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, Teen Cuisine, Plate It Up! Kentucky Proud Resources, WIN, Kick Kentucky Cancer, Health Partners, Master Health Volunteer, Keys to Embracing Aging, LEAP

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, Mastering Food Choices, Dining with Diabetes, Plate It Up! Kentucky Proud Resources, WIN, Kick Kentucky Cancer, Health Partners, Keys to Embracing Aging, LEAP

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

Date: June 2024 and 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, Plate It Up! Kentucky Proud Resources, WIN, Kick Kentucky Cancer, Health Partners, 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