Foot health in the workplace, particularly among farmers and agricultural professionals, is often neglected, despite its significant impact on overall health and well-being. In Florida, environmental conditions frequently lead to hot, damp feet, exacerbated by improper footwear, which contributes to poor foot health. Due to a reluctance to seek medical intervention, foot issues often progress to more severe complications. This commercial horticulture extension program aimed to improve foot health awareness, increase learning gains, and promote healthy behavior changes in agriculture and horticulture workers. Objectives: The primary objectives were: (1) to improve knowledge and skills related to foot health, and (2) to encourage the adoption of healthy foot care behaviors. Methods: A total of 238 clients were pre-surveyed from 2020 - 2024 to assess their foot health and identify areas of need. Participants were then invited to attend an extension program in-person or via webinar. Four classes were presented over the four-year span, focusing on foot health and safety, addressing issues like foot or leg pain, diseases, and deformities. Practical solutions were provided, including individual diagnostic assessments by a podiatrist/surgeon who demonstrated exercises and discussed the use of orthotics for improving foot health. Participants were encouraged to rate their foot health and report discomfort. A post-intervention survey was conducted three months later to evaluate changes in knowledge, behavior, and foot health status. Outcomes and Results: The pre-survey revealed that 69% of participants reported foot issues, with an average self-assessed foot health grade of 6.85 out of 10. After attending the educational session and implementing recommended practices, 98% of participants (n=25) reported significant relief from foot discomfort. Moreover, 95% committed to behavior changes, such as performing leg exercises, using orthotics, and changing footwear. The average foot health grade improved to 8.0 out of 10, representing an 11.5% improvement. Additionally, 96% (n=9) of participants shared their knowledge with 35 others, expanding the intervention's impact. Conclusion: This study shows that educational interventions focused on foot health can lead to significant improvements in knowledge and foot health outcomes among agricultural workers. The adoption of behaviors like using orthotics, performing exercises or consulting with a podiatrist resulted in measurable improvements. The widespread sharing of information indicates that the intervention had a positive ripple effect. Continued efforts to promote foot health in high-risk occupations are essential to prevent long-term complications and improve quality of life.
