Applicant Name and Project Name: Lafayette County-Live Healthy, Live Well

1st Quarter Interim Report Mar 2011 – May 2011 Project Plan

Applicant Name and Project Name: _ Lafayette County-Live Healthy, Live Well

Goal 1: To improve overall community health by decreasing tobacco use and exposure to tobacco, increasing access to healthy, fresh food, and providing an environment that encourages active and healthy lifestyles.

Objective 1: Increasing access to healthy, fresh food.

MEASUREMENT(S) TIMELINE PROGRES ACTIVITIES/TACTICS PRODUCT (OUTPUT) S DURING PROJECT MEASURES REPORTIN G PERIOD Meetings with local Improved availability and How many school food service and Progress: Lafayette County MU Extension Fall 2011 farmers, school food mechanisms for purchasing farmers attended? Timeline Healthy Lifestyle Associate /March 2012 service management, food from farm for school What did people learn from the meeting? revised- School partners Opaa! Food Service food service programs. efforts to Corporate Managers, & How many connections were made and be food distributors to what did those connections produce? redirected. determine produce needs Plans for of schools and produce one on one plans for vegetable & fruit consultatio production & means of n with end distribution users to facilitate connection s with appropriate growers. Institute “Chef” training for Enhanced knowledge & skills 1. # of food service personnel trained. 1. 20 food Lafayette County MU Extension May 2011 use of fresh produce for of food service personnel to service Healthy Lifestyle Associate June 1, 2011 food service personnel prep & service fresh produce 2. Increased knowledge on equipment staff School Food Service including knife skills, as part of school lunch use & prep tech for fresh produce trained Hobart slice, chop 2. Chef attachments, prep methods demo & (i.e. steaming) & kid- experiential friendly, healthy recipes training re: /slicing & chopping equipment; steaming/s 1 1st Quarter Interim Report Mar 2011 – May 2011

hocking & other prep methods Progress: Seasonal, Fresh & Oh So Simple workshop attendees demonstrat ed their new knowledge of fresh produce prep and equipment via teach back session. They successfull y introduced and equipment to prepare 7 seasonal, school recipes with local, fresh produce. Equip five schools with Increased healthy & local Increased use of fresh fruits vegetables Progress: Lafayette County MU Extension April-Oct 2011 Hobart slicer, shred & food choices served for by 20%; vegetable plate waste reduced on target Healthy Lifestyle Associate grate attachments & salad school lunch. by 10% School food service partners bar equipment to more 4 school efficiently prepare and MOUs serve fresh fruits & veggies finalized; 2 school MOUs pending.

2 1st Quarter Interim Report Mar 2011 – May 2011

MEASUREMENT(S) ACTIVITIES/TACTICS PRODUCT (OUTPUT) PROGRESS DURING RESPONSIBILITY TIMELINE PROJECT MEASURES REPORTING PERIOD Purchase & install 4 Improved storage # of units installed Progress: Ongoing Lafayette County May-Oct 2011 coolers /cold storage units at capacity for produce. MU Extension Community Food Pantries in Healthy Lifestyle Waverly, Odessa, Lexington Increase low-income Track amounts of fresh produce Healthy Lifestyle Associate Associate & Higginsville for s use by user access to fresh distributed by food pantries to low has consulted with equipment Community food pantries produce. income families. representative for Ministerial determination of specifics Alliance, School partners Purchase & implement EBT Allow low-income SNAP transactions Progress: Ongoing; Lafayette County May-Sept 2011 technology for 4 county families to purchase /debit/credit transactions tracked Token design determined; MU Extension May-Sept 2012 farmer’s market locations; healthy food choices at farmer’s markets equipment alternatives being Healthy Lifestyle Lexington, Higginsville, with SNAP benefits researched at current time. Associate Odessa, Concordia generating increased Farmer’s Market sales for farmer’s market growers Workshop to educate & train Increased # of healthy # of local chefs receiving training. Progress: Timeline revised Lafayette County Fall 2011 local restaurant chefs to menu options at local Commitment to use more fresh MU Extension increase use of locally grown restaurants featuring produce Healthy Lifestyle fresh produce local products Associate Community Partners Provide informational table Increased consumer # of local restaurants making Progress: On target Lafayette County June-October tents and menu markers awareness of healthy healthy menu options available MU Extension 2011 denoting healthy options at menu options at Healthy Lifestyle restaurants restaurants with stickers Associate marking menu items Community designated a healthy Partners choice and table tents share healthy food choice suggestions Lafayette County MU Students increase Student report behavior changes Progress: Timeline revised- Lafayette County March-May 2011; Extension evidence-based knowledge regarding in eating more fruits & vegetables all start in Fall 2011 MU Extension Sept –May 2011- Show-Me nutrition role of fruits & Healthy Lifestyle 2012 (all schools) curriculum offered for grades vegetables as a part of Associate 1 thru 4 in Lexington, a healthy diet School partners Higginsville, Odessa, Concordia, Waverly, Wellington

MEASUREMENT(S) TIMELINE PROGRESS ACTIVITIES/TACTICS PRODUCT (OUTPUT) DURING PROJECT MEASURES REPORTING PERIOD Classroom tasting of new Students experience taste of new Student report behavior changes Progress: Lafayette County MU Extension Healthy Mar-May 2011 veggies to be served in veggies. in eating more fruits & Ongoing Lifestyle Associate -Lexington; school lunch. vegetables Timeline revised- School partners Sept-Nov Stickers for children who try Students rewarded for trying new implementation Opaa! School Food Service 2011- new veggies in cafeteria veggies. will begin at Higginsville; lunch. Lexington and Jan-Mar 2012- “Point of Decision” Students reminded about Higginsville Odessa posters/prompts throughout importance of fruits & veggies to schools & Wellington; school (i.e. You are What health September - Mar-May 2012- You Eat! “Veggie Power”) November 2011 Concordia & Waverly Provide training & support Students increase knowledge of how # students helping to care for Progress: Lafayette County MU Extension Healthy Mar-May 2011 for school garden programs vegetables grow & gardening skills. garden Ongoing Lifestyle Associate Lex, Higg at Lexington, Higginsville, & Timeline revised- School/community partners Sept-May’11 Concordia. Establish school implementation Teachers, Parents Conc Odessa gardens in Odessa, Waverly, will begin at Mar-May12-13 & Wellington Lexington, Waverly/Wellin Higginsville, and gton Odessa schools in August 2011 Support Grow Lab indoor Greater acceptance of new Student reported behavior Progress: On Lafayette County MU Extension Healthy Mar-May 2011 gardens with curriculum & vegetables. changes & observations by target Lifestyle Associate Lexington/ activities in all 6 school Greater acceptance for eating new parents & teachers. School & community partners Higginsville districts veggies among students. Curriculum Teachers, Parents Sept-May 2011 Consume more fruits & vegetables trainings will Concordia/Ode begin at ssa Lexington, March-May Higginsville, and 2012-13 Odessa schools Waverly/Wellin in August 2011 gton Farmer’s market celebration Increase opportunity to purchase Produce sales at event Progress: Lafayette County MU Extension Healthy 3 worksites at worksites as a fresh produce & sample new Timeline to be Lifestyle Associate April-May, promotional event prior to veggies & new ways to prepare revised pending Worksite Wellness Committee 2011 opening day for farmer’s commitment (i.e., markets. MOU) of targeted 3 worksites Food demonstrations & worksites April-May tastings. 2012 More Matters (food promotion. (3 worksites Yr 1; 3 worksites Yr 2)

Objective 2: Provide an environment that encourages safe physical activity, accessibility, and community use of the built environment.

MEASUREMENT(S) Timeline PROGRESS ACTIVITIES/TACTICS PRODUCT (OUTPUT) DURING PROJECT MEASURES REPORTING PERIOD Determine walkability of 200 students in Lexington & Trailnet “Walkability Survey” Progress: Ongoing Lafayette County MU Extension Healthy April 2011 Lexington & Higginsville Higginsville complete “Community Survey to be Lifestyle Associate Walkability” survey with parent or completed during guardian summer school session in June “Photo Voice” project depicts Train six high school students to “Photo Voice” project visual of Progress: Ongoing Lafayette County MU Extension Healthy April 2011 supportive assets & use disposable camera to create a “built environment” in Lexington & Student volunteers Lifestyle Associate deterrents to physical activity “Photo Voice” project in Lexington Higginsville completed determined & Students in Lexington & Higginsville and Higginsville direction obtained & supervising teacher from city officials. Timeline revised- June 2011 Empower six students to meet Summarized results of “Walkability Power Point and written report Progress: Timeline Lafayette County MU Extension Healthy June 2011 with School Boards & City Survey”& “Photo Voice” for summarizing “Walkabiltiy” survey to be revised to Lifestyle Associate, Council to discuss Higginsville & Lexington &“Photo Voice” slides correspond to Students & Supervising Teacher infrastructure & built above. environment needs of city (Higginsville & Lexington) to promote physical activity Partner with Higginsville & Consultant develops “master plan” Master Plan developed Progress: On Lafayette County MU Extension Healthy Sept 2011 Lexington City Councils to for connectivity of trails & sidewalks target. Lifestyle Associate secure consultant to create Consultant selected master plan that incorporates & preliminary current built assets & future meeting with SIM development of walking trails partners scheduled & sidewalks for June 6th. (Outcome to be reported in 2nd Quarter Interim Report.) Collaborate with Higginsville Trail design plan developed Progress of trail construction N/A Lafayette County MU Sept 2012 & Lexington Park for Higginsville and Lexington Extension Healthy Lifestyle Departments to hire Site prep initiated Associate engineering services to develop trail design plan and 5 1st Quarter Interim Report Mar 2011 – May 2011 begin first steps of trail construction Assist two communities to Install minimum of 500 linear Sidewalks renovated/installed N/A Lafayette County MU March 2012 expand current built feet. of new or upgraded Extension Healthy Lifestyle environment efforts through sidewalk in two communities. Associate direct funding and assistance in applying for other funding opportunities. Present “Complete Street Mayors appoint committee to Progress: Ongoing Programs June 2011 Policy” programs to 4 City review & develop Complete Policies developed and Timeline revised to October Lafayette County MU Policies adopted December Councils to create safe routes Street Policies. adopted 2011 for program meetings Extension Healthy Lifestyle 2012 to schools for students and Associate access for community members to parks & trails

MEASUREMENT(S) R PROGRESS DURING ACTIVITIES/TACTICS PRODUCT (OUTPUT) PROJECT MEASURES Timeline REPORTING PERIOD

Expand the evidence-based Train 100 teachers, staff, & Measure student & teacher Progress: On target Lafayette County MU May 2011-orientation Active & Healthy School administrators on physical activity change. School MOUs signed by 4 of Extension Physical Activity August 2011-training & Program (AHS) implementation process for Minutes of classroom schools. Associate; implementation implementation to additional the “Active & healthy School” physical activity School partners schools in the county creating (AHS) Program at Higginsville Orientation held in May 2011 an environment that leads to Elementary & Odessa with Higginsville & Odessa increased physical activity Elementary. Upper and Lower Elementary Schools.

Establish AHS Zoned areas AHS Zoned playground at Zoned playgrounds established N/A Lafayette County MU Extension Physical Sept 2011 that lead to increased student Higginsville and Odessa elementary Students physical activity Activity Associate; Higginsville physical activity on increase during recess School PE Teacher, classroom teachers, Sept 2012 playgrounds AHS Implementer, Odessa

Students participate in Implement six AHS Walking clubs (2 6 walking clubs (high school N/A Lafayette County MU Extension Physical Sept 2011 afterschool Walking Clubs per school site) Lexington, students partner to lead middle & Activity Associate; Lexington Higginsville, & Odessa elementary school students School personnel April 2012 walking clubs) Higginsville & Odessa School Health Advisory School Health Advisory Councils School policy to create & maintain N/A School partners December Council (SHAC) promote, create AHS Committee & adopt AHS school environment that supports SHAC 2012 implement, and create Program as health policy for district active & healthy children Lafayette County MU Extension Healthy structure to sustain AHS Lifestyle Associate model for district

Students use website to Use interactive 4EverFit website to # students registered users of site Initial meetings Health Care Coalition (HCC) Marketing Mar-Dec monitor physical activity in & promote health & fitness for middle are scheduled for Consultant 2011 out of school & high Fall 2011 with 4 3 school School students. Year 1, 3 school schools. districts districts partner to sign up students. Jan-Dec 2012 Year 2, final 3 school districts sign Website 3 school up students information has districts been introduced and will launch/be presented to students in fall 2011. Increase physical activity Recruit & train 80 team leaders in # of Team Leaders recruited. N/A Lafayette County MU Extension Begin fall through evidence-based Lafayette County communities to (churches, senior centers, Physical Activity Associate 2011 community walking coordinate 1600 residents to etc.) Community Volunteer Team Leaders program participate in walking program # of Individuals record base Completed through the use of pedometers. Year One-3 communities line steps, compare with in six Year Two-3 communities weekly step average at end of communities 10 week program by Dec 2012

MEASUREMENT(S) Timeline R PROGRESS DURING ACTIVITIES/TACTICS PRODUCT (OUTPUT) PROJECT MEASURES REPORTING PERIOD

Introduction of Worksite Consult with employers on # of employers offering Initial meetings HCC Consultant Policies Wellness Policy development and employee wellness programs with 2 adopted by implementation of Worksite worksites have March 1, Wellness policies begun 2013 Worksite Wellness Organize six worksite wellness # of Start! Programs Initial meetings HCC Consultant March 2011 Committees implement committees implemented at worksites, with 2 “Start!” walking programs worksites have 3 sites begun Lafayette County MU Extension completed Physical Activity Associate by March 1, 2012 Worksite Comm. Walking Chairs 3 site completed by March 1, 2013

Objective 3 Expand smoking prevention/cessation in schools, worksites, and public use areas

ACTIVITIES/TACTICS PRODUCT (OUTPUT) MEASUREMENT(S) Responsibility PROGRESS DURING PROJECT MEASURES REPORTING PERIOD Following the Healthy & Smoking prevention Number of schools Progress: On target Lafayette County Health Spring 2011 survey Active Kids model*, work curriculum added to each including smoking Department (LCHD) schools for participation; through School Health public and private school in prevention curriculum; Four (4) schools with Tobacco initiative associate;TimelineFall 2011 begin Advisory councils to add the county through existing number of students enrolled existing smoking prevention curriculum age-appropriate smoking classes. per district; changes in curriculum completed all implementation prevention to public and perceptions, attitudes, student sessions in April & Full implementation by 2012 private school districts behaviors related to May 2011, including health curriculum in the smoking Lexington C-1, 79 4th grade; county 78 5th grade; Santa Fe: 27 4th grade; Waverly Youth Center: 36 high school students; and Well-ington- Napoleon: 24 5th grade.

Completed an informal, public school survey regarding existing curriculum. Responses ranged from offering prevention ‘barely 8 1st Quarter Interim Report Mar 2011 – May 2011

mentioned’ to 2 ½ days of prevention training offered.

A meeting was held May 16 with LCHD SIM team, MO Dept of Health & Sr. Services Community Policy Specialist, and Tobacco Use Prevention Program Manager. Suggested using the School Tobacco Policy Index tool (Center for Tobacco Policy Research) with each district. Project evaluator is reviewing tools. Identify teachers that will Smoking prevention Number of schools Progress: on target Lafayette County Health Summer 2011, conduct incorporate smoking curriculum will be added to including smoking Five (5) schools signed Department (LCHD) training for teachers who prevention curriculum into at least one required middle prevention curriculum; MOU’s including the SIM Tobacco initiative associate; will be incorporating existing classes, and school course and at least number of students enrolled tobacco prevention Designated teacher at each curriculum into classes; Fall provide training implement one required high school per district; changes in component. Lead teachers school site whose course 2011 begin curriculum curriculum course In each district Tar perceptions, attitudes, are being identified and will include the smoking implementation Wars— 1200 (4th & 5th) behaviors related to training is to be conducted prevention curriculum Full implementation by 2012 graders per year; smoking early fall 2011. smokebusters—1200 8th & 9th graders per year Not On Tobacco – 600 students per year (ages 14 – 19) Continue to consult with Smoking prevention is fully Number of schools Progress: On target Designated teacher at each By 2012, schools will have identified teachers to integrated into at least one successfully integrating school site; Lafayette integrated smoking support full integration of required middle school and smoking prevention Five (5) schools signed County Health Department prevention curriculum smoking prevention into one required high school curriculum; number of MOU’s including the SIM (LCHD) Tobacco initiative existing class curriculum. class in all public and students completing tobacco prevention associate private schools in the curriculum; pre- post-tests; component. Lead teachers county are being identified and training is to be conducted early fall 2011. One LCHD staff and 3 students from 2 school districts attended the “Students with a Goal” (SWAG) training June 7 – 9. SWAG may be the program that Smokebusters evolves into.

ACTIVITIES/TACTICS PRODUCT (OUTPUT) MEASUREMENT(S) Responsibility Timeline 9 1st Quarter Interim Report Mar 2011 – May 2011

PROGRESS DURING PROJECT MEASURES REPORTING PERIOD Recruit employers willing to Identify worksites to participate to Number of worksites willing to Progress: On Lafayette County Health Department Obtain implement adult tobacco in Train- the- Trainer programs participate target (LCHD) Tobacco initiative associate commitment from cessation programs by at least 3 of the presenting data on cost Through largest employers benefits; including health, collaboration with by Spring 2011; absenteeism, worker Grace Research productivity Group and HCC, employers with em-ployee wellness program are being recruited for the adult tobacco cessation program.

Good Shepherd (Nursing) Home expressed interest with another employer (I-70 Community Hospital), with strong potential to become a willing worksite participant.

MOU’s are currently being developed for SIM project worksite component. Hold Train-the-Trainer Worksite facilitators ready to Number of facilitators ready to Progress: On Lafayette County Health Department Begin facilitator classes for worksite deliver Smoking Cessation deliver Smoking Cessation target. (LCHD) Tobacco Initiative Associate; training by Fall facilitators classes classes; Once worksite 2011; Evaluate for MOU’s are further expansion returned, by Spring 2012 employer-based facilitators will be identified for train the trainer classes.

LCHD staff will receive “Beat the Pack” worksite cessation curriculum at a July 12th train-the- trainer class. Monitor class participation Individuals who refrain from Number of employees per Progress: Lafayette County Health Department Summer 2011 at enrolled worksites smoking post class -Freedom Worksite who refrain or Ongoing (LCHD) Tobacco Initiative Associate; throughout 2 year through facilitators to From Smoking; maintain their non-smoking Worksite facilitators project determine overall program status for a pre-determined Once worksite effectiveness amount of time based on MOU’s are curriculum. returned, employer-based facilitators will be identified for train the trainer classes. Survey leaders in Matrix of ordinances in Number of existing Progress: On target Lafayette County Health Spring 2011 incorporated areas for place in the County ordinances related to Department (LCHD) existing ordinances or smoking; Leaders in nine (9) Tobacco Initiative Associate policies related to smoking incorporated areas in the county were polled for existing policies and/or ordinances. Result: none (0) of the 9 reported existence of any existing policies or ordinances.

Provide model language to Increased public use areas Number of new ordinances Progress: Efforts redirected. Lafayette County Health Summer 2011 through civic leaders for that implement new or areas implementing On 5/17 & 18 LCHD staff Department (LCHD) project end discouraging smoking in ordinances or signage by at signage attended SIM Orientation. Tobacco Initiative Associate public areas least one area per 17 Tech. Asst. Advisors incorporated communities suggest use of a variety of media to educate civic leaders and the public. This approach would replace previously stated strategy of providing civic leaders with model language. City council visits are scheduled, with a goal of educating civic leaders about the SIM grant and related county tobacco issues.

Sample language has been 11 1st Quarter Interim Report Mar 2011 – May 2011

provided by the MDHSS Tobacco Use Prevention Program Manager for use to recognize existing venues (restaurants/businesses) that are smoke free, and to provide additional signage to venues (i.e., schools) who are smoke free but lack sufficient signage to post.

Based on assessment, Smoke-free ordinances Number of new ordinances Progress: Currently revising Lafayette County Health Summer 2011 through target communities adopted at the community activities and outputs Department (LCHD) project end receptive to taking a level Tobacco Initiative Associate stronger position on Based on SIM Orientation exposure to second hand training, advice of technical smoke to adopt ordinances assistance advisors, and based on the meeting with MDHSS Community Policy Specialist, and Tobacco Use Prevention Program Manager, the Municipality Readiness Assessment tool (Tobacco Free Missouri) will be used (pending approval from the project evaluator). Community leaders will be educated to prepare them for future tobacco free initiatives.