Making Healthy Lifestyle ChoicesPlan of Work

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Shelby County CES

Title:
Making Healthy Lifestyle Choices
MAP:
Healthy Lifestyles
Agents Involved:
Regina Browning, Corinne Belton, Candice Hollingsworth, Elizabeth Coots
MAJOR PROGRAM 1:
Family and Consumer Science
MAJOR PROGRAM 2:
Health & Wellbeing
MAJOR PROGRAM 3:
Nutrition and Food Systems General
MAJOR PROGRAM 4:
Active Living and Health Promotions General
Situation:

The obesity epidemic threatens the quality and years of Kentuckians' lives. 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. Thirty percent of individuals in the Commonwealth 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 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. Minorities bear a heavier brunt of the obesity and chronic disease burden. The goals 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 of all Shelby Countians. This issue as one identified by the FCS Advisory Council, Shelby County 4-H Council and the Shelby County Extension Council.

With the increased trend of chronic disease and obesity in Kentucky, individuals, families, and communities need tools and environments that support healthy and active lifestyle choices. 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 ability to make healthy lifestyle choices. Including, creating spaces or opportunities for active living and health behaviors.

Long-Term Outcomes:

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

 Manage and prevent the risk, debilitation, and premature death related to diabetes, cancer, heart disease, stroke and hypertension 

 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 well-being of Kentuckians.

Increase the estimated health savings in dollars for chronic disease.


Intermediate Outcomes:

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 active routes to destinations 

Decrease tobacco/ substance use

Practice healthy food choices and strengthen individuals' ability to build healthy eating plans and patterns.

Maintain appropriate calorie balance during each stage of life.

Practice of physical activity in families and communities and decreased time spent on sedentary behaviors.

Community members advocate for policy.

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.

Changes related to obesity, physical activity and healthy eating.


Initial Outcomes:

Increase awareness about lifestyle choices and chronic disease (e.g. tobacco use, poor nutrition, & lack of physical activity) 

Increase confidence in 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 

Change in awareness and KOSA 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 reduce the obesity level

* Reduction of chronic disease


Evaluation:

Outcome:  Nutrition knowledge and 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


Outcome: 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


Initial Outcome: Change in KOSA regarding physical activity, nutrition, and prevention of chronic disease.

Indicator: Number of individuals gaining KOSA in healthy choices

Method: pre and post tests, program forms, end of session goal setting, end of session questionnaire

Timeline: completion of program


Initial Outcome:  Substance Use Prevention

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

Method: Self-report survey

Timeline: Pre-post implementing curricula or program


Intermediate Outcome: Chronic Disease Prevention

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

Timeline:  Pre-post implementing curricula or program


Intermediate Outcome:  Availability / Access to healthy lifestyle choices 

Indicator:  Number of communities, health coalitions, or organizations who reported: implemented policy, system, and/or environmental changes to promote healthy eating and active living

Method: Self-report survey

Timeline:  Pre-post implementing curricula or program


Intermediate Outcome: Changes in practices regarding physical activity, nutrition, and prevention of chronic disease.

Indicator: Number of individuals adopting healthy lifestyle choices

Method: personal narrative, observation, follow-up surveys

Timeline: 3 months or more after program completion


Long-term Outcome: Obesity decreases, reduction in chronic disease

Indicator: County Health Data

Method: County Health Data research

Timeline: Annually for ten years

Learning Opportunities:

Audience: Adults and Youth

Project or Activity: First Saturday Walk About

Content or Curriculum: Planned physical activity - a group walk

Inputs: Family Activity Center location

Date: First Saturday of each month


Audience: Adults

Project or Activity: Red Heart Luncheon

Content or Curriculum: Heart Health Speaker, Heart Health Lunch, FCS publications, UK Health Pubs, American Heart Association materials, American Diabetes Association materials

Inputs: sponsors, community partners, publications

Date: February 2025


Audience: Adults and Youth

Project or Activity: Walking Kentucky

Content or Curriculum: Get Moving Kentucky, Fit Blue, Families on the Move: A Family Walking Program

Inputs: Publications and forms, newsletters, community partners

Date: May-June 2025


Audience: Women over 50

Project or Activity: Annual Ovarian Cancer Awareness Project/Screening

Content or Curriculum: Ovarian Cancer Screening at UK, Ovarian Cancer information

Inputs: UK Ovarian Cancer Screening Techs and location, Ovarian Cancer Information

Date: November 2024, May and June 2025


Audience: Adults and Youth

Project or Activity: Health and Fitness Fun Day

Content or Curriculum: Bike Rodeo, sun safety, fire safety, drug prevention, health screenings, physical activity demonstrations

Inputs: Family Activity Center location, Bike Rodeo, sun safety, fire safety, drug prevention, health screenings, community partners, door prizes, corporate sponsors

Date: April 2025


Audience: 4-H School Clubs

Project or Activity: Nutrition Program

Content or Curriculum: 4-H Health Curriculum, My Plate Resources, 4-H Cooking Curriculum

Inputs: curriculum

Date: March 2025


Audience: 4-H Campers

Project or Activity: Physical Activity Opportunities, Outdoor Recreation

Content or Curriculum: 4-H Health Curriculum, 4-H Camp Programming

Inputs: outdoor recreation opportunities

Timeline: June or July 2025


Audience: 4-H Youth

Project or Activity: Food-A-Rama including nutrition/cooking demo

Content or Curriculum: 4-H Health Curriculum, 4-H Cooking Curriculum, My Plate Resources

Inputs: curriculum, demo supplies

Date: July 2025


Audience: 4-H Members

Project or Activity: 4-H Cooking Programs

Content or Curriculum: 4-H Health Curriculum, 4-H Cooking Curriculum

Inputs: 4-H Health Curriculum, 4-H Cooking Curriculum, My Plate Resources

Date: April 2025, various times throughout year


Audience: General Public

Project or Activity: Rooted in Shelby Pop-Up Markets

Content: Local foods and products

Input: Rooted in Shelby members

Date:  August, September 2024


Audience: Farmers

Project or Activity: Farm Safety and Mental Health Awareness

Content: farm safety materials, stress management, mental health awareness

Input: Specialists and mental health professionals

Date:  Winter 2024-25


Updated 5/5/2024

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