Progress 07/01/07 to 06/30/08
Outputs
OUTPUTS: HEEL's projects focused on building the capacity of the organization to effectively change the status of Kentucky through collaborative efforts with the university and community. Extension agents representing every district in the state participated in the Kentucky Public Health Leadership Institute. Working with counterparts in local health departments, agents advanced the working relationship between Extension and Public Health with a change project called "Commonground." Advancing cancer education, nine eastern Kentucky counties completed the five-year TeamUp effort to reduce the burden of breast and cervical cancer through outreach to never- or rarely-screened women to improve screening rates. Weight the Reality Series was updated to include new curricular emphasis on physical activity, body image, and weight management to improve health outcomes. Get Moving Kentucky expanded efforts into focusing on the built environment to promote physical activity. A Built Environment conference was attended by Extension agents, public health educators, and county judge executives at the local level. As a result, a statewide campaign will be held on the second Sunday of October to bring the state's attention to the built environment that contributes to physical inactivity. To date 60 counties are committed to closing a road to get the community engaged in walking. One hundred and seven counties are utilizing the Rutgers' curriculum Small Steps to Health and Wealth. Improving parenting for better health outcomes for children, a Raising Kentuckians curriculum was piloted in nine counties collaborating with the Kentucky Department of Community Based Services across the state to improve parental knowledge, attitudes, and behavior regarding healthy, nurturing parenting. Additional curriculum materials were added to the Literacy, Eating, and Activity for Preschoolers (LEAP) program with the Kentucky Department of Education contributing $17,000 to purchase additional children's storybooks. Eleven Western Kentucky counties are participating in the Women's Mental Health campaign with the development of a "Blue to You" multi-faceted program designed to be presented by Family and Consumer Science agents. A Mobilizing Our Youth Retreat for substance abuse prevention was planned and implemented through a Youth and Adult Partnership in three Eastern Kentucky counties. An outcome of that retreat was an event "A Walk to Remember" which had students at Owsley County High School walk through a maze and visit decision making stations manned by former drug users. Students experienced the implications of those decisions through a virtual experience. In Western Kentucky, 4-H teens hosted community forums with teens on "What is Affecting our Teens" with the focus being to target the prevention focus in schools and communities. Cooperative Extension reported 5,103 days spent on Health and Wellness, Get Moving Kentucky (physical activity) and Weight the Reality Series (weight management) with an output of 22 FTEs. 245,844 contacts were made with Kentuckians through these efforts. PARTICIPANTS: HEEL staff provided training during the following in-service and staff development training: July 23 - Day long workshop for Clay County School System on "The Reaction of Children Living in a Drug Environment" in Manchester, Kentucky. July 26 - Two hour presentation for Lee, Leslie, Perry, Letcher, Owsley, Knott, and Breathitt counties' Head Start staff on "Implications for Children Living in Drug Endangered Homes" at the Jenny Wiley State Park. August 9 - All day training for professionals and general public on "Responding to Children Coming out of Drug Endangered Environments" at the Clay Community Center, Mt. Sterling, Kentucky. August 24 -Half-day training at the Infant and Toddler Conference on "Coping with Chaos: Considering the Perspective of the Young Child" at Lexington Convention Center, Lexington, Kentucky. September 21 - Four-hour presentation at a Nursing Conference on "Working with Children Coming out of Drug Endangered Environments" in Bowling Green, Kentucky. September 30 - Display booth at "Enough Is Enough" rally against drugs, Grayson, Kentucky. October 4-5 - School-Based Regional Physical Activity Professional Development, Grayson, Kentucky. October 26 - Afternoon training for Elder Abuse Today Conference on "Drug Endangered Elders" at Emmanuel United Methodist Church, Florence, Kentucky. November 5 - Presentation for Families in Crisis course on "Substance Abuse in the Family" University of Kentucky, Lexington, Kentucky. November 8 - Evening presentation for Elliott County residents on "Walk Your Land" at Gorge Cultural Heritage Center. November 14 - Conducted a training and group session for Cardinal Hill Rehabilitation Hospital Spinal Cord Injury Group on "Stress, Depression, and Substance Abuse - with an Emphasis on Prescription Medication Abuse" at Cardinal Hill Hospital, Lexington, Kentucky. November 29- 30- School-Based Regional Physical Activity Professional Development, Shephardsville, Ky. January 10 - 11 - School-Based Regional Physical Activity Professional Development, Somerset, Ky. February 7 -8 - School-Based Regional Physical Activity Professional Development, Georgetown, Ky. March 14 - Morning training for Knott, Letcher, Leslie, Lee, and Perry Head Start staff on "Responding to Children Living in Drug Endangered Environments" at Jenny Wiley State Park. March 20 - Two hour session for Grandparents and Other Relatives Raising Children Conference on "Parenting Children Coming out of Drug Homes" at Holiday Inn North, Lexington, Kentucky. March 29 - Morning training for Foster Parents on "Responding to Children Coming into Your Care from Drug Endangered Environments" at Clear Creek Bible College, Pineville, Kentucky. April 3 - Morning session for Grandparents Raising Grandchildren on "Implications for Children Living in Substance Abusing Homes" at Hazard Community College, Hazard, Kentucky. TARGET AUDIENCES: Nothing significant to report during this reporting period. PROJECT MODIFICATIONS: Nothing significant to report during this reporting period.
Impacts
Extension agents reported that 105,512 individuals experienced a change in knowledge, opinions, skills, or aspirations regarding lifestyle changes (diet, exercise, etc.) that improve personal health. 50,626 individuals reported making lifestyle changes (diet, exercise, etc.) for the purpose of improving health. 37,446 individuals implemented personal protection practices appropriate for their lifecycle such as screening, immunizations, well-baby care, smoke detectors, and proper ATV safety procedures. 1,322 joint programs were held with non-Extension organizations focusing on comprehensive health maintenance. Because of Extension efforts and the efforts of collaborators in the state, the CDC reported Kentucky had a drop in the obesity rate between 2006 and 2007, one of only five states to do so. Extension has reached 230,694 people through the Get Moving Kentucky program since 2004. The TeamUp state team conducted an evaluation study of the five year pilot which found TeamUp counties increased the number of breast cancer cases diagnosed in early stages by 4.7% percentage points while the control counties decreased their number of cases diagnosed in early stages by 5.8% percentage points. While the findings for cervical cancer did not yield significant results, the TeamUp counties did increase the number of cases diagnosed in early stages for cervical cancer by 14.3% percentage points from the previous year. Findings suggest that a positive trend of diagnosing breast and cervical cancer in earlier stages is occurring among age appropriate women residing in the intervention counties. In the Raising Kentuckians 24-week intervention pilot, the Adult-Adolescent Parenting Inventory was used to measure parenting skill levels. Preliminary analysis of the outcomes found that three of five parenting subscales improved for those completing the 24-week educational program. The findings show promise in improving health outcomes for children through a nurturing parenting approach and curriculum. The Women's Mental Health project conducted a random digit dialing telephone survey of 1,000 women in Western Kentucky to assess responder demographics, depression stigma, depression screen, utilization and access to care, and social media utilization. The internet was the source of mental health information (other than doctors) for women in this part of the state. As a result, an internet based program "Blue to You" is being developed for this intervention as well as educational curriculum for agent use. HEEL is providing agents with the necessary tools to address mental health problems in the state.
Publications
- Sigler, P., (2008) HWS-PLS-706 LEAP - I.Q. Gets Fit Newsletter 05/2008.
- Sigler, P., (2008) HWS-PLS-707 LEAP - More Spaghetti, I Say Newsletter.
- Sigler, P., (2008) HWS-PLS-708 LEAP - Rodeo Ron and the Milkshake Cows Newsletter.
- Sigler, P., (2008) HWS-PLS-709 LEAP - Happy Healthy Monsters Newsletter.
- Sigler, P., (2008) HWS-PLS-710 LEAP - The ABC's of Fruits and Vegetables and Beyond Newsletter.
- Burch, S.S. (2008)Kentucky extension professionals use oral health partnership to educate communities. Journal of Extension [On-line], 46 (4) Available at: http;//www.joe.org.
- Hughes, T., Riley, P., Burnham, D., Whipple, C., 2007-2008. Youth Health Bulletins. Monthly. Promotes Positive Health Behaviors for Kentucky Youth.
- Hughes, T., Riley, P., Burnham, D., Whipple, C. 2007-2008. Adult Health Bulletins. Monthly. Promotes Positive Health Behaviors for Kentucky Adults.
- Riley, P., (2007) HSW-PAR.812 Smoking and Pregnancy.
- Riley, P., (2007) HSW-PAR.814 Diabetes in KY- General Diabetes Information.
- Riley, P., (2007) HSW-PAR.815 Diabetes in KY - Pre-diabetes. Riley, P., (2007) HSW-PAR.816 Diabetes in KY - Type 1 Diabetes.
- Riley, P., (2007) HSW-PAR.817 Diabetes in KY- Type 2 Diabetes.
- Riley, P., (2007) HSW-PAR.818 Diabetes in KY - Type 3 Diabetes.
- Riley, P., (2008) HSW-PAR.819 Staying Safe With Roller Shoes.
- Whipple, C., (2008) HSW-CAW.807 The Connection between Laughter, Humor,and Good Health.
- Sigler, P., (2008)HSW-PLS-702 LEAP - Blueberries for Sal Newsletter.
- Sigler, P., (2008) HWS-PLS-703 LEAP - Bread and Jam for Fances Newsletter.
- Sigler, P., (2008) HWS-PLS-704 LEAP - Clarabella's Teeth Newsletter.
- Sigler, P., (2008) HWS-PLS-705 LEAP - Germs! Germs! Germs! Newsletter.
- Sigler, P., (2008) HWS-PLS-711 LEAP - Those Icky Sticky Smelly... Newsletter.
- Sigler, P., (2008) HWS-PLS-712 LEAP - Those Mean Nasty Dirty... Newsletter.
- Sigler, P., (2008) HWS-PLS-713 LEAP - Tops and Bottoms Newsletter.
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Progress 07/01/05 to 06/30/08
Outputs
OUTPUTS: HEEL's projects focused on building the capacity of the organization to effectively change the status of Kentucky through collaborative efforts with the university and community. Extension agents representing every district in the state participated in the Kentucky Public Health Leadership Institute. Working with counterparts in local health departments, agents advanced the working relationship between Extension and Public Health with a change project called "Commonground." Advancing cancer education, nine eastern Kentucky counties completed the five-year TeamUp effort to reduce the burden of breast and cervical cancer through outreach to never- or rarely-screened women to improve screening rates. Weight the Reality Series was updated to include new curricular emphasis on physical activity, body image, and weight management to improve health outcomes. Get Moving Kentucky expanded efforts into focusing on the built environment to promote physical activity. A Built Environment conference was attended by Extension agents, public health educators, and county judge executives at the local level. As a result, a statewide campaign will be held on the second Sunday of October to bring the state's attention to the built environment that contributes to physical inactivity. To date 60 counties are committed to closing a road to get the community engaged in walking. One hundred and seven counties are utilizing the Rutgers' curriculum Small Steps to Health and Wealth. Improving parenting for better health outcomes for children, a Raising Kentuckians curriculum was piloted in nine counties collaborating with the Kentucky Department of Community Based Services across the state to improve parental knowledge, attitudes, and behavior regarding healthy, nurturing parenting. Additional curriculum materials were added to the Literacy, Eating, and Activity for Preschoolers (LEAP) program with the Kentucky Department of Education contributing $17,000 to purchase additional children's storybooks. Eleven Western Kentucky counties are participating in the Women's Mental Health campaign with the development of a "Blue to You" multi-faceted program designed to be presented by Family and Consumer Science agents. A Mobilizing Our Youth Retreat for substance abuse prevention was planned and implemented through a Youth and Adult Partnership in three Eastern Kentucky counties. An outcome of that retreat was an event "A Walk to Remember" which had students at Owsley County High School walk through a maze and visit decision making stations manned by former drug users. Students experienced the implications of those decisions through a virtual experience. In Western Kentucky, 4-H teens hosted community forums with teens on "What is Affecting our Teens" with the focus being to target the prevention focus in schools and communities. Cooperative Extension reported 5,103 days spent on Health and Wellness, Get Moving Kentucky (physical activity) and Weight the Reality Series (weight management) with an output of 22 FTEs. 245,844 contacts were made with Kentuckians through these efforts. PARTICIPANTS: Extension agents representing every district in the state participated in at least one of the programs. TARGET AUDIENCES: Target audiences included local health departments, public health educators, county judge executives, 4-H students and citizens. PROJECT MODIFICATIONS: Not relevant to this project.
Impacts
Extension agents reported that 105,512 individuals experienced a change in knowledge, opinions, skills, or aspirations regarding lifestyle changes (diet, exercise, etc.) that improve personal health. 50,626 individuals reported making lifestyle changes (diet, exercise, etc.) for the purpose of improving health. 37,446 individuals implemented personal protection practices appropriate for their lifecycle such as screening, immunizations, well-baby care, smoke detectors, and proper ATV safety procedures. 1,322 joint programs were held with non-Extension organizations focusing on comprehensive health maintenance. Because of Extension efforts and the efforts of collaborators in the state, the CDC reported Kentucky had a drop in the obesity rate between 2006 and 2007, one of only five states to do so. Extension has reached 230,694 people through the Get Moving Kentucky program since 2004. The TeamUp state team conducted an evaluation study of the five year pilot which found TeamUp counties increased the number of breast cancer cases diagnosed in early stages by 4.7% percentage points while the control counties decreased their number of cases diagnosed in early stages by 5.8% percentage points. While the findings for cervical cancer did not yield significant results, the TeamUp counties did increase the number of cases diagnosed in early stages for cervical cancer by 14.3% percentage points from the previous year. Findings suggest that a positive trend of diagnosing breast and cervical cancer in earlier stages is occurring among age appropriate women residing in the intervention counties. In the Raising Kentuckians 24-week intervention pilot, the Adult-Adolescent Parenting Inventory was used to measure parenting skill levels. Preliminary analysis of the outcomes found that three of five parenting subscales improved for those completing the 24-week educational program. The findings show promise in improving health outcomes for children through a nurturing parenting approach and curriculum. The Women's Mental Health project conducted a random digit dialing telephone survey of 1,000 women in Western Kentucky to assess responder demographics, depression stigma, depression screen, utilization and access to care, and social media utilization. The internet was the source of mental health information (other than doctors) for women in this part of the state. As a result, an internet based program "Blue to You" is being developed for this intervention as well as educational curriculum for agent use. HEEL is providing agents with the necessary tools to address mental health problems in the state.
Publications
- Riley, P., (2008) HSW-PAR.819 Staying Safe With Roller Shoes.
- Whipple, C., (2008) HSW-CAW.807 The Connection between Laughter, Humor,and Good Health.
- Sigler, P., (2008)HSW-PLS-702 LEAP - Blueberries for Sal Newsletter.
- Sigler, P., (2008) HWS-PLS-703 LEAP - Bread and Jam for Fances Newsletter. 13. Sigler, P., (2008) HWS-PLS-704 LEAP - Clarabella's Teeth Newsletter.
- Sigler, P., (2008) HWS-PLS-705 LEAP - Germs! Germs! Germs! Newsletter.
- Sigler, P., (2008) HWS-PLS-706 LEAP - I.Q. Gets Fit Newsletter 05/2008.
- Sigler, P., (2008) HWS-PLS-707 LEAP - More Spaghetti, I Say Newsletter.
- Sigler, P., (2008) HWS-PLS-708 LEAP - Rodeo Ron and the Milkshake Cows Newsletter.
- Sigler, P., (2008) HWS-PLS-709 LEAP - Happy Healthy Monsters Newsletter.
- Sigler, P., (2008) HWS-PLS-710 LEAP - The ABC's of Fruits and Vegetables and Beyond Newsletter.
- Sigler, P., (2008) HWS-PLS-711 LEAP - Those Icky Sticky Smelly... Newsletter.
- Sigler, P., (2008) HWS-PLS-712 LEAP - Those Mean Nasty Dirty... Newsletter.
- Sigler, P., (2008) HWS-PLS-713 LEAP - Tops and Bottoms Newsletter.
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Progress 07/01/06 to 06/30/07
Outputs
During 2006-2007 HEEL initiated pilot programs Small Steps to Health and Wealth and Alzheimer Awareness in 27 Kentucky counties. A partnership with the UK Sanders Brown Center on Aging, the 20-county Appalachian pilot project reached more than 3,000 women and obtained $30,000 in funding. Both programs are now being implemented across the state. Several HEEL programs and partnerships have made significant impacts on Kentucky. More than $47,000 in funding through the KOMEN Foundation, the Kentucky Cabinet for Public Health, the American Cancer Society, USDA and HEEL was obtained for the Team Up nine-county breast and cervical pilot now in its fourth year with increases in screening rates of never or rarely screened women in the nine pilot counties compared to nine control counties that have not shown any improvement as a result of the collaboration. HEEL received $30,000 in computer equipment and broadband access in partnership with Aztra Zeneca Pharmaceuticals and the
National Council on Aging to enroll low income eligible participants in the Medicare Part D program in urban communities in metro Louisville and Jefferson County. Partners include the Jefferson County Extension Office, the mayor's office, the health department, and the many community ministries serving this urban area, as well as the Jewish Family and Vocational Center. The impact has been to coordinate efforts to better assist the enrollment of participants with increases in enrollment expected. HEEL's substance abuse Youth and Adult Partnerships interventions in 19 western Kentucky counties and now beginning in five eastern Kentucky counties, has resulted in teens gaining confidence and skill sets to mentor younger youth in developing the capacity to avoid substance abuse. This intervention received $10,000 in funding as a University Commonwealth Collaborative, one of 24 designated programs. New collaborations have begun with the Kentucky Governor's Office of Wellness and Physical
Activity, the Kentucky Department of Education, and the Cabinet for Health and Family Services Physical Activity Division to build a more effective partnership to increase physical activity in the state. A partnership with the Cabinet for Health and Family Services, Department of Public Health, Chronic Disease Prevention and Control, in an osteoporosis partnership is resulting in HEEL staff being instrumental in the development of a resource kit to be used by county extension agents. Both have the potential to improve access to health education and services across Kentucky by integrating the Extension network into the outreach efforts of public health. A partnership with regional Morehead State University and the University of Louisville to develop a culturally competent model obesity prevention program that can be implemented across the Appalachian region utilizes HEEL's expertise and the Extension system to appropriately design community based interventions that are locally
driven.
Impacts
The Kentucky Cooperative Extension Service made 1,342,932 contacts throughout the state on health programs from July 1, 2006 through June 30, 2007. The data reported reflects 544,195 contacts made with limited resource audiences and 157,463 contacts with youth. HEEL supported the Extension system through programs such as LEAP, Get Moving Kentucky, Weight the Reality Series, Substance Abuse, Chronic Disease Prevention, Youth and 4-H nutrition and physical activity programs, with 137.87 full time equivalents (FTEs) expended by Extension in changing the health status of Kentuckians. Agents in 13 counties reported more than $981,000 in cost benefits to Extension clientele in improved health through the LEAP (the Literacy, Eating, and Activity for Pre-School Children) program during this time period. Agents reported 90% of the children involved now ask for fruits and vegetables as a snack and 85% of the children were participating in physical activity through their
involvement in LEAP. Eighty-three (83) counties reported significant impact with 13,667 individuals through the Get Moving Kentucky and physical activity programs with $21,075 reported in cost benefits mainly through the savings of medical expenses due to improved health. Since 2001, the year prior to the funding of the HEEL program, FTEs and contacts in health programming reported by the Extension system have increased 100%.
Publications
- Burnham, D. 2007. When a Loved One is Abusing Drugs (brochure). University of Kentucky.
- Mattacola, M., Rice, L. 2007. Development of Information Regarding Susceptibility to Heat Illness Using the Cooperative Extension Agency Model in Kentucky. Journal of Sport Rehabilitation. 16: 277-281.
- Murray, D. 2006. Kentucky Responds to Meth Production and Use. Journal of Family and Consumer Sciences. 98(2):61-62.
- Riley, P. 2007. Smoking and Pregnancy (fact sheet). University of Kentucky.
- Riley, P. 2007. Stroke, Reduce Your Risk (fact sheet). University of Kentucky.
- Riley, P. 2007. Women and Heart Disease (fact sheet). University of Kentucky.
- Scutchfield, D., Harris, T., Tanner, B., and Murray, D. 2007. Academic Health Centers and Cooperative Extension Service: A Model for a Working Partnership. Journal of Extension. 45:1.
- Whipple, C. 2007. Alzheimer Disease: Getting the Facts (brochure). University of Kentucky.
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Progress 07/01/05 to 06/30/06
Outputs
The Health Education through Extension Leadership program has developed and implemented curriculum and programming through the guidance of the HEEL Advisory council of collaborating partners, including the Colleges of Social Work, Pharmacy, Dentistry, Nursing, Medicine, and Public Health. Other partner organizations include the Area Health Education Centers (AHEC), Center for Rural Health, Kentucky Cancer Program, Markey Cancer Center, UK Wellness Program, Kentucky State University, and Kentucky Cabinet for Health Services Department of Public Health. These partnerships have allowed the hiring of Extension specialists with joint appointments with the academic health centers on campus. In addition, a graphic designer is currently working with HEEL on a half-time basis through partnerships with additional projects. The following innovative programs developed and implemented include: 1. Get Moving Kentucky, addresses physical activity and Kentuckys national ranking of
having the worse statistics for physical activity. 2. Calming the Storm, addresses social emotional well-being. There is a clear connection between social well-being and physical health. 3. Walk Your Land addresses methamphetamine dangers to farmers and other landowners 4. Kentucky Alliance for Drug Endangered Children is a statewide network of service providers organized to deal with the dangers to children residing in Meth homes. The Appalachian Regional Commission awarded HEEL a grant for more than $300,000.00 to create this network in Appalachia Kentucky. 5. LEAP for Health (Literacy, Eating and Activity for Preschoolers) addresses health literacy for families of preschoolers using childrens storybooks. 6. Rural Training Track is a collaboration with the UK College of Medicine to provide a community immersion experience for third year medical students. The goal is to provide medical students with an understanding of the rural community. This is the third year of the pilot
involving seven students placed with county extension agents. 7. Weight: The Reality Series addresses obesity and weight management emphasizing the connection between behavioral risk factors, such as physical activity and weight and chronic diseases. 8. TeamUP Cancer Screening is a USDA, National Cancer Institute (NCI), Centers for Disease Control (CDC), and American Cancer Society (ACS) collaborative effort to address the increased breast and cervical cancer rates among rarely or never screened women in nine eastern Kentucky counties. The Wise East Kentucky Women Know campaign resulted from these efforts. 9. Medicare Part D addressed the complex issue of getting rural Kentuckians enrolled in Medicare Part D with an extension approach. This collaboration with the Center for Rural Development, Kentucky TELEHEALTH network and a television station broadcasted 2 1/2 hours of discussion on the Medicare Part D benefit to 1/3 of the states population. HEEL staff sent timely updates and news
releases to extension agents across the state. 10. HEEL staff is providing leadership with Cooperative Extension on preparing extension agents and communities for a possible pandemic flu epidemic.
Impacts
HEEL has leveraged its resources by attaining additional monetary and in-kind resources totaling $2,260,000. County Extension Agents reported $1,953,315.00 in grants and in-kind support for health programming at the local level. During the 2004-2005 program year, 208 agents in 113 of the 120 Kentucky counties reported significant health impacts. The Kentucky Cooperative Extension System reported 51.70 FTEs on health programming in 2005 compared to 25.99 FTEs in 2001, prior to the establishment if the HEEL program with 748,489 contacts with Kentuckians on health programming in 2005 compared to 349,745 contacts in 2001. Agents reported community collaborations, a HEEL goal, in 369 of the 421 impact statements written on significant health programming during 2004-2005 and a cost benefit of health programming impact to Kentuckians of $3,300,364.00. Agents made 12,823 contacts with LEAP and 91,803 contacts with Get Moving Kentucky. The Kentucky Cabinet for Health and
Family Services adopted the Get Moving program for their employee Get Moving CHFS Program demonstrating the impact of Heels agency collaborations on the health of Kentuckians. The Kentucky Department for Public Health reports an increase in the physical activity of Kentuckians by more than 3 percentage points between the years of 2000-2005. HEELs substance abuse program is one of only 24 Commonwealth Collaboratives at the University demonstrating Cooperative Extensions ability to work across the total university in multi-disciplinary endeavors to solve the health issues of Kentuckians.
Publications
- HEEL-SSB.400 Dental Care and Diabetes, Sharlee Shirley Burch 2005
- HEEL-SSB.400a Diabetes and Gum Disease, Sharlee Shirley Burch 2005
- HEEL-SSB.401 Oral Health, Sharlee Shirley Burch 2005
- HEEL-SSB.401a Oral Health and Pregancy, Sharlee Shirley Burch 2005
- HEEL-SSB.401b Oral Health Quick Facts, Sharlee Shirley Burch 2005
- HEEL-SSB.401c Medications and Oral Health, Sharlee Shirley Burch, 2005
- HEEL-SSB.401d Nutrition and Oral Health, Sharlee Shirley Burch, 2005 HEEL-SSB.401e Women and Oral Health, Sharlee Shirley Burch 2005 HEEL-SSB.402 Oral Disease, Sharlee Shirley Burch, 2005 HEEL-SSB.403 Dental Decay Cavity Equasion, Sharlee Shirley Burch, 2005
- HEEL-SSB.404 Dental Sealant, Sharlee Shirley Burch, 2005 HEEL-SSB.405 Meth Mouth, Sharlee Shirley Burch, 2005
- HEEL-SSB.406 Mouthguard Handout, Sharlee Shirley Burch, 2005 HEEL-SSB.407 Perio Overall Heath, Sharlee Shirley Burch, 2005
- HEEL-LR.916 Gear Up: Preparing for a Hike, Lori Rice, 2005 HEEL-LR.917 Where to Go: Hiking for Beginners, Lori Rice, 2005 HEEL-LR.918 Physical Activity at Home: Choosing the Right Video, Lori Rice, 2005
- HEEL-SSB.408 RDH Fact Sheet, Sharlee Shirley Burch, 2005 HEEL-SSB.409 First Aid for Dental Emergencies and Injuries, Sharlee Shirley Burch, 2005
- HEEL-SSB.410 Brushing Fact Sheet, Sharlee Shirley Burch, 2005 HEEL-SSB.410a Childrens Brushing Fact Sheet, Sharlee Shirley Burch, 2005 HEEL-SSB.411 Flossing Fact Sheet, Sharlee Shirley Burch, 2005
- HEEL-LR.911 Physical Activity for the Mind and Body, Lori Rice, 2005
- HEEL-LR.912 What's a PAM?, Lori Rice, 2005 HEEL-LR.913 Staying Safe on a Hike, Lori Rice, 2005 HEEL-LR.914 Hike for Your Health, Lori Rice, 2005
- HEEL-LR.915 Dining on the Trail, Lori Rice, 2005
- HEEL-LR.919 How to Plan a Coummunity Walk/Run Event, Lori Rice, 2005 HEEL-LR.920 Healthy Back Habits: Strength and Flexiblity, Lori Rice, 2006
- HEEL-LR.921 Healthy Back Habits: Position and Posture, Lori Rice, 2006 HEEL-LR.922 Healthy Back Habits: Lifting for Less Stress, Lori Rice, 2006
- HEEL-LR.923 Healthy Back Habits: Workstation Wellness, Lori Rice, 2006
- HEEL-LR.925 Don't Lose It - Move It, Lori Rice, 2006
- HEEL-LR.926 Moving Your Mind, Lori Rice, 2006 HEEL-LR.927 Active with Arthritis, Lori Rice, 2006
- HEEL-LR.928 Active Ideas for Dementia: Help for Caregivers, Lori Rice, 2006
- HEEL-LR.930 The Activity Ball, Lori Rice, 2006
- HEEL-LR.931 The Activity Ball Quick Answer Guide, Lori Rice, 2006
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