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Swap Up: Four Years of Behavior Change through Adolescent Nutrition Education in Oklahoma

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Title: Swap Up: Four Years of Behavior Change through Adolescent Nutrition Education in Oklahoma
Language: English
Authors: Dana E. Wagner (ORCID 0000-0003-2015-4106), Taylor Goldman, Julia Geer, Sophia Villarreal, Kelli A. Brodersen, Sjonna Whitsitt-Paulson, Dylan M. Jasna, Kelsey E. Nation
Source: Health Education & Behavior. 2026 53(3):237-248.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 12
Publication Date: 2026
Document Type: Journal Articles
Reports - Research
Descriptors: Behavior Change, Nutrition Instruction, Adolescents, Program Effectiveness, Predictor Variables, Technology Integration, Social Media, Public Health, Health Behavior, Eating Habits
Geographic Terms: Oklahoma
DOI: 10.1177/10901981251377064
ISSN: 1090-1981
1552-6127
Abstract: Oklahoma Tobacco Settlement Endowment Trust's youth nutrition education campaign, Swap Up, is designed to provide Oklahoma adolescents (13-18 years old) with accessible and actionable information to make healthy daily nutrition choices. Four years of online survey data (n = 856) and a subset of longitudinal responses (n = 295) were analyzed to assess the campaign's reach, resonance, and related nutrition-supporting beliefs and behaviors. A majority of participants reported aided campaign awareness (75%) and at least one form of digital engagement with campaign content (70%). A series of linear mixed-effects models with the full sample and longitudinal subsample demonstrated that digital engagement consistently predicted positive receptivity, nutritional beliefs, and nutritional behaviors and intentions. Aided campaign awareness, without digital engagement, was not a consistent predictor of campaign outcomes. A social and digital engagement-focused creative and media strategy was key to the success of Swap Up, highlighting the critical role of digital strategies in promoting nutrition-supporting, healthier beliefs and behaviors among an adolescent audience.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1504370
Database: ERIC
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  Data: Swap Up: Four Years of Behavior Change through Adolescent Nutrition Education in Oklahoma
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  Data: <searchLink fieldCode="AR" term="%22Dana+E%2E+Wagner%22">Dana E. Wagner</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-2015-4106">0000-0003-2015-4106</externalLink>)<br /><searchLink fieldCode="AR" term="%22Taylor+Goldman%22">Taylor Goldman</searchLink><br /><searchLink fieldCode="AR" term="%22Julia+Geer%22">Julia Geer</searchLink><br /><searchLink fieldCode="AR" term="%22Sophia+Villarreal%22">Sophia Villarreal</searchLink><br /><searchLink fieldCode="AR" term="%22Kelli+A%2E+Brodersen%22">Kelli A. Brodersen</searchLink><br /><searchLink fieldCode="AR" term="%22Sjonna+Whitsitt-Paulson%22">Sjonna Whitsitt-Paulson</searchLink><br /><searchLink fieldCode="AR" term="%22Dylan+M%2E+Jasna%22">Dylan M. Jasna</searchLink><br /><searchLink fieldCode="AR" term="%22Kelsey+E%2E+Nation%22">Kelsey E. Nation</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Health+Education+%26+Behavior%22"><i>Health Education & Behavior</i></searchLink>. 2026 53(3):237-248.
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  Data: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
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  Data: <searchLink fieldCode="DE" term="%22Behavior+Change%22">Behavior Change</searchLink><br /><searchLink fieldCode="DE" term="%22Nutrition+Instruction%22">Nutrition Instruction</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescents%22">Adolescents</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Effectiveness%22">Program Effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Predictor+Variables%22">Predictor Variables</searchLink><br /><searchLink fieldCode="DE" term="%22Technology+Integration%22">Technology Integration</searchLink><br /><searchLink fieldCode="DE" term="%22Social+Media%22">Social Media</searchLink><br /><searchLink fieldCode="DE" term="%22Public+Health%22">Public Health</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Behavior%22">Health Behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Eating+Habits%22">Eating Habits</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Oklahoma%22">Oklahoma</searchLink>
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  Data: 10.1177/10901981251377064
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  Data: 1090-1981<br />1552-6127
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  Data: Oklahoma Tobacco Settlement Endowment Trust's youth nutrition education campaign, Swap Up, is designed to provide Oklahoma adolescents (13-18 years old) with accessible and actionable information to make healthy daily nutrition choices. Four years of online survey data (n = 856) and a subset of longitudinal responses (n = 295) were analyzed to assess the campaign's reach, resonance, and related nutrition-supporting beliefs and behaviors. A majority of participants reported aided campaign awareness (75%) and at least one form of digital engagement with campaign content (70%). A series of linear mixed-effects models with the full sample and longitudinal subsample demonstrated that digital engagement consistently predicted positive receptivity, nutritional beliefs, and nutritional behaviors and intentions. Aided campaign awareness, without digital engagement, was not a consistent predictor of campaign outcomes. A social and digital engagement-focused creative and media strategy was key to the success of Swap Up, highlighting the critical role of digital strategies in promoting nutrition-supporting, healthier beliefs and behaviors among an adolescent audience.
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