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.
M EASUREMENT(S)
ACTIVITIES /T ACTICS
PRODUCT (OUTPUT)
Meetings with local farmers,
school food service
management, Opaa! Food
Service Corporate Managers,
& food distributors to
determine produce needs of
schools and produce plans for
vegetable & fruit production &
means of distribution
Institute “Chef” training for use
of fresh produce for food
service personnel including
knife skills, Hobart slice, chop
attachments, prep methods
(i.e. steaming) & kid-friendly,
healthy recipes
Improved availability and
mechanisms for
purchasing food from
farm for school food
service programs.
How many school food service and
farmers attended?
What did people learn from the meeting?
Enhanced knowledge &
skills of food service
personnel to prep &
service fresh produce as
part of school lunch
1. # of food service personnel trained.
Equip five schools with Hobart
slicer, shred & grate
attachments & salad bar
equipment to more efficiently
prepare and serve fresh fruits
& veggies
Increased healthy & local
food choices served for
school lunch.
Increased use of fresh fruits vegetables
by 20%; vegetable plate waste reduced
by 10%
PROJECT M EASURES
How many connections were made and
what did those connections produce?
2. Increased knowledge on equipment
use & prep tech for fresh produce
PROGRESS DURING
REPORTING PERIOD
RESPONSIBILITY
T IMELINE
Progress: Timeline revisedefforts to be redirected. Plans
for one on one consultation
with end users to facilitate
connections with appropriate
growers.
Lafayette County
MU Extension
Healthy Lifestyle
Associate
School partners
Fall 2011
/March 2012
1. 20 food service staff trained
2. Chef demo & experiential
training re: /slicing & chopping
equipment; steaming/shocking
& other prep methods
Progress: Seasonal, Fresh &
Oh So Simple workshop
attendees demonstrated their
new knowledge of fresh
produce prep and equipment
via teach back session. They
successfully introduced and
equipment to prepare 7
seasonal, school recipes with
local, fresh produce.
Progress: on target
Lafayette County
MU Extension
Healthy Lifestyle
Associate
School Food
Service
May 2011
June 1, 2011
Lafayette County
MU Extension
Healthy Lifestyle
Associate
School food
service partners
April-Oct 2011
4 school MOUs finalized; 2
school MOUs pending.
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1st Quarter Interim Report
Mar 2011 – May 2011
ACTIVITIES /T ACTICS
PRODUCT (OUTPUT)
M EASUREMENT(S)
PROGRESS DURING
PROJECT M EASURES
REPORTING PERIOD
Purchase & install 4 coolers
/cold storage units at
Community Food Pantries in
Waverly, Odessa, Lexington
& Higginsville for s use by
food pantries
Improved storage
capacity for produce.
# of units installed
Progress: Ongoing
Increase low-income
user access to fresh
produce.
Track amounts of fresh produce
distributed by food pantries to low
income families.
Healthy Lifestyle Associate
has consulted with equipment
representative for
determination of specifics
Purchase & implement EBT
technology for 4 county
farmer’s market locations;
Lexington, Higginsville,
Odessa, Concordia
Allow low-income
families to purchase
healthy food choices
with SNAP benefits
generating increased
sales for farmer’s
market growers
Increased # of healthy
menu options at local
restaurants featuring
local products
SNAP transactions
/debit/credit transactions tracked at
farmer’s markets
Progress: Ongoing;
Token design determined;
equipment alternatives being
researched at current time.
# of local chefs receiving training.
Commitment to use more fresh
produce
Progress: Timeline revised
Increased consumer
awareness of healthy
menu options at
restaurants with stickers
marking menu items
designated a healthy
choice and table tents
share healthy food
choice suggestions
Students increase
knowledge regarding
role of fruits &
vegetables as a part of
a healthy diet
# of local restaurants making
healthy menu options available
Progress: On target
Student report behavior changes
in eating more fruits & vegetables
Progress: Timeline revisedall start in Fall 2011
Workshop to educate & train
local restaurant chefs to
increase use of locally grown
fresh produce
Provide informational table
tents and menu markers
denoting healthy options at
restaurants
Lafayette County MU
Extension evidence-based
Show-Me nutrition
curriculum offered for grades
1 thru 4 in Lexington,
Higginsville, Odessa,
Concordia, Waverly,
Wellington
RESPONSIBILITY
T IMELINE
Lafayette County
MU Extension
Healthy Lifestyle
Associate
Community
Ministerial
Alliance,
School partners
Lafayette County
MU Extension
Healthy Lifestyle
Associate
Farmer’s Market
May-Oct 2011
Lafayette County
MU Extension
Healthy Lifestyle
Associate
Community
Partners
Lafayette County
MU Extension
Healthy Lifestyle
Associate
Community
Partners
Fall 2011
Lafayette County
MU Extension
Healthy Lifestyle
Associate
School partners
March-May 2011;
Sept –May 20112012 (all schools)
May-Sept 2011
May-Sept 2012
June-October
2011
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1st Quarter Interim Report
Mar 2011 – May 2011
ACTIVITIES /T ACTICS
PRODUCT (O UTPUT)
Classroom tasting of new veggies to
be served in school lunch.
Stickers for children who try new
veggies in cafeteria lunch.
“Point of Decision” posters/prompts
throughout school (i.e. You are What
You Eat! “Veggie Power”)
Students experience taste of
new veggies.
Provide training & support for school
garden programs at Lexington,
Higginsville, & Concordia. Establish
school gardens in Odessa, Waverly,
& Wellington
M EASUREMENT(S)
PROGRESS DURING
PROJECT M EASURES
REPORTING PERIOD
RESPONSIBILITY
Student report behavior changes
in eating more fruits &
vegetables
Progress: Ongoing
Timeline revised-implementation will
begin at Lexington and Higginsville
schools September - November
2011
Lafayette County MU
Extension Healthy
Lifestyle Associate
School partners
Opaa! School Food
Service
Students increase
knowledge of how
vegetables grow &
gardening skills.
# students helping to care for
garden
Progress: Ongoing
Timeline revised-implementation will
begin at Lexington, Higginsville, and
Odessa schools in August 2011
Lafayette County MU
Extension Healthy
Lifestyle Associate
School/community
partners
Teachers, Parents
Support Grow Lab indoor gardens
with curriculum & activities in all 6
school districts
Greater acceptance of new
vegetables.
Greater acceptance for
eating new veggies among
students.
Consume more fruits &
vegetables
Student reported behavior
changes & observations by
parents & teachers.
Progress: On target
Lafayette County MU
Extension Healthy
Lifestyle Associate
School & community
partners
Teachers, Parents
Farmer’s market celebration at
worksites as a promotional event
prior to opening day for farmer’s
markets.
Food demonstrations & tastings.
More Matters (food promotion. (3
worksites Yr 1; 3 worksites Yr 2)
Increase opportunity to
purchase fresh produce &
sample new veggies & new
ways to prepare
Produce sales at event
Progress: Timeline to be revised
pending commitment (i.e., MOU) of
targeted worksites
Students rewarded for trying
new veggies.
Students reminded about
importance of fruits &
veggies to health
Curriculum trainings will begin at
Lexington, Higginsville, and Odessa
schools in August 2011
Lafayette County MU
Extension Healthy
Lifestyle Associate
Worksite Wellness
Committee
T IMELINE
Mar-May 2011
-Lexington;
Sept-Nov
2011Higginsville;
Jan-Mar 2012Odessa
& Wellington;
Mar-May 2012Concordia &
Waverly
Mar-May 2011
Lex, Higg
Sept-May’11
Conc Odessa
Mar-May12-13
Waverly/Wellin
gton
Mar-May 2011
Lexington/
Higginsville
Sept-May 2011
Concordia/Ode
ssa
March-May
2012-13
Waverly/Wellin
gton
3 worksites
April-May,
2011
3 worksites
April-May
2012
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1st Quarter Interim Report
Mar 2011 – May 2011
Objective 2: Provide an environment that encourages safe physical activity, accessibility, and community use of the built environment.
M EASUREMENT(S)
PROGRESS DURING
PROJECT M EASURES
REPORTING PERIOD
ACTIVITIES /T ACTICS
PRODUCT (O UTPUT)
Determine walkability of Lexington &
Higginsville
200 students in Lexington &
Higginsville complete
“Community Walkability”
survey with parent or
guardian
Train six high school
students to use disposable
camera to create a “Photo
Voice” project in Lexington
and Higginsville
Summarized results of
“Walkability Survey”&
“Photo Voice” for
Higginsville & Lexington
Trailnet “Walkability Survey”
Progress: Ongoing
Survey to be completed during
summer school session in June
Lafayette County MU
Extension Healthy Lifestyle
Associate
April 2011
“Photo Voice” project visual of
“built environment” in Lexington &
Higginsville completed
Progress: Ongoing
Student volunteers determined &
direction obtained from city
officials. Timeline revised-June
2011
Progress: Timeline to be revised
to correspond to above.
Lafayette County MU
Extension Healthy Lifestyle
Associate
Students
& supervising teacher
Lafayette County MU
Extension Healthy Lifestyle
Associate,
Students & Supervising
Teacher
April 2011
Consultant develops
“master plan” for
connectivity of trails &
sidewalks
Master Plan developed
Lafayette County MU
Extension Healthy Lifestyle
Associate
Sept 2011
Trail design plan developed
for Higginsville and
Lexington
Site prep initiated
Progress of trail construction
Progress: On target.
Consultant selected & preliminary
meeting with SIM partners
scheduled for June 6th. (Outcome
to be reported in 2nd Quarter
Interim Report.)
N/A
Lafayette County MU
Extension Healthy Lifestyle
Associate
Sept 2012
Install minimum of 500
linear feet. of new or
upgraded sidewalk in two
communities.
Sidewalks renovated/installed
N/A
Lafayette County MU
Extension Healthy Lifestyle
Associate
March 2012
Policies developed and adopted
Progress: Ongoing
Timeline revised to October 2011
for program meetings
“Photo Voice” project depicts
supportive assets & deterrents to
physical activity in Lexington &
Higginsville
Empower six students to meet with
School Boards & City Council to
discuss infrastructure & built
environment needs of city
(Higginsville & Lexington) to promote
physical activity
Partner with Higginsville & Lexington
City Councils to secure consultant to
create master plan that incorporates
current built assets & future
development of walking trails &
sidewalks
Collaborate with Higginsville &
Lexington Park Departments to hire
engineering services to develop trail
design plan and begin first steps of
trail construction
Assist two communities to expand
current built environment efforts
through direct funding and assistance
in applying for other funding
opportunities.
Present “Complete Street Policy”
programs to 4 City Councils to create
safe routes to schools for students
and access for community members
to parks & trails
Mayors appoint committee
to review & develop
Complete Street Policies.
Power Point and written report
summarizing “Walkabiltiy” survey
&“Photo Voice” slides
Responsibility
Lafayette County MU
Extension Healthy Lifestyle
Associate
Timeline
June 2011
Programs
June 2011
Policies
adopted
December
2012
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1st Quarter Interim Report
Mar 2011 – May 2011
M EASUREMENT(S)
ACTIVITIES /T ACTICS
PRODUCT (O UTPUT)
PROGRESS DURING
REPORTING PERIOD
PROJECT MEASURES
Expand the evidence-based Active &
Healthy School Program (AHS)
implementation to additional schools
in the county creating an environment
that leads to increased physical
activity
Train 100 teachers, staff, &
administrators on
implementation process for
the “Active & healthy
School” (AHS) Program at
Higginsville Elementary &
Odessa Elementary.
Measure student & teacher
physical activity change.
Minutes of classroom physical
activity
Establish AHS Zoned areas that lead
to increased student physical activity
on playgrounds
AHS Zoned playground at
Higginsville and Odessa
elementary
Zoned playgrounds established
Students physical activity
increase during recess
N/A
Lafayette County MU
Extension Physical Activity
Associate;
School PE Teacher,
classroom teachers,
AHS Implementer,
Sept 2011
Higginsville
Sept 2012
Odessa
Students participate in afterschool
Walking Clubs
Implement six AHS Walking
clubs (2 per school site)
Lexington, Higginsville, &
Odessa
6 walking clubs (high school
students partner to lead middle &
elementary school students
walking clubs)
N/A
Lafayette County MU
Extension Physical Activity
Associate;
School personnel
School Health Advisory Council
(SHAC) promote, implement, and
create structure to sustain AHS model
for district
School Health Advisory
Councils create AHS
Committee & adopt AHS
Program as health policy for
district
Use interactive 4EverFit
website to promote health &
fitness for middle & high
School students. Year 1, 3
school districts partner to
sign up students. Year 2,
final 3 school districts sign
up students
Recruit & train 80 team
leaders in Lafayette County
communities to coordinate
1600 residents to participate
in walking program through
the use of pedometers.
Year One-3 communities
Year Two-3 communities
School policy to create & maintain
school environment that supports
active & healthy children
N/A
# students registered users of site
Initial meetings are scheduled for
Fall 2011 with 4 schools.
School partners
SHAC
Lafayette County MU
Extension Healthy Lifestyle
Associate
Health Care Coalition (HCC)
Marketing Consultant
Sept 2011
Lexington
April 2012
Higginsville &
Odessa
December
2012
Students use website to monitor
physical activity in & out of school
Increase physical activity through
evidence-based community
walking program
Progress: On target
School MOUs signed by 4 of
schools.
(S)
Responsibility M EASUREMENT
Timeline
Lafayette County MU
Extension Physical Activity
Associate;
School partners
Orientation held in May 2011 with
Higginsville & Odessa Upper and
Lower Elementary Schools.
Website information has been
introduced and will launch/be
presented to students in fall 2011.
# of Team Leaders recruited.
(churches, senior centers, etc.)
# of Individuals record base
line steps, compare with
weekly step average at end of
10 week program
N/A
Lafayette County MU
Extension Physical
Activity Associate
Community Volunteer
Team Leaders
May 2011orientation
August 2011training &
implementati
on
Mar-Dec
2011
3 school
districts
Jan-Dec 2012
3 school
districts
Begin fall
2011
Completed
in six
communities
by Dec 2012
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1st Quarter Interim Report
Mar 2011 – May 2011
ACTIVITIES /T ACTICS
Introduction of Worksite Wellness
Policy
Worksite Wellness Committees
implement “Start!” walking
programs
PRODUCT (O UTPUT)
Consult with employers
on development and
implementation of
Worksite Wellness
policies
Organize six worksite
wellness committees
M EASUREMENT(S)
PROGRESS DURING
PROJECT M EASURES
REPORTING PERIOD
Timeline
Responsibility
# of employers offering
employee wellness programs
Initial meetings with 2
worksites have begun
HCC Consultant
Policies
adopted by
March 1,
2013
# of Start! Programs
implemented at worksites,
Initial meetings with 2
worksites have begun
HCC Consultant
March 2011
Lafayette County MU
Extension Physical
Activity Associate
3 sites
completed
by March 1,
2012
Worksite Comm.
Walking Chairs
3 site
completed
by March 1,
2013
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1st Quarter Interim Report
Mar 2011 – May 2011
Objective 3 Expand smoking prevention/cessation in schools, worksites, and public use areas
ACTIVITIES /T ACTICS
PRODUCT (OUTPUT)
Following the Healthy & Active
Kids model*, work through
School Health Advisory
councils to add age-appropriate
smoking prevention to public
and private school districts
health curriculum in the county
Smoking prevention
curriculum added to each
public and private school in
the county through existing
classes.
M EASUREMENT(S)
PROGRESS DURING
PROJECT M EASURES
REPORTING PERIOD
Number of schools including
smoking prevention curriculum;
number of students enrolled per
district; changes in perceptions,
attitudes, behaviors related to
smoking
Progress: On target
Four (4) schools with existing
smoking prevention curriculum
completed all student sessions
in April & May 2011, including
Lexington C-1, 79 4th grade; 78
5th grade; Santa Fe: 27 4th
grade; Waverly Youth Center: 36
high school students; and Wellington-Napoleon: 24 5th grade.
Responsibility
Timeline
Lafayette County Health
Department (LCHD)
Tobacco initiative associate;
Spring 2011
survey
schools for
participation;
Fall 2011 begin
curriculum
implementation
Full
implementation
by 2012
Lafayette County Health
Department (LCHD)
Tobacco initiative associate;
Designated teacher at each
school site whose course
will include the smoking
prevention curriculum
Summer 2011,
conduct training
for teachers who
will be
incorporating
curriculum into
classes; Fall
2011 begin
curriculum
Completed an informal, public
school survey regarding existing
curriculum. Responses ranged
from offering prevention ‘barely
mentioned’ to 2 ½ days of
prevention training offered.
Identify teachers that will
incorporate smoking prevention
curriculum into existing
classes, and provide training
implement curriculum
Smoking prevention
curriculum will be added to
at least one required
middle school course and
at least one required high
school course In each
district Tar Wars— 1200
(4th & 5th) graders per
year; smokebusters—1200
Number of schools including
smoking prevention curriculum;
number of students enrolled per
district; changes in perceptions,
attitudes, behaviors related to
smoking
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.
Progress: on target
Five (5) schools signed MOU’s
including the SIM tobacco
prevention component. Lead
teachers are being identified and
training is to be conducted early
fall 2011.
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1st Quarter Interim Report
Mar 2011 – May 2011
Continue to consult with
identified teachers to support
full integration of smoking
prevention into existing class
curriculum.
8th & 9th graders per year
Not On Tobacco – 600
students per year (ages
14 – 19)
Smoking prevention is fully
integrated into at least one
required middle school and
one required high school
class in all public and
private schools in the
county
ACTIVITIES /T ACTICS
Recruit employers willing to
implement adult tobacco cessation
programs by presenting data on
cost benefits; including health,
absenteeism, worker productivity
Number of schools successfully
integrating smoking prevention
curriculum; number of students
completing curriculum; prepost-tests;
PRODUCT (O UTPUT)
Identify worksites to
participate to in Train- theTrainer programs
Progress: On target
Five (5) schools signed MOU’s
including the SIM tobacco
prevention component. Lead
teachers 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.
M EASUREMENT(S)
PROGRESS DURING
PROJECT M EASURES
REPORTING PERIOD
Number of worksites willing to
participate
Progress: On target
Through collaboration with
Grace Research Group and
HCC, employers with employee wellness program are
being recruited for the adult
tobacco cessation program.
Designated teacher at each
school site; Lafayette
County Health Department
(LCHD) Tobacco initiative
associate
Responsibility
implementation
Full
implementation
by 2012
By 2012,
schools will have
integrated
smoking
prevention
curriculum
Timeline
Lafayette County Health
Department (LCHD)
Tobacco initiative
associate
Obtain
commitment from
at least 3 of the
largest employers
by Spring 2011;
Lafayette County Health
Department (LCHD)
Tobacco Initiative
Associate;
Begin facilitator
training by Fall
2011; Evaluate for
further expansion
Good Shepherd (Nursing)
Home expressed interest
with another employer (I-70
Community Hospital), with
strong potential to become a
willing worksite participant.
Hold Train-the-Trainer classes for
worksite facilitators
Worksite facilitators ready
to deliver Smoking
Cessation classes
Number of facilitators ready to
deliver Smoking Cessation
classes;
MOU’s are currently being
developed for SIM project
worksite component.
Progress: On target.
Once worksite MOU’s are
returned, employer-based
facilitators will be identified
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1st Quarter Interim Report
Mar 2011 – May 2011
for train the trainer classes.
Monitor class participation at
enrolled worksites through
facilitators to determine overall
program effectiveness
Individuals who refrain
from smoking post class Freedom From Smoking;
Survey leaders in incorporated
areas for existing ordinances or
policies related to smoking
Matrix of ordinances in
place in the County
Provide model language to civic
leaders for discouraging smoking in
public areas
Increased public use areas
that implement new
ordinances or signage by
at least one area per 17
incorporated communities
Number of employees per
Worksite who refrain or
maintain their non-smoking
status for a pre-determined
amount of time based on
curriculum.
Number of existing ordinances
related to smoking;
LCHD staff will receive “Beat
the Pack” worksite cessation
curriculum at a July 12th
train-the-trainer class.
Progress: Ongoing
Once worksite MOU’s are
returned, employer-based
facilitators will be identified
for train the trainer classes.
Progress: On target
Leaders in nine (9)
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.
Number of new ordinances or
areas implementing signage
Progress: Efforts redirected.
On 5/17 & 18 LCHD staff
attended SIM Orientation.
Tech. Asst. Advisors 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.
by Spring 2012
Lafayette County Health
Department (LCHD)
Tobacco Initiative
Associate; Worksite
facilitators
Summer 2011
throughout 2 year
project
Lafayette County Health
Department (LCHD)
Tobacco Initiative
Associate
Spring 2011
Lafayette County Health
Department (LCHD)
Tobacco Initiative
Associate
Summer 2011
through project
end
Sample language has been
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
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1st Quarter Interim Report
Mar 2011 – May 2011
venues (i.e., schools) who
are smoke free but lack
sufficient signage to post.
Based on assessment, target
communities receptive to taking a
stronger position on exposure to
second hand smoke to adopt
ordinances
Smoke-free ordinances
adopted at the community
level
Number of new ordinances
Progress: Currently revising
activities and outputs
Based on SIM Orientation
training, advice of technical
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.
Lafayette County Health
Department (LCHD)
Tobacco Initiative
Associate
Summer 2011
through project
end
10