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General Information Contacts Rodakowski, Natalie Delivery - Extension Staff McCoy, Janice Rodakowski, Natalie Delivery - Groups/Others Family and Consumer Science Educators SNAP-Ed Community Workers Youth Development Educators Situation or Issue Situation Description Situation Description Physical, psychological, emotional and financial well-being are all important in the development of a healthy lifestyle for adults, youth and families in Illinois. In 2006, the World Health organization defined the optimum state of health as having two focal points: the realization of the fullest potential of an individual physically, psychologically, socially, spiritually and economically and having the fulfillment of one’s role expectations in the family, community, place of worship, workplace and other settings.1 Poor nutrition, low cost processed foods, the lack of physical activity, overweight/obesity increases, and the burden of chronic diseases such as diabetes, and heart disease continue to negatively impact the physical health of both individuals and families. In 2011, Illinois was ranked as the 23rd most obese state in America. 2 According to Illinois Behavioral Risk Factor Surveillance System (BRFSS) 2010, the overweight population was at 33.9% and the obese population at 27.6 %. 3 According to the Obesity Community Health Report, in Lee County, 27% of the population is obese and over 60% is either overweight or obese. Lee Counties outcome objective is by 2016, the percentage of Lee County residents who are obese will fall below the national benchmark of 25% (Baseline is 27% of the population). The most recent data of 2007 states that 34.9% of children and teens (ages 10-17 years) were considered over-weight or obese.4 Conditions such as heart disease, type 2 diabetes, stroke and certain types of cancer (some of the leading causes of preventable death) are associated with obesity.5 Heart disease continues to be the leading cause of death in the state, followed by cancer and stroke as the second and third causes of death respectively. Diabetes ranks as the seventh leading cause of death in Illinois6 . In fact, more than 800,000 adults (8.5%) in the state have been diagnosed with diabetes. Diabetes, a disease that was once considered an adult illness, is increasingly being diagnosed in children. According to the 2011 IPLAN, 7% of people in Illinois were diagnosed with Diabetes whereas in Lee county, 9% of their population were diagnosed with Diabetes. Heart disease, stroke, cancer, and diabetes were all noted as the leading cause of death. Poor nutrition and lack of physical activity play a role in the development of obesity and chronic diseases. Citizens of our state are not meeting dietary and physical activity goals. According to 2009 BRFSS, only 23% of adults report eating more than five fruits and vegetables every day. In addition, 62% report that they are not getting the recommended amounts of daily physical activity, if any physical activity at all. Young people are not eating enough whole fruit, whole grains, legumes, and dark green and orange vegetables.7 According to the 2011 IPLAN, 32% of Lee County residents are eating 3-4 servings of fruits and vegetables per day. 10.1% are eating 5 or more servings of fruits and vegetables per day. Furthermore, 26% of adults 20 and older reported no leisure time activity. Moderate physical activity can reduce the risk of developing heart disease, diabetes, colon cancer, high blood pressure and helps to lessen the effects of stress 8 . The 2008 Physical Activity Guidelines recognized the value of physical activity as an important component of an overall healthy lifestyle. On average, physically active people live longer and have better quality lives than inactive people9 . National trends indicate that activity levels decrease across the lifespan. Regular physical activity and physical fitness across the lifespan are important to an individual’s health, sense of well-being, management of stress, and maintenance of a healthy body weight. For children and youth to meet recommended guidelines, they should engage in 60 minutes of moderate to vigorous physical activity most days of the week10. Physical well-being is also affected by our psychological, social and emotional experiences as indicated earlier by the World Health Organization. Because of stress or feelings of anxiety, individuals may experience a variety of physical symptoms such as stomach aches and headaches, This may be due to stress that is personally experienced or by what is observed happening to others. In a technological society of text messages, social networking sites and instant messaging, it is also important to examine how interactions with others are affected and perceived. Maintaining a sense of a healthy emotional and psychological wellbeing is influenced by our interactions with others in addition to the environmental conditions to which people are exposed. Promoting a safe, healthy environment for adults and youth can positively influence healthy development11. Social Networking also impacts relationships among youth. With more than 93% of American teens online, nearly every teenager has access to and actively participates in online social networking. Sites such as Facebook, MySpace, and Twitter all serve as a means for youth to stay in contact with their friends; however there are some concerns associated with social networking since nothing on the internet is actually private or protected. Many teens do not think about how public the information becomes once added to a social networking site. One in 10 college admissions officers visit applicants’ social networking sites as part of the admissions decision-making process (Wong, 2008). In addition, there are many web-based businesses whose services can be purchased by individuals and/or businesses to provide an online diary of everything that was ever posted on personal social networking sites. Healthy lifestyles for adults, youth and families require a variety of factors to be in balance. Currently, the long-term economic crisis has Illinois consumers and families struggling financially and as a result their health and wellbeing are threatened. The complex economic situation means that many people in Illinois are facing extreme challenges to their financial security:The current unemployment rate in Illinois is 8.7% as of June 2012, compared to 8.2% nationwide12 The current unemployment rate in Illinois is 8.7% as of June 2012 , compared to 8.2% nationwide.12. According to a report by the Federal Housing Finance Agency: more Illinois home mortgages backed by Fannie Mae and Freddie Mac, were seriously delinquent or already in foreclosure at the end of 2011, than any state other than Florida and California.13 Approximately 14% of the state population depends on food stamps to battle hunger. There has been a 34% increase in food stamp program participation from FY 2006-201014. While everyone has not been equally impacted by the economic crisis, this is a widespread problem. If someone is not unemployed themselves, they likely have a brother, daughter, or other close person who is, and these people may be asking their relatives for help. Finanacial insecurity means that families have trouble providing for basic needs such as food and housing. In addition, financial insecruity can lead to increased anxiety and stress. Chronic psychological stress contributes to a variety of health prorblems, such as heart disease, depression and obesity15. According to the 2010 Census, there are currently 40 million Americans over the age of 65. This number is expected to reach 72 million by 2030, which will then represent one-fifth of the U.S. population. 1 In fact, each and every day 10,000 Americans turn 65, and this trend is expected to continue for the next 18 years. 2 In 2000, nine U.S. states, including Illinois, tallied more than one million residents each, age 65 and older. Today’s generation of older adults are living longer, healthier lives and are able to remain active in their retirement years, often for several decades after work life ends. Because of this, people are looking for ways to add life to their years. Even though older people are living longer, about 80% of them are living with at least one chronic health condition. 3 With more than 222,000 older Illinoisans currently diagnosed with Alzheimer’s disease, memory loss and dementia continue to be common concerns for many.5 In spite of aging and its challenges, many older people work at managing life’s transitions by remaining socially active with friends and family members, actively working to preserve or enhance their memory, maintaining independence, reducing stress, and staying on top of their health conditions. Providing strategies for positive aging in retirement is the focus of the healthy lifestyles plan of work for family life programming. Educational programs will be offered to assist older adults and their families in learning strategies that help them navigate through the issues they face in their day to day lives in order to enhance the quality of their lives in later life. It was determined that the top five priority issues for the 2011 Lee County IPLAN, in order or ranked priority are; 1) Chronic Disease Screening 2) Access to Mental Health Services 3) Obesity 4)Smoking 5) Alcohol/Drug Abuse. These data and others support the need for Extension programming addressing the important area of developing a healthy lifestyle. Stakeholder Input Results from the Together We Can..Tell Us How Survey conducted from March 1-April 17, 2009 by University of Illinois Extension show a strong interest by Illinois citizens for information that supports the development and maintenance of a healthy lifestyle. Of those people surveyed in Illinois, 89% are interested in information about maintaining healthy relationships, 93% in information about managing your money, and 95% have interest in maintaining physical health and well-being. Outcomes/Impacts Condition Change Condition Changes Decreased risk factors for chronic disease. Reduction in the proportion of adults, youth and children who are overweight or obese. Decreased emotional strain in handling the challenges of family transitions. Increased resources for positive role modeling and support. Increased number of children and youth demonstrating positive contributions to their families, schools and communities and engaging in long-term meaningful relationships. Decrease the number of children and youth engaged in negative health behaviors such as violence, bullying, harassment. Increase financial stability in families that spend less on food or have enough money to buy food for the whole month. Increase the savings rate of individuals and families. Increase family financial security in later life. Action Changes Action Changes Increased consumption of healthy food, including the following: increased intake of fruit and vegetables, increased intake of whole grains and fiber, decreased fat intake, decreased sodium intake, healthier beverage choices, use of appropriate serving sizes, breakfast eaten daily. Prepare healthy, nutritious food according to skill level and budgetary constraints. Increased amount of time spent in physical activity. Set financial goals (such as reduce debt, increase savings, and prepare for financial security in later life). Practice positive financial behaviors such as paying down credit card balances, changing spending behaviors, and saving money in retirement plans. Increased ability to identify, manage and appropriately express one’s emotions and behaviors Increased ability to make positive decisions and to access external supports. Increased ability to prevent, manage and resolve interpersonal conflicts in constructive ways. Increased communication habits in families and adults about online practices. Learning Changes Learning Changes Gain awareness, knowledge, and skills related to planning menus/choosing foods/preparing foods using the Food Guidance System (MyPlate). Gain awareness, knowledge, and skills necessary to improve and increase physical activity. Increase knowledge of managing chronic diseases. Increase consumer ability to recognize research based health messages. Recognize health benefits associated with improved diet and increased physical activity. Increased understanding of family interaction at family mealtime. Gain awareness, knowledge, and skills related to how to save money on food. Gain knowledge and skills related to increasing savings, decreasing debt, and planning for future financial security. Increase confidence in ability to effectively manage finances. Increased knowledge of family relationship changes through family transitions. Increased awareness of one’s emotions and behaviors Increased awareness about personal qualities and external supports that influence choices and success Increased awareness of how individual choices can impact others. Increased awareness of goal-setting skills Increased awareness of the feelings and perspectives of others Increased knowledge of interpersonal conflict resolution skills Increased knowledge of how social norms and media messages can affect one’s feelings, decision making and behaviors Increased awareness of dangers and threats of online interactions. Increased awareness of different kinds of stressors and skills for coping with stress. Outputs/Learning Opportunities Learning Activities Financial Wellness for College Students College students at UIUC, with an interest in financial planning, connect with other students through Facebook, e-newsletter, website information, g-chat, as well as in-person with timely financial education information. While the Peer Educators for this program are at UIUC, the program aims to connect with students statewide through electronic communication. Meals for a Healthy Heart A two-part face-to-face series that focuses on increasing participant awareness of the major risk factors of coronary heart disease. The series highlights heart healthy foods, menu planning, healthy eating away from home, physical activity and weight management. Food demonstrations, taste testing, and recipes are provided at each session. Healthy Living throughout the Lifespan Series Educational programs for adult audiences, including HCE, relevant to issues experienced throughout the lifespan including, general nutrition and physical activity, money management, stress management, and maintaining healthy family relationships. Programs may be offered via teleconference, e-technology, or face-to-face as an individual program or as a series of programs ranging in length from 60-90 minutes per session. List of topics available from County Director and Family and Consumer Science educators. Fit Wits: Fostering Improved Thinking While Incorporating Training Strategies Keeping a brain healthy requires more than just doing crossword puzzles or word searches. There is increasing evidence that brain health is directly related to body health. However, most people think more about keeping their bodies fit or their hearts healthy than working at maintaining a healthy brain. This program discusses the aging brain and what can be done to keep the brain healthy and engaged. 4-H Health Jam and Metro Health Jam This nine-week program is designed to teach elementary age youth about physical activity and keeping their bodies healthy. During this school-based program, youth participate in a two-day camp and an eight-week follow-up. Websites available to help people increase financial knowledge and confidence Getting through Tough Financial Times (www.toughtimes.illinois.edu), Choosing a Financial Professional (http://web.extension.illinois.edu/financialpro/), More for Your Money (http://web.extension.illinois.edu/money/), and Credit Card Smarts (http://web.extension.illinois.edu/creditcardsmarts/). Social Networking Internet Safety Trained Extension Educators will engage in community partnerships to facilitate training for local community members, educators, 4-H volunteers and other interested adults aimed at increasing digital citizenship and reducing the incidence of cyber bullying. The trained adult partners will then share information with youth to build awareness of the risks and rewards of online social networking and foster positive dialogue among parent/caregivers and young people on the use of social networking online. Live Well, Be Well A chronic disease self-management workshop offered as a 6-week series for anyone suffering from a chronic illness. Topics covered include: dealing with difficult emotions; nutrition and diet; physical activity and exercise; relaxation exercises; medications; communication with medical personnel and family; medical documentation; creating action plans. Supplemental Nutrition Assistance Program Education (SNAP-Ed) Persons eligible for SNAP are entitled to nutrition education through SNAP-Ed. The goal is to improve the likelihood SNAP-Ed participants will make healthy food choices and choose physically active lifestyles. In Illinois, more than 88% of the counties offer learner-centered education aimed at helping limited resource families and individuals learn how to prepare safe and healthful meals and increase their physical activity to maintain appropriate calorie balance as part of a healthy lifestyle. Plan Well, Retire Well A comprehensive electronic education program which includes a blog, e-news, Facebook, and news articles. Individuals can subscribe to the e-news and the blog. The focus of Plan Well, Retire Well is to help adults plan and invest for retirement while managing their daily financial needs. I on Diabetes A series of four 2½ - 3 hour face-to-face sessions designed for anyone interested in preventing or managing diabetes. The program provides information on treatment goals and self-monitoring, managing carbohydrates, sodium, cholesterol and fat portions, planning meals, reading food labels, and using artificial sweeteners, low-fat products and herbs and spices. Food demonstrations, taste testing, and recipes are provided at each session. Target Audiences Define the Audience Individuals Who are Diabetic or Their Caretakers Individuals Interested in Managing the Risk of Coronary Heart Disease Individuals Interested in Planning for Retirement Limited Resource Audiences in Racially and Ethnically Diverse Communities Middle School Youth College Students Professionals Who Assist Families with Long-term Care Needs Individuals Suffering From a Chronic Illness Adults interested in continuing education Inputs Resources Program fees will be assessed to cover the travel and material costs of Extension staff who deliver face-to-face workshops for participants. Facilities for workshops will include local Extension offices or other community sites. Human resource investment will include time devoted to program development , curriculum preparation and delivery, and evaluation of programs by Extension Educators/Specialists and Extension Staff time in promoting and recruiting participation, volunteer delivery system locating and setting up facilities, and the state Extension web development or unit websites. Equipment provided by Unit including audio conferencing systems. Volunteer contributions. Program grants and gifts. Collaboration with other community organizations. Collaboration with Sauk Valley Community Services Division. Outcome/Impact Indicators Identify Outcomes Healthy Living throughout the Lifespan Series--Number of participants who set goals to implement a strategy to improve family relationships, financial health and healthy nutrition practices I on Diabetes--Number of participants who report: using a meal plan to help manage diabetes reducing fat intake reducing sodium intake increasing use of food labels to plan meals increasing physical activity Meals for a Healthy Heart--Number of participants who report: confidence in planning and preparing heart healthy meals making more healthy food choices when eating away from home knowledge gained about the relationship between diet and chronic diseases eating a variety of foods based on the Food Guide System (MyPlate) 4-H Health Jam and Metro Health Jam--Number of participants who gain knowledge, attitudes, and aspirations to explore health careers gain, knowledge, attitudes, skills, and aspiration to improve personal health engage in at least 60 minutes of daily physical activity know how to choose food according to MyPlate and Dietary Guidelines Plan Well, Retire Well--Number of participants who adopt one or more positive financial practices to adopt one or more positive financial practices to increase savings adopt one or more positive financial practices to reduce debt take steps towards long-term financial security take steps to increase their financial knowledge by subscribing to an educational social media site such as @morethancoupons, Plan Well, Retire Well blog or e-newsletter, or a finance-related Facebook page such as Champaign County Saves or Money Smart Week. Identifying the Evaluation Methods to be Used Impact Evaluations Learning Activity (Title, etc.) Audience(s) Evaluation Method Date To Be Conducted I on Diabetes Adults interested in the prevention and/or management of diabetes Pre- and post-test Before and after the series Meals for a Healthy Heart* Adults interested in the prevention and/or management of coronary heart disease Retrospective and follow-up survey End of program One month later 3 months later Healthy Living Series Adults interested in increasing overall healthy wellbeing. Retrospective survey End of program 4-H Health Jam* Elementary age youth Pre/post test Beginning and end of each program