Promoting Health and Wellness from cradle to gravePlan of Work

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Pendleton County CES

Title:
Promoting Health and Wellness from cradle to grave
MAP:
Health and Wellness
Agents Involved:
Shelley Meyer, Kenna Knight, Lindie Huffman
MAJOR PROGRAM 1:
Active Living and Health Promotions General
MAJOR PROGRAM 2:
Health
MAJOR PROGRAM 3:
Horticulture, Consumer and Home
MAJOR PROGRAM 4:
Plate It Up! Kentucky Proud
Situation:

Situation: 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 and 36.2% of Pendleton County residents have a BMI of 30 or greater. Thirty-two percent of individuals in the Pendleton County 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 and Pendleton County residents 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. 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.

Healthy couple and parenting relationships and resulting family stability benefit the well-being of adults and children. Co-habiting, same-sex, divorced, widowed and single households are the new majority. Children who live absent from their biological fathers are two to three times more likely to be poor, to experience educational, health, emotional and behavioral problems than their peers who live with their married, biological (or adoptive) parents. 26% of Pendleton County youth are in single parent families. In 2013, 24 percent of Pendleton children lived in poverty, and the ranking for Kentucky was 48th in the nation. Children who start kindergarten with delayed development and fewer assets are by far more likely to repeat grades, get tracked into lower-tier classes and drop out of high school than more advantaged children. 2014/15 data for Pendleton county shows 60% kindergartners are not ready to learn, 56% or fourth graders were not proficient in reading and 9 % of high schools students are not graduating on time. Local data also reveals youth that use tobacco are 17% above the national average for all grade levels, 13 % of adults report drinking excessively, while 40% of our twelve grade students report using alcohol regularly. Bully is also on the rise as well as teen suicide rates. All this information leads to the need of building strong life skills throughout all stages on our resident’s life span.

Long-Term Outcomes:

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 the estimated health savings in dollars for chronic disease.

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

Kentucky families, including youth are able to:

•Care for the physical and mental health and well-being of each individual over the long term

•Build personal strengths and self-control, interpersonal communication, life skills including wise decision-making.

•Reach out with empathy to people of diverse cultural, ethnic, racial groups and those experiencing severe stress

•Foster the optimal development of children and youth

•Practice parental leadership skills

•Access community resources when needed

•Become volunteers to make their community a better place to live for everyone

Improve Kindergarten readiness 

Reduce Alcohol, Tobacco and other drug use 

Intermediate Outcomes:

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.

The number of individuals who:

•Set and used family rules, routines and limited screen time

•Ate family meals four or more times a week

•Reduced stress levels, made time for selves, and/or made wise decisions about money, time, long range plans, substance abuse, treatment of others, daily activities etc.

•Played with child daily

•Reported child’s developmental progress over time

•Identified realistic expectations for child’s tasks

•Reported using preventive and positive discipline techniques in response to misbehavior, and setting and enforcing logical consequences

•Practice skills to strengthen and sustain relationships and be successful in life endeavors

•Accessed community agencies when needed

•Engaged in community outreach activities

Initial Outcomes:


Initial Outcome:

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

•Healthy lifestyle choices

•Childhood and youth obesity

•Adult weight management

•Healthy aging

•Practice and promotion of daily physical activity

•Policies that that reduce the level of obesity

•Reduction of chronic disease

•Commits to set family rules regarding eating together, limiting screen time, active play and exercise, set routines

•Intends to manage stress; make time for self; listen, talk, bond with family members; read with child daily; teach responsibility in use of money, time, etc.

•Describes child’s developmental levels relative to averages

•Verbalizes realistic behavior expectations

•Lists developmentally appropriate playthings

•Discusses discipline vs. punishment, and preventive and positive discipline techniques

•Commits to using logical consequences for misbehavior

•Intends to contact community agencies for assistance

•Intends to participate in volunteer activities

•Teach Life Skills to youth in all grade levels

•Provide alternative activities for youth to participate in

Evaluation:

Evaluation:

Long-term Outcome:

Create safe homes within environments that promote and support the physical and mental well-being of families throughout the life cycle.

Indicator: Number of adults and youth who make a lifestyle change for the purpose of improving water and/or natural resources for the betterment of the environment and individuals living in it currently and in the future

Method: observations, pre and post surveys

Timeline: All year


Intermediate Outcome:

Implement practices that will improve, have a cost saving benefit and teach a skill that will create safe homes within environments that promote and support the physical and mental well-being of families throughout the life cycle.

Indicator: Number of adults and youth who make a lifestyle change for the purpose of improving water and/or natural resources for creating healthy safe homes.

Method: Observations, pre and post surveys

Timeline: All year


Initial Outcome

Change knowledge, opinions, skills, and/or aspirations in understanding of issues related to creating safe homes within environments that promote and support the physical and mental well-being of families throughout the life cycle.

Indicator: Number of adults and youth who have increased knowledge, made an opinion, learned a skill or developed aspirations related to the environmental education.

Method: Observations, pre and post surveys

Timeline: All year


Learning Opportunities:

Learning Opportunities (repeat as needed):

Audience: Families, pre-school, seniors, youth, volunteers

Project or Activity: Develop nutrition message and programs that allow individuals to make informed decisions regarding healthy lifestyle choices, programs will include:

•Plate it Up Sampling and preparing (throughout the year) FCS, ANR

•Recipe for Life (March) FCS, 4-H, ANR

•Farmers Market (Seasonal) FCS, ANR

•LEAP (monthly) pre-school and Headstart, FCS

•Healthy Nutrition for Senior (monthly) FCS

•Cultural and Food  (August, Sept, Oct, Nov, March, April, May, June) FCS, ANR

• Summer Garden Series (school year) FCS, ANR

Fitness for Produce - June, July - (ANR, 4-H, FCS)

•4-H Garden Club (monthly) 4-H, ANR

4-H Fitness Club (year round) 4-H

Outdoor Adventure Club (year round) 4-H 

•Middle School 4-H Club (fall, winter and spring) 4-H

•Culinary Challenge (spring) 4-H

•Cooking Club (monthly) 4-H

•Project Days (fall or spring break) 4-H, ANR, FCS

•Professor Popcorn (monthly) 4-H

•Think What You Drink (October) 4-H

•Fats and Fast Foods (November) 4-H

•Country Hams (January-September) 4-H

4-H Middle School Club; Cultural Series (September- April) 4-H 

•Community Service Alliance; Health Imitative (monthly) 4-H

Content or Curriculum:

•Homemaker Leader Lessons

•Plate it Up

•LEAP

•UK publications

•USDA Material

Inputs: FCS Agent, ANR Agent, 4-H Agent, Program Assistant, Local Schools, Health Department, and Curriculums listed above, Farmers Market, Local Grocery Store, Volunteers

Date: - throughout the year as dates state above

Audience: Families, pre-school, seniors, youth, volunteers

Program or Activity: Healthy Weight throughout the life span programs which will include:

•5K/Walk Run (Summer) 4-H, FCS

•Fitness Challenge (Winter, Summer) FCS, 4-H

4-H Fitness Club (Year Round) 4-H

Fitness with Middle School Gym (each semester) 4-H

•LEAP (monthly) pre-school and Headstart, FCS

•Community Block Parties (May and September) FCS

•Think What You Drink (October) 4-H

•Fats and Fast Foods (November) 4-H

* Farmers Market (Seasonal) ANR

Content or Curriculum:

•Homemaker Leader Lessons

•LEAP

•Weigh Reality Series

•UK publications

•USDA Material

Inputs: FCS Agent, ANR Agent, 4-H Agent, Program Assistant, Local Schools, Health Department, Curriculums listed above, Volunteers

Date: throughout the year as dates state above

Audience: Families, pre-school, seniors, youth, volunteers

Program or Activity: Reduce Chronic disease Risk through the following programs or activities:

•Fitness challenge (summer and winter) FCS

•Ovarian Cancer Screening (Spring) FCS

•Know Your Numbers (May and August) FCS

Content or Curriculum:

•Homemaker Leader Lessons

•Plate it Up

•LEAP

•UK publications

•USDA Material

Inputs: FCS Agent, ANR Agent, 4-H Agent, Program Assistant, Local Schools, Health Department, Local Hospitals, Cancer Coalition, Wellness Coalition, Curriculums listed above, Volunteers

Date: throughout the year as dates state above

Audience: Adults, Youth, Families, Farmers, Tourists

Fork to Table – ANR and FCS (Fall)

Fish and Hook – ANR, FCS, 4-H (Spring)

Hunters for the Hungry – ANR and FCS (November) 

Project or Activity: C.R.A.N.E. (Conserving Resources through Agricultural and Natural Exploration) Various Programming

Water Awareness Month (May)

Canoe/Kayak Exploration - Kentucky River

Stream side/Forest Hike

Forest Fridays (June)

Forest Hike

Canoe/Kayak Exploration - Licking River

Edible Forest/ Weed it or Eat it

Wildlife Education Month (July)

Forest Hike

Canoe/Kayak Exploration - Ohio River

CRANE Master Explorer Expedition - travel to KY State Park as culminating experience

Content or Curriculum: UK Publications, Master Logger, Ag Water Quality Plan, CRANE Master Explorer Program, Project WET, Project WILD

Inputs: Agents, specialist, Volunteers, Conservation District, Department of Forestry, Department of Fish & Wildlife, Local Agri-tourism Businesses, State Park System

Date: Summer 2019

Audience: Home Horticulture and Consumer

Activity: Home Horticulture Programs

•Food, Plants and Cultural - (Fall and Spring) - ANR, FCS  

•Kitchen Gardening

•Planning the Garden that is Right for You

•Herb Gardening

•KY Plate it Up Sampling – All Year (ANR, FCS)

•Container Gardening

•Utilizing Raised Beds 

•The Meat of the Matter: Purchasing Local Meats – August - November (ANR)

Content or Curriculum:

•Lawn and Gardening & Horticulture

•vegetables production

•home fruit production

•landscape design

•landscape management

•beneficial insects

Inputs:

•Extension Community Education Garden

•Monarch Watch Station Grant

•Leader

•Extension and other UK Extension Specialists

•County Agricultural Board

•FSA

•local producers and general public

•Certified Volunteers

Date: All year

Audience: Farmers Market / Horticulture Producers (AG, FCS)

Activity: Develop an organization to allow participants a networking system to enhance production and profitability through various programs and activities.

•Farmers Market – All Year (ANR)

•Farmers Feast – August (ANR, FCS)

•GAP/PBPT Training – March/April (ANR)

•KY Proud – February/March (ANR)

•KY Plate it Up Sampling and Demos – All Year (ANR, FCS)

•SR/WIC FMNP

Content or Curriculum:

•GAP Training

•Home-Based Processing Training

•KY Proud

•KY Plate it Up

•KY Farmers Market Handbook

•SR/WIC FMNP, USDA Publications

•Extension Publications

Inputs:

•Leader, Extension and other UK Extension Specialists

•County Agricultural Board

•FSA

•local producers and general public

•Certified Volunteers

•KY Plate It UP

•KY Proud

•KDA

Date: All Year, Heavy in Production Season

Audience: Youth

Activity: Educational programs to cultivate students understanding of where their food comes from

•Sprouts – May to November (ANR)

JMG - May, June, July and school year (ANR, FCS, 4-H)

Content or Curriculum:

•KY Plate it Up

•SNAP-ED

•Star Chef

•Jr. Master Gardener

•The Honey Bee Files

•Nutrients for Life

•Professor Popcorn

•4-H Curriculum

JMG curriculum

Inputs:

•Extension Community Education Garden

•Monarch Watch Station Grant

•Leader

•Extension and other UK Extension Specialists

•County Agricultural Board

•FSA

•local producers and general public

•Certified Volunteers

4th grade students, teacher and administrators

Date: All year


Audience: Limited Resource Families

Activity: Outreach and educational programs to foster life skills, awareness and appreciation of local foods

•Farms to Foodbanks – May to November (ANR)

•WIC Education – May – November (ANR)

•SR. Center Education – All Year (FCS, ANR)

•Local Food Team – All Year (ANR)

Hunters for Hungry – November – (FCS, ANR)

Food Assistant Coalition Planning – year round – (FCS, ANR, 4-H) 

Open Hands Ministry – November, March, April – (FCS and 4-H) 

Content or Curriculum:

•KY Plate it Up

•The Power of Buying Local

Inputs:

•Extension Community Education Garden

•Leader

•SNAP-ED

•Extension and other UK Extension Specialists

•County Agricultural Board

•Food Pantries

•USDA

•Religious Organizations

•Fiscal Court

•local producers and general public

•Certified Volunteers

Date: All year

Content or Curriculum:

•Homemaker Leader Lessons

•UK publications

•USDA Material

Inputs: FCS Agent, 4-H Agent, Volunteers, Program Assistant, Schools

Date: Dates are indicated above

Audience: Families, pre-school, seniors, youth, volunteers

Inputs: FCS Agent, 4-H Agent, Volunteers, Program Assistant, Schools, Champions Coalition and collaborators, Community Service Alliance

Date: Dates are indicated above

Audience: Audience: Families, pre-school, seniors, youth, volunteers

Project or Activity: Strengthen family nurturing attitudes and behaviors by caring for the health and well-being of each individual throughout the lifespan program and activities to include:

•Recipe for Life (January-May) FCS

•Community Block Parties (Sept, May) FCS, ANR

•Plant a Promise (Oct and April) FCS, ANR

•AG Reality Day ( April) FCS, ANR, 4-H

•Prevention Presentation for Student Athletes (quarterly) FCS

•Early Childhood Carnival - April - (FCS)

Fitness for Produce - July - (FCS, ANR, 4-H)

•Delivering Valentines (February) 4-H

•Teacher Appreciation Breakfast (August) 4-H, FCS, ANR

•Good Start and Ready Fest (August) 4-H, FCS

*Senior Bash (May) ANR, FCS

Content or Curriculum:

•Homemaker Leader Lessons

•UK publications

•USDA Material

Inputs: FCS Agent, 4-H Agent, Volunteers, Program Assistant, Schools, Champions Coalition and collaborators, Community wellness coalition

Date: Dates are indicated above

Audience: Home Horticulture and Consumer

Activity: Home Horticulture Programs

•Kitchen Gardening – April (ANR)

•Planning the Garden that is Right for You – February (ANR)

•Herb Gardening – March (ANR)

•KY Plate it Up Sampling – All Year (ANR, FCS)

•Container Gardening – February (ANR)

•Utilizing Raised Beds – May (ANR)

•The Meat of the Matter: Purchasing Local Meats – August - November (ANR)

•Plant Propagation Series – November (ANR)

•Rain Barrel Workshop – May (ANR)

•Rain Garden Workshop – May (ANR)

Content or Curriculum:

•Lawn and Gardening & Horticulture

•vegetables production

•home fruit production

•landscape design

•landscape management

•beneficial insects

Inputs:

•Extension Community Education Garden

•SNAP-ED

•Monarch Watch Station Grant

•Leader

•Extension and other UK Extension Specialists

•County Agricultural Board

•FSA

•local producers and general public

•Certified Volunteers

Date: All year






Success Stories

Food Preservation

Author: Kenna Knight

Major Program: Food Preparation and Preservation

Food Preservation

With many finding extra time on their hands during the COVID-19 pandemic two things became very apparent to the Pendleton County Extension Office.  The desire to grow their own produce and the need for educational resources for food preservation.  The Extension Service listen and provide help for both.  In the Spring of 2020 over 100 garden started kits were distributed to local residents and in Mid-Summer the extension service provided food preservation kits to most of those reci

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Cooking Through the Screen

Author: Shelley Meyer

Major Program: Health

Cooking Through the Screen

One very popular area with Pendleton 4-H has been 4-H Cooking. Six years ago, the 4-H Cooking Club was started due to interest of youth throughout the county. Its growth in numbers grew the club exponentially creating the need for 2 separate clubs. Both clubs consisted of 20-30 members which met monthly over the past 4 years. After COVID-19 shut programs down, other avenues had to be explored if continuation was to happen. ObjectivesIn an effort to keep kids cooking at home, a 4-H Cooking C

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Hunters for the Hungry

Author: Kenna Knight

Major Program: Cook Wild Kentucky

Hunters for the Hungry

The Pendleton County Cooperative Extension Office Family and Consumer Science Educator was approached by our local game warden, Scott Horn, wanting to offer the Kentucky Hunters for the Hungry opportunity in our county.  An estimated 684,000 people live in poverty in the Commonwealth.One in every four Kentucky children is living in poverty. In some counties as many as 55% of children are living in poverty.Kentucky ranks fifth in the nation for percentage of residents living in poverty at 17

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Walk ability audit

Author: Kenna Knight

Major Program: Active Living and Health Promotions General

Walk ability audit

Walk audits are a great tool to gather information about street conditions, engage community members, and informational planning and traffic safety projects. Through walk audits, you can help improve walking, health, and quality of life in your community!  Currently, Kentucky ranks 3rd highest for physical inactivity. 32.8% of Kentuckians reported doing no physical activity or exercise other than their regular job in the past 30 days. Being physically active and reducing sede

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Virtual Cooking Program

Author: Kenna Knight

Major Program: Nutrition and Food Systems General

Virtual Cooking Program

2020 offered many challenges for programs and program delivery.  In looking at ways to offer beneficial programs, the Pendleton County Family and Consumer Science Agent decided to offer virtual cooking classes.  The benefits from preparing meals at home are great.  You eat fewer calories without even realizing it, you are more mindful of what you are putting in your mouth, you socialize more as a family unit and you stimulate your brain.  These are just a handful of those ben

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Farmers' Market Takes Root in Community Health

Author: Lindie Huffman

Major Program: Arts and Community Health

Farmers' Market Takes Root in Community Health

The COVID-19 pandemic and the resulting economic recession have negatively affected many people’s mental health and created new barriers for people already suffering from mental illness and substance use disorders. During the pandemic, about 4 in 10 adults in the U.S. have reported symptoms of anxiety or depressive disorder, a share that has been largely consistent, up from one in ten adults who reported these symptoms from January to June 2019. Extension recognized the potential to suppor

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