Promoting Health and WellbeingPlan of Work
Adair County CES
County Emphasis:
Promoting Health and Wellbeing
Concentration 1:
Food Safety, Quality, and Access
Concentration 2:
Health and Wellbeing
Concentration 3:
Mental Health and Well-Being
Concentration 4:
Substance Use Prevention and Recovery
Situation:
It is proven that people who have access to and consume their daily dietary requirements of fresh fruits and vegetables are less likely to suffer from chronic conditions such as obesity, diabetes and cardiovascular disease and have an increased quality of life. Having the knowledge and skills to prepare or preserve fresh fruits and vegetables presents an additional barrier beyond obtaining fresh food access.
With the goal of increasing the consumption of fresh fruits and vegetables, the Kentucky Cooperative Extension Service (CES) aims to increase access to fresh food, as well as increase knowledge and awareness of how to select, store, safely prepare, process, and preserve these foods. CES prioritizes statewide partnership development that helps us meet our goals and objectives. We collaborate with statewide agencies including Kentucky Department of Agriculture, Community Farm Alliance, KY Farm to School Network, Kentucky Department of Fish & Wildlife and others to help build statewide systems that increase access and usage of fresh fruits and vegetables. These programs benefit Kentuckians because they support food access policy, systems and environmental changes in communities and across the state. They increase knowledge of how to grow, prepare, and preserve fresh fruits and vegetables.
The opportunities and resources available to support the health and well-being of adults and families in Kentucky vary widely. Disparities in health-promoting knowledge, resources, and infrastructure contribute to higher rates of chronic health conditions and lower quality of life. Prevention, early detection, and care are essential to maintain and/or improve quality of life. Yet, this burden is often placed on individuals to navigate the
healthcare system and traditional public health entities. Additionally, for decades, little attention has been given to the external factors that undoubtedly affect health such as access to care, education, nutritious foods, and safe physical spaces. These same issues and concerns were echoed throughout the 2023 UK Cooperative Extension Community Assessment. Within the top 15 priority issues identified by Kentuckians, “ensuring individuals and families have access to affordable nutritious foods” was #4 and “reducing youth obesity through nutrition education and/or exercise” was #8. Guided by the Cooperative Extension’s National Framework for Health Equity and Well-being, UK Extension aims to become a critical public health partner for addressing disparities in health-promoting knowledge, resources, and infrastructure through comprehensive health, nutrition, and wellness programming that supports adult physical health and well-being.
Though substance use and substance use disorder have been pressing social problems for decades, the public health burden and consequence associated with substance use has rapidly worsened in recent years. Drug overdoses have surpassed car accidents as the leading cause of accidental death and overdoses have contributed to a reduction in average life expectancy in the US. Much of the substance use-related morbidity and mortality is a result of a persistent treatment gap. Each year, about 90% of people who need treatment for SUD in Kentucky do not receive it. To address this gap in service provision, more community-level programming is required to meet the complex needs of Kentuckians who use drugs. Cooperative Extension is uniquely positioned, both with deep connections to each Kentucky county and with its transdisciplinary team of specialists, to address the holistic needs of Kentuckians who use drugs including mental health, fair housing, second-chance employment, nutrition and physical health, and much more.
More than ever before, people are feeling the burden of stress on their wellbeing. More than 1 in 5 adults in the United States lives with a mental illness; in Kentucky, 43% of adults report signs or symptoms of anxiety or depression across their lifespan. At the same time, suicide is a leading cause of preventable death in Kentucky for individuals aged 10-34, and those over the age of 59.
Concern over the state of mental health and access to care was echoed in the Cooperative Extension Community Needs Assessment, where respondents listed “improved access to mental health and wellbeing resources” as one of the top 6 priority issues. Kentuckians are aware of their need for knowledge and skills to recognize and respond to a mental health challenge, whether it be their own or to help someone else, and the ability to advocate for more mental health resources in all areas of the state.
Cooperative Extension is poised with the research and evidence-based resources needed to serve as a beacon of hope in times of distress through our ability to help overcome stigma, connect people to care, and amplify the voices of many to advocate for better quality of life for all.
County Situation:
Overview
Adair County, located in south-central Kentucky, is a predominantly rural area with a population of approximately 19,239 as of 2024. The county seat is Columbia, which serves as the central hub for economic, educational, and healthcare services. The county’s economy is largely based on agriculture, with significant contributions from livestock, dairy, corn, and tobacco production.
Health Indicators
Health outcomes in Adair County indicate several areas of concern:
General Health: 21.3% of adults report their health as fair or poor.
Physical Health: Residents experience an average of 4.8 physically unhealthy days per month, with 14.5% reporting 14 or more days of poor physical health monthly.
Mental Health: An average of 6.2 mentally unhealthy days per month is reported, and 19.4% of adults experience 14 or more days of poor mental health monthly.
Chronic Conditions: 11.3% of adults aged 20 and over have been diagnosed with diabetes, and 39.7% of adults have a BMI indicating obesity.
Food Security and Assistance
Food insecurity remains a significant issue:
SNAP Participation: As of July 2022, 3,364 individuals and 1,516 households receive SNAP benefits.
Food Insecurity Rates: Overall food insecurity stands at 13.7%, with 2,590 individuals affected. Child food insecurity is higher at 15.7%, impacting approximately 600 children.
School Nutrition: During the 2022–2023 academic year, 1,787 students were eligible for free or reduced-price meals, indicating economic hardship among families.
Access to Food and Physical Activity
Access to nutritious food and opportunities for physical activity are limited:
Food Retailers: The county has 7 food and beverage stores, including 5 grocery stores and 4 supermarkets.
Physical Activity: 32.5% of adults report no leisure-time physical activity. Only 43.5% of the population has adequate access to locations for physical activity.
Healthcare Access
Healthcare resources are constrained:
Insurance Coverage: In 2021, 7.9% of individuals under age 65 were uninsured.
Medical Providers: The county has 6 primary care physicians, 49 mental health providers, and 2 dentists, highlighting potential shortages in healthcare services.
Substance Abuse
Substance abuse remains a pressing concern:
Emergency Department Visits: Between 2020 and 2022, there were 407 emergency department visits related to substance use disorders.
Nonfatal Overdoses: During the same period, there were 157 nonfatal drug-involved overdose visits, including 39 involving opioids.
This data underscores the need for targeted interventions in healthcare access, nutrition, physical activity, and substance abuse prevention to improve the overall well-being of Adair County residents.
Long-Term Outcomes:
Adult
- Individuals and families of all incomes levels have acces to affordable and nutritious foods
- Family farms become economically viable.
- Kentucky’s local food and agriculture industry are thriving.
- Decrease in the number of Kentuckians with chronic health conditions such as diabetes, obesity and cardiovascular disease.
- More Kentuckians routinely met the guidelines for the consumption of (locally-grown) fresh fruits and vegetables.
Adult
- Routinely meeting guidelines and recommendations for health behaviors that promote wellness and quality of life
- Community environments that equitably support health-promoting behaviors where people live, learn, work, and play
- Increased availability and accessibility to community-based health resources
- Reduced rate and burden of non-communicable chronic diseases and injury
- Decreased health disparity prevalence in Kentucky counties
- Improved quality of life
Adult
- Reduced incidence of mental health crises and suicide
- Increased access to mental health care and resources for all
Adult
- Increased recovery capital
- Reduced adult substance use
- Reduced adult substance use disorder
- Reduced adult overdose fatalities
- Reduced stigma related to adult substance use
- Improved quality of life
Youth
Youth report reduced risk for poor health, developmental delays, obesity, and malnutrition.
Youth increase educational outcomes.
Youth decrease poor overall health.
Intermediate Outcomes:
Adult
- Increase and/or strengthen statewide and regional partnership to address community food system issues.
- Increased production of Kentucky-grown food and increased market opportunities for those products.
- Increase in the number of farmers’ markets and local food retailers that accept one or more food benefits as payment.
- Improved dietary habits through: consumption of more fruits and vegetables, a variety of proteins and the number of meals prepared at home.
- Increased number of entrepreneurial food businesses.
Adult
- Increased health-promoting behaviors that support family, community, and occupational health and safety
- Increased and/or strengthened partnerships to address community health or safety issues
- Increased organizational/site/community support for health-promoting behaviors that equitably address community health or safety issues
Adult
- Increased use of de-stigmatized language
- Increased use of self-care and other coping strategies
- Increased advocacy for mental health and wellbeing resources
- Increased partnerships (number or strength) to address mental health and wellbeing issues within the community
Adult
- Increased availability and accessibility of evidence-based recovery capital-building programs
- Enhanced community partnerships that target recovery from substance use disorder
Youth
Youth will practice making wise nutrition choices.
Youth will practice food safety.
Youth will access nutritious foods.
Youth will prepare nutritious foods.
Youth will eat a variety of healthy foods daily.
Initial Outcomes:
Adult
- Increased awareness of and use of Food Connection Programs: Value Chain Coordinators, TFC Learning Kitchen, and Cultivate KY resources.
- Increased awareness of Extension resources and programs supporting food access.
- Improved skills related to safe food preparation and food preservation.
- Increased participation in Homebased Microprocessing workshops.
- Increased awareness and accessibility of community resources available to access fresh foods.
- Increase the number of partnerships and/or coalitions involved in promoting awareness of local food systems, healthy eating, and active living (e.g. Program councils, Health Advisory Boards, etc.).
Adult
Health promoting behaviors include but are not to, regular physical activity, safe preparation and consumption of nutritious foods, vaccinations, moderate or no consumption of alcohol, avoiding/reducing/eliminating tobacco use, health screenings, sleep, stress management, health literacy, pest prevention/reduction/management, and occupational safety.
- Increased knowledge about health-promoting behaviors.
- Increased awareness of community resources to support health-promoting behaviors.
- Increased confidence in making decisions related to health-promoting behaviors.
- Improved skills related to health-promoting behaviors
Adult
- Increased ability to recognize and respond to a mental health concern
- Increased ability to use de-stigmatized language
- Increased knowledge of self-care and other coping strategies
- Increased knowledge of mental health and well-being resources (interpersonal and community-based)
Adult
Substance use prevention and recovery behaviors for adults include, but are not limited to, pro-social activity, employability, building supportive networks, healthy coping and stress management, and mental health support.
- Increased knowledge about addiction as a chronic disorder
- Increased awareness of community resources to support prevention and recovery
- Increased confidence making decision related to substance use (i.e. substance use refusal skills)
- Increased confidence and motivation to use destigmatized language
- Increased intentions to employ health-promoting behaviors (e.g., exercise, healthy nutrition, positive coping, etc.).
Youth
Youth will learn how to make wise nutrition choices.
Youth will learn the importance of food safety.
Youth learn how to access nutritious foods.
Youth will learn how to prepare nutritious foods.
Youth will aspire to eat a variety of healthy foods daily.
Evaluation:
Adult
Outcome: Increased knowledge about health-promoting behaviors (e.g., how to prepare nutritious foods, benefits of routine vaccinations/screenings) (initial)
Indicator: Number of participants who reported/demonstrates improved knowledge, skills, opinions, or confidence regarding a health-promoting behavior as a result of a participating in a health and well-being program
Method: Observation by Agent or self-reported surveys
Timeline: Post-program/curricula survey administration
Outcome: Increased confidence and motivation to engage in health-promoting behaviors (e.g. add physical activity, consume more nutritious foods, receive vaccination or screen) (initial)
Indicator: Number of participants who reported/demonstrates improved knowledge, skills, opinions, or confidence regarding a health-promoting behavior as a result of a participating in a health and well-being program
Method: Self-reported surveys
Timeline: Post-program/curricula survey administration or follow up evaluation
Outcome: Increased intentions to employ health-promoting behaviors (e.g. vaccinations, screenings, preparation/consumption of nutritious foods, active living, pest prevention) (initial)
Indicator: Number of participants who reported intentions to implement a behavior learned from a health and well-being program
Method: Demonstration or self-reported surveys
Timeline: Post-program/curricula survey administration
Outcome: Increased health-promoting behaviors that support family and community health (e.g., physical activity, consuming nutritious foods, routine vaccinations and screenings) (intermediate)
Indicator:
Number of physical activity minutes recorded by a participant
Number of participants who reported consuming more nutritious foods and/or beverages
Number of participants who reported a change in a health-promoting behavior as a result of participating in a health and well-being program
Method: Self-reported surveys
Timeline: Repeated self-reported surveys and/or follow-up evaluations to capture change over time
Outcome: Increased and/or strengthened partnerships to address community health issues (intermediate)
Indicator: Number of community partners (community organizations, institutions, agencies, or individuals) worked with to offer health and well-being programming in the community
Method: Agent record of community partnerships utilized in programming
Timeline: Ongoing; Each partnership should be reported once per reporting period
Outcome: Increased organizational/site/community supports for health-promoting behaviors (intermediate)
Indicator: Number of volunteers who supported health and well-being programming in the community
Method: Agent record of volunteers utilized in programming
Timeline: Ongoing: Each volunteer should be reported once per reporting period
Outcome: Increased organizational/site/community supports for health-promoting behaviors that equitably address community health and safety issues (intermediate)
Indicator: Number of projects or initiatives working to improve a community health or safety issue
Method: Documentation (direct observation, photo, repeated survey) or interviews
Timeline: Ongoing/as changes are made and projects progress
Adult
Outcome: Increased awareness of and use of Food Connection Programs: Value Chain Coordinators, TFC Learning Kitchen, and Cultivate KY resources. (initial)
Indicator:
- Number of farms or food businesses who retained or expanded market opportunities and/or sales including locally produced foods.
- Number of individuals who? attended certificate-based training?on food safety, food preservation, food processing, liability, and/or marketing. (This includes: PBPT, Produce Safety Alliance Training, Good Agricultural Practices (GAP) training, Value Chain Coordination Services Training, Farmers Market Sampling, Home-based Microprocessing….).
- Number of people ho?used Extension and/or Food Connection resources and/or services for pricing and/or marketing local foods (examples of services include: Kentucky Nutrition Education Program/KYNEP, PlateEatMove.com, Plate It Up Kentucky Proud!, Cook Wild Kentucky, Kentucky Value Chain Coordinators, Cultivate Kentucky Partnership, etc.).
- Number of individuals reporting an increased awareness of how to find and prepare local food including responsible hunting/fishing/foraging.
Method: Agent Tool level from The Food Connection (being developed);
Timeline: Annual: Food System Impact Survey (federal fiscal year); The Food Connection (calendar year); HBMP (annual calendar year)
Outcome: Increased awareness and accessibility of Extension resources and programs supporting food access. (initial)
Indicator:
- Number of individuals reporting an increased awareness of how to find and prepare local food including responsible hunting/fishing/foraging.
- Number of policy, systems, and/or environmental changes implemented within communities and organizations to promote active living, and healthy eating, including local food production and/or hunting/foraging and consumption (e.g. local food pantry can accept fresh foods or local game; starting/revitalizing a school or community garden; starting a walking club, etc.).
- Number of individuals who reported increasing their knowledge, skills, or intentions regarding nutrition and accessing healthy foods through Extension programs and resources.
- Number of individuals who were introduced to healthy food access points (e.g. farmers’ markets, CSAs, WIC, food pantries) through Extension programs or resources.
Method: Pre/post participant evaluations from: NEP agent-led curricula, Food Preservation, Champion Food Volunter Leader Training; the Learning Kitchen Participant follow-up eval. TBD; # of certified Champion Food Volunteers in each county;
Timeline: Post-program/curricula survey administration; annual fiscal year (food system impact survey)
Outcome: Improved skills related to safe food preparation and food preservation. (initial)
Indicator:
- Number of individuals who reported increasing their knowledge, skills, or intentions regarding the safe storage, handling, preparation and/or preservation of food through Extension programs and resources.
- Number of individuals who reported supplementing their diets with healthy foods that they grew, harvested, or preserved (e.g. community or backyard gardens, fishing, hunting).
Method: Pre/post participant evaluations from: NEP agent-led curricula, Champion Food Volunteer, Food Preservation;
Timeline: Post-program/curricula survey administration; annual fiscal year (food system impact survey)
Outcome: Increased participation in Homebased Microprocessing workshops. (initial)
Indicator:
- Number of farms or food businesses who retained or expanded market opportunities and/or sales including locally produced foods.
- Number of individuals who?attended certificate-based training?on food safety, food preservation, food processing, liability, and/or marketing. (This includes: PBPT, Produce Safety Alliance Training, Good Agricultural Practices (GAP) training, Value Chain Coordination Services Training, Farmers Market Sampling, Home-based Microprocessing….).
Method: HBM Post-Workshop Evaluation
Timeline: Annual (calendar year)
Outcome: Increase the number of partnerships and/or coalitions involved in promoting awareness of local food systems, health eating, and active living (e.g. Program councils, Health Advisory Boards, etc.). (initial)
Indicator:
- Number of policy, systems, and/or environmental changes implemented within communities and organizations to promote active living, and healthy eating, including local food production and/or hunting/foraging and consumption (e.g. local food pantry can accept fresh foods or local game; starting/revitalizing a school or community garden; starting a walking club, etc.).
- Number of individuals who were introduced to health food access points (e.g. farmers markets, CSAs, WIC, food pantries) through Extension programs or resources.
Method: Food Systems Impact Survey, planeatmove.com website data, NEP resources distributed;
Timeline: Annual, fiscal year (Food Systems Impact Survey);
Adult
Audience: Families and Individuals
Project or Activity: Mental Health Education Programming
Content or Curriculum: Adult Mental Health First Aid, QPR (Question, Persuade, Refer), CODE RED, ACT (Awareness, Communication, and Triage and Treat) for Farm Families, Understanding and Coping with Trauma after Natural Disasters, After the Storm, Blue to You
Inputs: Programmatic materials, state specialist support, staff training, facilities, community partners (health coalitions, schools, local non-profits, etc.) UK Healthcare mental health resources, 988 community resources.
Date: Ongoing; 2025-2029
Audience: Families and Individuals
Project or Activity: Promoting Well-being
Content or Curriculum: MARK (Mind, Art, Recovery, Kentucky), Take a Beat: Healing Hearts and Minds, Handling Farm Stress: A Workshop for New and Beginning Farmers, Mindfulness Trails, Yoga-ta Try This (KEHA lesson), Self-care programming, Mindfulness programming, Recovery Gardens, Mental Health and Wellbeing Series, The Mind-Body Connection
Inputs: Programmatic materials, state specialist support, staff training, facilities, community partners (health coalitions, schools, local non-profits, etc.) UK Healthcare mental health resources, 988 community resources.
Date: Ongoing; 2025-2029
Audience: Communities
Project or Activity: Mental Health Access and Advocacy
Content or Curriculum: BARN (Bringing Awareness Right Now) Farm Dinner Theater, Pathways to Wellness, Building and Maintaining Health Coalitions
Inputs: Programmatic materials, state specialist support, staff training, facilities, community partners (health coalitions, schools, local non-profits, etc.), UK Healthcare mental health resources, 988 community resources.
Date: Ongoing; 2025-2029
Adult
Outcome: Increased knowledge about addiction as a chronic disorder (initial)
Indicator: Number of participants who reported an increased knowledge of substance use prevention, addiction, and/or recovery (or related subject matter)
Method: Self-reported surveys
Timeline: Post-program/curricula survey administration
Outcome: Increased awareness of community resources to support prevention and recovery (initial)
Indicator: Number of partnerships with community organizations, institutions, agencies, or individuals to address substance use/recovery in the community
Method: Program metrics agents will track, and report based on their activities and partnerships related to substance use prevention, addiction, and/or recovery)
Timeline: Post-program/curricula survey administration (ST) and follow-up survey (BC).
Outcome: Increased confidence making decisions related to substance use (i.e. substance use refusal skills) (Short-term, ST, and Intermediate, BC).
Indicator:
- Number of participants who reported intended behavior change as a result of participation in substance use prevention and/or recovery programming.
- Number of participants who reported that they intend to use self-care strategies to improve their recovery and/or substance refusal skills.
Method: Self-reported surveys
Timeline: Post-program/curricula survey administration (ST) and follow-up survey (BC).
Outcome: Increased confidence and motivation to use destigmatized language (intermediate)
Indicator: Number of participants who reported an increased ability to use destigmatized language
Method: Self-reported surveys
Timeline: Repeated self-reported surveys and/or follow-up evaluations to capture behavior change over time
Outcome: Increased intentions to employ health-promoting behaviors (e.g., exercise, healthy nutrition, positive coping, etc.). (Short-term, ST, and Intermediate, BC).
Indicator:
- Number of participants who reported that they intend to use self-care strategies to improve their recovery and/or substance refusal skills (ST)
- Number of participants who used self-care strategies to improve their recovery and/or substance refusal skills.
Method: Self-reported surveys
Timeline: Post-program/curricula survey administration (ST) and follow-up survey (BC)
Youth
Outcome: Short Term
Indicator:
Number of youth who reported that they have identified an interest in health or wellbeing initiatives in their community.
Number of youth who reported that they understand the importance of habits or choices that promote health and wellbeing.
Number of youth who reported that they learned ways to be physically active
Number of youth who reported that they learned how physical activity contributes to overall health
Number of youth who reported that they learned how food impacts their overall health.
Number of youth who reported that they have identified at least one job/career in health and wellbeing that fits their interest.
Method: Standard Evaluation for 4-H Health and Wellbeing: Survey
Timeline: Immediately after program/event
Outcome: Medium Term
Indicator:
Number of youth who reported that they have used knowledge and/or skills learned in health and wellbeing programs to complete a project.
Number of youth who reported that they have used nutrition as a way to improve their overall health.
Number of youth who reported that they have taken steps to pursue gaining more knowledge for a job in health and wellbeing based on their interests.
Method: Standard Evaluation for 4-H Health and Wellbeing: Survey
Timeline: End of Club/Program Year
Outcome: Long Term
Indicator: Long-term evaluation will be conducted using the National 4-H Index Study
Method: Standard Evaluation for 4-H Health and Wellbeing: Survey Timeline: 1 or more years
Youth
Outcome: Short Term Indicator:
Number of youth who reported that they learned the difference between healthy and unhealthy snacks.
Number of youth who reported that they learned about safe food handling and preparation.
Number of youth who reported that they learned about kitchen safety.
Number of youth who reported that they have identified an interest in Family Consumer Sciences.
Number of youth who reported an increased knowledge of egg and/or poultry food safety practices.
Number of youth who demonstrated/reported improved egg and/or poultry cooking skills.
Method: Evaluation Provided by Animal Food Sciences Department
Timeline: Immediate Post Program
Outcome: Medium Term
Indicator:
Number of youth who reported that they applied skills and/or knowledge to prepare healthy snacks for self or family.
Number of youth who reported that they practiced safe food handling and preparation.
Number of youth who reported that they practiced kitchen safety.
Number of youth who reported that they have used the skills and/or knowledge gained to complete a Family Consumer Sciences Project.
Method: Standard Evaluation Tool for Family Consumer Sciences: Survey
Timeline: End of the program year
Outcome: Long Term
Indicator: Long-term evaluation will be conducted using the National 4-H Index Study.
Method: Standard Evaluation Tool for Family Consumer Sciences: Survey
Timeline: 1 or more
Learning Opportunities:
Audience: Individuals & Farmers
Project or Activity: Nutrition Education
Content or Curriculum: Nutrition Education Program, SNAP-Ed toolkit, Publications, Faithful Families, Cook Together Eat Together, Savor the Flavor, Dining with Diabetes, Plate it up! Kentucky Proud, Food as Health Toolkit, Family Mealtime, maternal and child health program materials, www.planeatmove.com, Super Star Chef, Farm to School, Hunger in Kentucky
Inputs: Programmatic materials, paid staff, community partners, volunteers, faith-based organizations, health coalitions, healthcare Providers and local clinics, health department, non-profits, schools, company health & wellness, 4-H, Homemakers, farmers’ markets, local farmers/growers/producers, commodity groups, community centers, etc.
Dates: Ongoing
Audience: Individuals & Farmers
Project or Activity: Home Based Micro Processing
Content or Curriculum: HBMP Training materials
Inputs: Programmatic materials, paid staff, volunteers, community partners, facilities, health department, State of Kentucky, KDA, non-profits, schools, faith-based organizations, Homemakers, community centers, farmers, farmers’ markets, etc.
Dates: Ongoing
Audience: Individuals & Farmers
Project or Activity: Cook Wild
Content or Curriculum: Publications, trainings, recipes
Inputs: Programmatic materials, paid staff, volunteers, community partners, facilities, non-profits, 4-H, faith-based organizations, Homemakers, community centers, etc.
Dates: Ongoing
Audience: Individuals & Farmers
Project or Activity: Champion Food Volunteer
Content or Curriculum: Champion Food Volunteer Curriculum, publications
Inputs: Programmatic materials, paid staff, volunteers, community partners, facilities, non-profits, 4-H, faith-based organizations, Homemakers, community centers, etc.
Dates: Ongoing
Audience: Communities
Project or Activity: School, Community or Recovery Gardens
Content or Curriculum: NEP “Grow your own” publications, Hort. Dept. publications, youth gardening curriculum, Recovery Garden Toolkit
Inputs: Gardening materials, paid staff, community partners, 4-H, volunteers, grant funds, local organizations and community partners, schools, recovery centers, Nutrition Education Program
Dates: Ongoing
Audience: Communities
Project or Activity: Farmers’ Market Toolkit
Content or Curriculum: Farmers’ Market Toolkit
Inputs: Programmatic materials, paid staff, volunteers, community partners, facilities, health department, non-profits, schools, faith-based organizations, Homemakers, community centers, farmers, farmers’ markets, etc.
Dates: Ongoing
Adult
Audience: Families and Individuals
Project or Activity: Family & Community Health
Content or Curriculum: Publications, presentations, trainings, demonstrations, Health Bulletins, Pathways to Wellness, resources for early care and education settings, Health Literacy for the Win, Health Family Guides, Healthy Homemakers, Vaccine and on-site clinic opportunities, chronic disease prevention programs and materials, health fairs, hygiene education
Inputs: Programmatic materials, paid staff, volunteers, community partners, health coalitions, healthcare providers, health departments, non-profits, faith-based organizations, schools, company health & wellness, community centers, etc.
Date: Ongoing
Audience: Families & Individuals
Project or Activity: Physical Activity
Content or Curriculum: Publications, Faithful Families, Story Walks, Health and wellness Ambassadors, Shared Space Agreements, Health Coalitions, WIN, Health Partners, Bingocize, Walk Your Way, Families on the Move, County Walking Challenges, Mindfulness Trails, Fit Tips, Hiking for Health
Inputs: Programmatic materials, paid staff, volunteers, community partners, facilities, health coalitions, healthcare providers, health department, non-profits, schools, company health & wellness, faith-based organizations, Homemakers, community centers, etc.
Date: Ongoing/seasonal
Audience: Families & Individuals
Project or Activity: Nutrition Education
Content or Curriculum: Nutrition Education Program, SNAP-Ed toolkit, Publications, Faithful Families, Cook Together Eat Together, Savor the Flavor, Dining with Diabetes, Plate it up! Kentucky Proud, Cook Wild Ky, Food as Health Toolkit, Recovery Garden Toolkit, Family Mealtime, maternal and child health program materials,
Inputs: Programmatic materials, paid staff, community partners, volunteers, faith-based organization, health coalitions, healthcare Providers and local clinics, health department, non-profits, schools, company health and wellness, Homemakers, farmers’ markets, local farms/growers/producers, commodity groups, community centers, etc.
Date: Ongoing
Audience: Families & Individuals
Project or Activity: Physical, Environmental, and Occupational Safety
Content or Curriculum: Publications, presentations, trainings, demonstrations, In the Face of Disaster, Pest Control Short Course, Stop the Bleed, … … …
Inputs: Programmatic materials, paid staff, community partners, businesses, creative entrepreneurs, local farms/growers/producers, commodity groups, housing authorities
Date: Ongoing/seasonal
Audience: Communities
Project or Activity: Policy, Systems, and Environmental (PSE) Approaches
Content or Curriculum: Pathways to Wellness, Faithful Families, Story Walks, Shared Space Agreements, parks and trail development, Active Community Toolkit, resources for early case and education settings, food system work (e.g. farmers’ markets, backpack programs, community gardens), SNAP-Ed toolkit, creating and Maintaining Health Coalitions, Arts in Health publications, CEDIK Healthy Communities toolkit
Inputs: Programmatic materials, paid staff, community partners, volunteers, grant funds, local organizations and community partners, health coalitions, Nutrition Education program, local farms/growers/producers, key stakeholders, elected officials, Department of Transportation, employee health and wellness, schools, etc.
Date: Ongoing
Adult
Audience: Families and Individuals
Project or Activity: Addiction Education
Content or Curriculum: Publications, Addiction 101, Harm Reduction 101
Inputs: Programmatic materials, community partners, ASAP Boards and Community Coalitions, residential treatment centers, detention centers, healthcare providers, clergy, and healthcare providers
Date: Ongoing
Audience: Families and Individuals
Project or Activity: Stigma Reduction
Content or Curriculum: Publications, Language Matters, Addiction 101 Engaging People with Lived Experience (Testimonies), Mind Art Recovery Kentucky
Inputs: Programmatic materials, community partners, ASAP Boards and Community Coalitions, residential treatment centers, detention centers, healthcare providers, law enforcement, and clergy
Date: Ongoing
Audience: Families and Individuals
Project or Activity: Recovery Capital Building
Content or Curriculum: Healthy Choices for Your Recovering Body (HCYRB), Recovering Your Finances (RYF), Recovery Gardens, Positive Employability, Question. Persuade. Refer (QPR), Mind Art Recovery Kentucky
Inputs: Programmatic materials, community partners, ASAP Boards and Community Coalitions, residential treatment centers, detention centers, healthcare providers, law enforcement, and clergy
Date: Ongoing
Audience: Communities
Project or Activity: Policy, Systems, and Environmental (PSE) Approaches
Content or Curriculum: Addiction 101, Recovering Your Finances (RYF), PROFIT, Building Recovery Ready Communities (e.g. presenting to coalitions), Resources for Family Members and Concerned Others, Parenting in Recovery
Inputs: Programmatic materials, community partners, grant funding, elected officials, health coalitions, and other key stakeholders
Date: Ongoing
Youth
Audience: Youth
Project or Activity: Nutrition and Food Preparation Content or Curriculum: Jump Into Food and Fitness Inputs:
4-H Family and Consumer Sciences programs in which youth experience a sense of belonging, and developmental relationships, explore their spark, and actively engage in meaningful opportunities.
Accredited and certified volunteers in 4-H FCS projects.
Four residential camping facilities.
Cooperative Extension Educational facilities.
Utilization of approved research-based curriculum.
Outreach of the Cooperative Extension Land-Grant System.
Funding from the Kentucky 4-H Foundation, Inc.
Funding from local, state, and federal sources.
Engagement of youth and volunteers in program delivery.
Engaging communities in identifying and implementing programming based on local needs
Date: September 1 – August 30
Audience: Youth
Project or Activity: Nutrition and Food Preparation
Content or Curriculum: Poultry Barbecue Camps, Chicken and Turkey Barbecue
Contests, Egg Cooking Workshops, State 4-H Egg Chef Challenge Inputs:
4-H Poultry programs in which youth experience a sense of belonging, and developmental relationships, explore their spark, and actively engage in meaningful opportunities.
Martin-Gatton College of Agriculture, Food and Environment Animal Food Sciences Department
Accredited and certified volunteers.
Four residential camping facilities.
Cooperative Extension Educational facilities.
Utilization of approved research-based curriculum.
Outreach of the Cooperative Extension Land-Grant System.
Funding from the Kentucky 4-H Foundation, Inc.
Funding from local, state, and federal sources.
Engagement of youth and volunteers in program delivery.
Engaging communities in identifying and implementing programming based on local needs.
Dates: September 1 – August 30
Audience: Youth
Project or Activity: Nutrition and Food Preparation Content or Curriculum: 4-H Cooking: 101, 201, 301, 401 Inputs:
4-H Family and Consumer Sciences programs in which youth experience a sense of belonging, and developmental relationships, explore their spark, and actively engage in meaningful opportunities.
Accredited and certified volunteers in 4-H FCS projects.
Kentucky Extension Homemakers Association Four residential camping facilities.
Cooperative Extension Educational facilities.
Utilization of approved research-based curriculum.
Outreach of the Cooperative Extension Land-Grant System.
Funding from the Kentucky 4-H Foundation, Inc.
Funding from local, state, and federal sources.
Engagement of youth and volunteers in program delivery.
Engaging communities in identifying and implementing programming based on local needs
Dates: September 1 – August 30
Evaluation:
Adult
Outcome: Increased knowledge about health-promoting behaviors (e.g., how to prepare nutritious foods, benefits of routine vaccinations/screenings) (initial)
Indicator: Number of participants who reported/demonstrates improved knowledge, skills, opinions, or confidence regarding a health-promoting behavior as a result of a participating in a health and well-being program
Method: Observation by Agent or self-reported surveys
Timeline: Post-program/curricula survey administration
Outcome: Increased confidence and motivation to engage in health-promoting behaviors (e.g. add physical activity, consume more nutritious foods, receive vaccination or screen) (initial)
Indicator: Number of participants who reported/demonstrates improved knowledge, skills, opinions, or confidence regarding a health-promoting behavior as a result of a participating in a health and well-being program
Method: Self-reported surveys
Timeline: Post-program/curricula survey administration or follow up evaluation
Outcome: Increased intentions to employ health-promoting behaviors (e.g. vaccinations, screenings, preparation/consumption of nutritious foods, active living, pest prevention) (initial)
Indicator: Number of participants who reported intentions to implement a behavior learned from a health and well-being program
Method: Demonstration or self-reported surveys
Timeline: Post-program/curricula survey administration
Outcome: Increased health-promoting behaviors that support family and community health (e.g., physical activity, consuming nutritious foods, routine vaccinations and screenings) (intermediate)
Indicator:
Number of physical activity minutes recorded by a participant
Number of participants who reported consuming more nutritious foods and/or beverages
Number of participants who reported a change in a health-promoting behavior as a result of participating in a health and well-being program
Method: Self-reported surveys
Timeline: Repeated self-reported surveys and/or follow-up evaluations to capture change over time
Outcome: Increased and/or strengthened partnerships to address community health issues (intermediate)
Indicator: Number of community partners (community organizations, institutions, agencies, or individuals) worked with to offer health and well-being programming in the community
Method: Agent record of community partnerships utilized in programming
Timeline: Ongoing; Each partnership should be reported once per reporting period
Outcome: Increased organizational/site/community supports for health-promoting behaviors (intermediate)
Indicator: Number of volunteers who supported health and well-being programming in the community
Method: Agent record of volunteers utilized in programming
Timeline: Ongoing: Each volunteer should be reported once per reporting period
Outcome: Increased organizational/site/community supports for health-promoting behaviors that equitably address community health and safety issues (intermediate)
Indicator: Number of projects or initiatives working to improve a community health or safety issue
Method: Documentation (direct observation, photo, repeated survey) or interviews
Timeline: Ongoing/as changes are made and projects progress
Adult
Outcome: Increased awareness of and use of Food Connection Programs: Value Chain Coordinators, TFC Learning Kitchen, and Cultivate KY resources. (initial)
Indicator:
- Number of farms or food businesses who retained or expanded market opportunities and/or sales including locally produced foods.
- Number of individuals who? attended certificate-based training?on food safety, food preservation, food processing, liability, and/or marketing. (This includes: PBPT, Produce Safety Alliance Training, Good Agricultural Practices (GAP) training, Value Chain Coordination Services Training, Farmers Market Sampling, Home-based Microprocessing….).
- Number of people ho?used Extension and/or Food Connection resources and/or services for pricing and/or marketing local foods (examples of services include: Kentucky Nutrition Education Program/KYNEP, PlateEatMove.com, Plate It Up Kentucky Proud!, Cook Wild Kentucky, Kentucky Value Chain Coordinators, Cultivate Kentucky Partnership, etc.).
- Number of individuals reporting an increased awareness of how to find and prepare local food including responsible hunting/fishing/foraging.
Method: Agent Tool level from The Food Connection (being developed);
Timeline: Annual: Food System Impact Survey (federal fiscal year); The Food Connection (calendar year); HBMP (annual calendar year)
Outcome: Increased awareness and accessibility of Extension resources and programs supporting food access. (initial)
Indicator:
- Number of individuals reporting an increased awareness of how to find and prepare local food including responsible hunting/fishing/foraging.
- Number of policy, systems, and/or environmental changes implemented within communities and organizations to promote active living, and healthy eating, including local food production and/or hunting/foraging and consumption (e.g. local food pantry can accept fresh foods or local game; starting/revitalizing a school or community garden; starting a walking club, etc.).
- Number of individuals who reported increasing their knowledge, skills, or intentions regarding nutrition and accessing healthy foods through Extension programs and resources.
- Number of individuals who were introduced to healthy food access points (e.g. farmers’ markets, CSAs, WIC, food pantries) through Extension programs or resources.
Method: Pre/post participant evaluations from: NEP agent-led curricula, Food Preservation, Champion Food Volunter Leader Training; the Learning Kitchen Participant follow-up eval. TBD; # of certified Champion Food Volunteers in each county;
Timeline: Post-program/curricula survey administration; annual fiscal year (food system impact survey)
Outcome: Improved skills related to safe food preparation and food preservation. (initial)
Indicator:
- Number of individuals who reported increasing their knowledge, skills, or intentions regarding the safe storage, handling, preparation and/or preservation of food through Extension programs and resources.
- Number of individuals who reported supplementing their diets with healthy foods that they grew, harvested, or preserved (e.g. community or backyard gardens, fishing, hunting).
Method: Pre/post participant evaluations from: NEP agent-led curricula, Champion Food Volunteer, Food Preservation;
Timeline: Post-program/curricula survey administration; annual fiscal year (food system impact survey)
Outcome: Increased participation in Homebased Microprocessing workshops. (initial)
Indicator:
- Number of farms or food businesses who retained or expanded market opportunities and/or sales including locally produced foods.
- Number of individuals who?attended certificate-based training?on food safety, food preservation, food processing, liability, and/or marketing. (This includes: PBPT, Produce Safety Alliance Training, Good Agricultural Practices (GAP) training, Value Chain Coordination Services Training, Farmers Market Sampling, Home-based Microprocessing….).
Method: HBM Post-Workshop Evaluation
Timeline: Annual (calendar year)
Outcome: Increase the number of partnerships and/or coalitions involved in promoting awareness of local food systems, health eating, and active living (e.g. Program councils, Health Advisory Boards, etc.). (initial)
Indicator:
- Number of policy, systems, and/or environmental changes implemented within communities and organizations to promote active living, and healthy eating, including local food production and/or hunting/foraging and consumption (e.g. local food pantry can accept fresh foods or local game; starting/revitalizing a school or community garden; starting a walking club, etc.).
- Number of individuals who were introduced to health food access points (e.g. farmers markets, CSAs, WIC, food pantries) through Extension programs or resources.
Method: Food Systems Impact Survey, planeatmove.com website data, NEP resources distributed;
Timeline: Annual, fiscal year (Food Systems Impact Survey);
Adult
Audience: Families and Individuals
Project or Activity: Mental Health Education Programming
Content or Curriculum: Adult Mental Health First Aid, QPR (Question, Persuade, Refer), CODE RED, ACT (Awareness, Communication, and Triage and Treat) for Farm Families, Understanding and Coping with Trauma after Natural Disasters, After the Storm, Blue to You
Inputs: Programmatic materials, state specialist support, staff training, facilities, community partners (health coalitions, schools, local non-profits, etc.) UK Healthcare mental health resources, 988 community resources.
Date: Ongoing; 2025-2029
Audience: Families and Individuals
Project or Activity: Promoting Well-being
Content or Curriculum: MARK (Mind, Art, Recovery, Kentucky), Take a Beat: Healing Hearts and Minds, Handling Farm Stress: A Workshop for New and Beginning Farmers, Mindfulness Trails, Yoga-ta Try This (KEHA lesson), Self-care programming, Mindfulness programming, Recovery Gardens, Mental Health and Wellbeing Series, The Mind-Body Connection
Inputs: Programmatic materials, state specialist support, staff training, facilities, community partners (health coalitions, schools, local non-profits, etc.) UK Healthcare mental health resources, 988 community resources.
Date: Ongoing; 2025-2029
Audience: Communities
Project or Activity: Mental Health Access and Advocacy
Content or Curriculum: BARN (Bringing Awareness Right Now) Farm Dinner Theater, Pathways to Wellness, Building and Maintaining Health Coalitions
Inputs: Programmatic materials, state specialist support, staff training, facilities, community partners (health coalitions, schools, local non-profits, etc.), UK Healthcare mental health resources, 988 community resources.
Date: Ongoing; 2025-2029
Adult
Outcome: Increased knowledge about addiction as a chronic disorder (initial)
Indicator: Number of participants who reported an increased knowledge of substance use prevention, addiction, and/or recovery (or related subject matter)
Method: Self-reported surveys
Timeline: Post-program/curricula survey administration
Outcome: Increased awareness of community resources to support prevention and recovery (initial)
Indicator: Number of partnerships with community organizations, institutions, agencies, or individuals to address substance use/recovery in the community
Method: Program metrics agents will track, and report based on their activities and partnerships related to substance use prevention, addiction, and/or recovery)
Timeline: Post-program/curricula survey administration (ST) and follow-up survey (BC).
Outcome: Increased confidence making decisions related to substance use (i.e. substance use refusal skills) (Short-term, ST, and Intermediate, BC).
Indicator:
- Number of participants who reported intended behavior change as a result of participation in substance use prevention and/or recovery programming.
- Number of participants who reported that they intend to use self-care strategies to improve their recovery and/or substance refusal skills.
Method: Self-reported surveys
Timeline: Post-program/curricula survey administration (ST) and follow-up survey (BC).
Outcome: Increased confidence and motivation to use destigmatized language (intermediate)
Indicator: Number of participants who reported an increased ability to use destigmatized language
Method: Self-reported surveys
Timeline: Repeated self-reported surveys and/or follow-up evaluations to capture behavior change over time
Outcome: Increased intentions to employ health-promoting behaviors (e.g., exercise, healthy nutrition, positive coping, etc.). (Short-term, ST, and Intermediate, BC).
Indicator:
- Number of participants who reported that they intend to use self-care strategies to improve their recovery and/or substance refusal skills (ST)
- Number of participants who used self-care strategies to improve their recovery and/or substance refusal skills.
Method: Self-reported surveys
Timeline: Post-program/curricula survey administration (ST) and follow-up survey (BC)
Youth
Outcome: Short Term
Indicator:
Number of youth who reported that they have identified an interest in health or wellbeing initiatives in their community.
Number of youth who reported that they understand the importance of habits or choices that promote health and wellbeing.
Number of youth who reported that they learned ways to be physically active
Number of youth who reported that they learned how physical activity contributes to overall health
Number of youth who reported that they learned how food impacts their overall health.
Number of youth who reported that they have identified at least one job/career in health and wellbeing that fits their interest.
Method: Standard Evaluation for 4-H Health and Wellbeing: Survey
Timeline: Immediately after program/event
Outcome: Medium Term
Indicator:
Number of youth who reported that they have used knowledge and/or skills learned in health and wellbeing programs to complete a project.
Number of youth who reported that they have used nutrition as a way to improve their overall health.
Number of youth who reported that they have taken steps to pursue gaining more knowledge for a job in health and wellbeing based on their interests.
Method: Standard Evaluation for 4-H Health and Wellbeing: Survey
Timeline: End of Club/Program Year
Outcome: Long Term
Indicator: Long-term evaluation will be conducted using the National 4-H Index Study
Method: Standard Evaluation for 4-H Health and Wellbeing: Survey Timeline: 1 or more years
Youth
Outcome: Short Term Indicator:
Number of youth who reported that they learned the difference between healthy and unhealthy snacks.
Number of youth who reported that they learned about safe food handling and preparation.
Number of youth who reported that they learned about kitchen safety.
Number of youth who reported that they have identified an interest in Family Consumer Sciences.
Number of youth who reported an increased knowledge of egg and/or poultry food safety practices.
Number of youth who demonstrated/reported improved egg and/or poultry cooking skills.
Method: Evaluation Provided by Animal Food Sciences Department
Timeline: Immediate Post Program
Outcome: Medium Term
Indicator:
Number of youth who reported that they applied skills and/or knowledge to prepare healthy snacks for self or family.
Number of youth who reported that they practiced safe food handling and preparation.
Number of youth who reported that they practiced kitchen safety.
Number of youth who reported that they have used the skills and/or knowledge gained to complete a Family Consumer Sciences Project.
Method: Standard Evaluation Tool for Family Consumer Sciences: Survey
Timeline: End of the program year
Outcome: Long Term
Indicator: Long-term evaluation will be conducted using the National 4-H Index Study.
Method: Standard Evaluation Tool for Family Consumer Sciences: Survey
Timeline: 1 or more
- Acting Associate Dean & Director — Craig Wood, Ph.D.
- S107 Ag. Science Center North
- Lexington, KY 40546-0091
- +1 (859) 257-4302
© 2024 University of Kentucky, Martin-Gatton College of Agriculture, Food and Environment