fruit and vegetable consumption and making healthy food choices.
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: Monthly programs-all year.

Audience: General Public
Activity: Physical Activity Educational Walking Program
Content or Curriculum: FCS Program Materials emphasizing physical activity
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: Fall and Spring

Audience: General Public
Activity: Lunch-n-Learn Nutrition Education Programs
Content or Curriculum: FCS/HEEL materials
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: Monthly programs, except for January and February


Audience: Preschool-8th Grades
Activity: Windowsill Garden Project in the Elementary Schools
Content or Curriculum: 4-H Curriculum
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: Spring

Audience: General Public
Activity: Foods Workshops
Content or Curriculum: FCS and 4-H Curriculums
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: Spring

Audience: Youth
Activity: Youth Day Camps
Content or Curriculum: FSNEP and 4-H Curriculum
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: Summer

Audience: Youth
Activity: Health Rocks!
Core: Health Rocks, 4-H Health Curriculum
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: throughout school year

Audience: General Public
Activity: Home Gardening Updates
Content: Garden Production Marketing Topics
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: Spring/Summer

Audience: General Public
Activity: Farmers Market & Voucher Certification Training Programs
Content: FCS Publications, Ky. Department of Agriculture Training Materials
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: Spring & Summer

Audience: Early Childhood Students (3 and 4 Year Olds)
Activity: LEAP Program
Content: LEAP Materials
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: Monthly during the school year

Audience: Youth
Activity: 4-H In-School & Community Clubs
Content: Professor Popcorn, 4-H & FCS Curriculum
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: All Year

Audience: General Public
Activity: Herbs & Gardening Programs
Content: UK Publications
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: Spring


Audience: General Public
Activity: Plate It Up Kentucky Proud -- Farmers' Market Programs
Content or Curriculum: FCS Publications
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: Summer

Audience: General Public
Activity: Coordinate Health/Wellness Booth for County Field Day
Content or Curriculum: FCS Materials, HEEL Program Materials
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: Summer/Fall

Audience: General Public
Activity: Provide information on physical activity as requested by clientele
Content or Curriculum: FCS Materials, HEEL Program Materials
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: All Year As Requested

Audience: General Public
Activity: Provide nutritional information related to meal planning with a special emphasis on low-fat, low cholesterol, and reduced sugar and salt as requested by clientele
Content or Curriculum: FCS Publications, HEEL Program Materials
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: All Year as Needed

Audience: General Public
Activity: Nutrition Education Programs Presented to other groups
Content or Curriculum: FCS Publications, HEEL Program Materials
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: As requested

Audience: Seniors Over Age 65/General Public
Activity: Matter of Balance Program
Content or Curriculum: CDC Materials
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: Fall

Audience: General Public
Activity: Small Steps to Health and Wealth Challenge
Content: UK materials
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church.
Date: January – March

Audience: Limited Resource Families and Youth
Activity: SNAP-Ed Assistant's Program Efforts
Content: SNAP-Ed Curriculum and Materials
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church, Section 8 Housing, Bluegrass Community Action Agency, Dept. for Community Based Services, Dept. of Protection and Permanency.
Date: All Year


Audience: Limited Resource Families and Youth
Activity: SNAP-Ed Assitant Supervision and Work with Targeted Audience (Agent Efforts)
Content: UK/SNAP-Ed Materials
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders, Boneyville Baptist Church and AME Church, Section 8 Housing, Bluegrass Community Action Agency, other community groups, Dept. for Community Based Services, Dept. of Protection and Permanency.
Date: All Year


Audience: 3rd - 12th grade
Activity: Junior Master Gardeners
Content or Curriculum: Junior Master Gardening Curriculum and other 4-H Curriculum
Inputs: Health Dept, Ephraim McDowell Regional Medical Center in Stanford and Danville, Kentucky Cancer Program, American Cancer Society, local doctors’ offices, Kentucky State University, home health agencies, Lincoln County Senior Citizens Center, Elementary Schools, Lincoln County Public Library, Family and Youth Service Centers, Lincoln County School System, Community Leaders.
Date: Spring - Summer

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