Barren County CES

Title:

Active Living and Health Promotions/Chronic Disease Prevention

MAP:

Improving Physical and Mental Health

Agents Involved:

Tarry, Schalk, Crain

MAJOR PROGRAM 1:

Active Living and Health Promotions General

MAJOR PROGRAM 2:

Nutrition and Food Systems General

MAJOR PROGRAM 3:

National Dining with Diabetes

MAJOR PROGRAM 4:

Plate It Up! Kentucky Proud

Situation:

With the increasing trends of chronic disease and obesity in Kentucky, individuals, families, and communities need tools and environments that support healthy and active lifestyle choices. 1/5 of Barren County residents report being in poor-fair health (County Health Rankings and Roadmaps 2017); 16% of Barren County Adults have diabetes and almost half (45%) have hypertension (Kentucky Health Facts). CES agents are encouraged to reach diverse audiences to help combat chronic disease and obesity in Kentucky communities. Focusing on a foundation of overall direct health education to increase health literacy and the ability to make healthy lifestyle choices. Including, creating spaces or opportunities for active living and health behaviors.

Long-Term Outcomes:

Barren County residents and families will:

• Routinely meeting physical activity and dietary recommendations that promote health and wellness (e.g. 150 minutes a week of moderate activity and consuming recommended daily fruits and vegetables)
• Community environment promotes healthy behaviors where people live, learn, work, and play 
• Reduce the rate of chronic disease and obesity

Intermediate Outcomes:

Barren County residents and families will:

• Generate positive attitudes toward changing lifestyle choices to be more healthy
• Increase intake of fruits, vegetables, and other nutrient-dense foods
• Improve self-efficacy in physical activity, movement, and activities routes to destinations
• Decrease tobacco/ substance use

Initial Outcomes:

Barren County residents and families will:

• Increase awareness about lifestyle choices and chronic disease (e.g. tobacco use, poor nutrition, & lack of physical activity)
• Increase confidence in the ability to employ healthy practices
• Improve food and nutrition-related skills (e.g. preparation techniques, safe food handling)
• Increase motivation to be active
• Increase awareness of accessible safe places for activity

Evaluation:

Initial Outcome: Barren County residents will gain increased nutrition knowledge and fruit and vegetable dietary intake.

Indicator: Number of individuals who reported: eating 4-6 servings of fruits and/or vegetables daily; utilize the food label to make healthy food choices; choosing smaller portions

Method: Self-report surveys

Timeline: Pre-post implementing curricula or program

Initial Outcome: Barren County residents will report increased physical activity knowledge, skills, and competencies.

Indicator: Number of individuals who reported: knowledge and skills gained about the benefits of physical activity; adoption of physical activity practices; increase in physical activity levels

Method: Self-report survey

Timeline: Pre-post implementing curricula or program

Intermediate Outcome: Barren County residents will report increased knowledge of the impact of substance use on the community as well as available resources. 

Indicator: Number of individuals who reported: gained knowledge of the resources that are available for substance use in the community as a result of Extension programming

Method: Self-report survey

Timeline: Pre-post implementing curricula or program

Intermediate Outcome:  Barren county residents will report increased availability and access to healthy lifestyle choices.

Indicator: Number of individuals who reported: gained knowledge of the resources that are available for health and wellness promotion in the community as a result of Extension programming

Method: Self-report survey

Timeline: Pre-post implementing curricula or program

Long-term Outcome: Barren County community will show decreased rates of chronic diseases and residents will report improved health. 

Indicator: Number of individuals who reported: participants who had one or more health indicator (cholesterol, blood pressure, body mass index, blood glucose) improved

Method: Self-report survey, Data Analysis

Timeline: At the conclusion of analysis using a longitudinal method comparing indicators from those participating in programs and control groups not participating.

Learning Opportunities:

Audience: Communities

Project or Activity: Policy, Systems, and Environmental Approaches

Content or Curriculum: Faithful Families, Health Coalitions, Story Walk, Shared Space Agreements, Trail Development, Active Community Toolkit, Be More Guide, resources for early care and education settings

Inputs: Volunteers, grant funds, faith-based organizations, community partners, key stakeholders, elected officials, Department of Transportation, Health Coalitions, Employee Health, and Wellness, SNAP-Ed Toolkit

Date: Ongoing projects throughout the year

Audience: Families and Individuals 

Project or Activity: Chronic Disease Prevention

Content or Curriculum: Publications, Health Bulletins, Cook Together Eat Together, Mastering Food Choices, Dining with Diabetes, Fit Blue, Faithful Families, Body Balance, Plate It Up! Kentucky Proud Resources, WIN, Kick Kentucky Cancer, Health Partners, Bingocize, Master Health Volunteer, Keys to Embracing Aging

Inputs: Programmatic materials, paid staff, community partners, faith-based organizations, health coalitions, Healthcare Providers, Health Department, Nonprofits, Schools, Company Health & Wellness, Homemakers, Community Centers, etc.

Date: Ongoing projects throughout the year

Project or Activity: Physical Activity

Content or Curriculum: Publications, Health Bulletins, Cook Together Eat Together, Mastering Food Choices, Dining with Diabetes, Fit Blue, Faithful Families, Body Balance, Plate It Up! Kentucky Proud Resources, WIN, Kick Kentucky Cancer, Health Partners, Bingocize, Master Health Volunteer, Keys to Embracing Aging

Inputs: Programmatic materials, paid staff, community partners, faith-based organizations, health coalitions, Healthcare Providers, Health Department, Nonprofits, Schools, Company Health & Wellness, Homemakers, Community Centers, etc.

Date: Ongoing projects throughout the year

Audience: Volunteers- Kentucky Extension Homemaker Association, Champion Food Volunteers, FCS Advisory Council

Project or Activity: General health promotion and increased nutrition

Content or Curriculum: Publications, Health Bulletins, Cook Together Eat Together, Mastering Food Choices, Dining with Diabetes, Fit Blue, Faithful Families, Body Balance, Plate It Up! Kentucky Proud Resources, WIN, Kick Kentucky Cancer, Health Partners, Bingocize, Master Health Volunteer, Keys to Embracing Aging

Inputs: Programmatic materials, paid staff, community partners, faith-based organizations, health coalitions, Healthcare Providers, Health Department, Nonprofits, Schools, Company Health & Wellness, Homemakers, CFV's, Advisory Council, Community Centers, etc.

Date: Ongoing projects throughout the year

Success Stories