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Swap Up

Four Years of Behavior Change Through Adolescent Nutrition Education in Oklahoma

Bibliographic Data

ID21650889
AuthorsDana E Wagner (0000-0003-2015-4106, Change Craft, LLC, Sacramento, CA, USA, corresponding author), Taylor Goldman (Rescue Agency, PBC, San Diego, CA, USA), Julia Geer (Rescue Agency, PBC, San Diego, CA, USA), Sophia Villarreal (Rescue Agency, PBC, San Diego, CA, USA), S El Marjiya Villarreal (Health and Human Services Agency), Kelli A Brodersen (Oklahoma Tobacco Settlement Endowment Trust, Oklahoma City, OK, USA), Sjonna Whitsitt-Paulson (Oklahoma Tobacco Settlement Endowment Trust, Oklahoma City, OK, USA), Dylan M Jasna (Oklahoma Tobacco Settlement Endowment Trust, Oklahoma City, OK, USA), Kelsey E Nation (Oklahoma Tobacco Settlement Endowment Trust, Oklahoma City, OK, USA)
Year2026
Volume53
Issue3
Pages237-248
Publication date2026-06-01
Open AccessYes
TypeARTICLE
VenueHealth Education & Behavior (JOURNAL)
Journal identifiersISSN: 1090-1981 • E-ISSN: 1552-6127
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/10901981251377064
PMID41020333
OpenAlexW4414612813
LanguageEN
References cited13

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

Adolescent health · Behavior change · Health behavior · Health education · Longitudinal study · Nutrition Education · Social influence · Social media · Theory of planned behavior · Child Development and Digital Technology · Impact of Technology on Adolescents · Media Influence and Health

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