Supporting Wellness at Pantries (SWAP) is a PSE intervention designed to promote the donation and selection of nutritious foods throughout the charitable food system. The program is based on the theory that categorizing food using simple, intuitive labels and communicating this information at each decision point while food travels through the system (donor, food bank, food pantry, & client) has the potential to transform the policy, systems, and environment of food banks and food pantries. SWAP consists of a suite of tools for food banks and food pantries to rank their inventory using a traffic light nutrition system. SWAP was developed in 2016 and revised in 2020 to align with and use the Healthy Eating Research (HER) Nutrition Guidelines for the Charitable Food System. These guidelines place foods into 11 categories and assign green=choose often; yellow=choose sometimes; and red=choose rarely based on levels of saturated fat, sodium, and added sugars. SWAP can be used as an intervention in multiple levels of the charitable food system to promote food justice and health equity. 

Target Behavior: Healthy Eating, Food Insecurity/Food Assistance 

Intervention Type: PSE Change 

SWAP targets food pantries and similar food programs that serve adult populations of all racial and ethnic backgrounds. SWAP’s traffic light system can be understood regardless of English proficiency or literacy level. In recognizing that many food pantries may not have computers or Wi-Fi access, SWAP includes posters and handouts so volunteers can rank food with or without the use of technology. To date, over 200 food pantries have implemented SWAP, and over 30 food banks are using the HER Nutrition Guidelines with SWAP. Once SWAP is implemented, volunteers and staff continue to rank foods, and new staff or volunteers can be trained by current staff/volunteers.   

Setting: Community, USDA program sites (not National School Lunch Program), Food Pantries, Other: Food Banks.  

Target Audience: Parents/Mothers/Fathers, Adults, Older Adults, Homeless/Food Pantry Clients, Other: Stakeholders and decision makers at every level of the charitable food system, from food pantry volunteers to food bank staff to food donors. 

Race/Ethnicity: All 

Materials include:  

• How to Rank Foods Using SWAP Guide 
• SWAP Calculator: Excel sheet with algorithm to aid with ranking food 
• SWAP flyer for clients 
• Healthy donation list 
• HER Nutrition Guidelines (https://bit.ly/34VoLZq) 
• SWAP Toolkit (https://indd.adobe.com/view) 
• Using SWAP in Food Pantries Video (https://bit.ly/3KqieGx) 
• Feeding America’s Nutrition in Food Banking Toolkit (https://bit.ly/3KitLY4) 
• Implementing HER Nutrition Guidelines in Food Banks 

The intervention is available at no cost. Those interested can email swap@morethanfoodconsulting.com. Printed materials including posters, ranking guide and shelf tags can be purchased for a nominal fee at SWAPMaterials.org.

In the development of SWAP, focus groups of pantry staff/volunteers provided feedback on perceived benefits and barriers by using stoplight ranking to promote healthy foods. Then a sample of 230 clients were surveyed to learn about food preferences when at food pantries, the results of which showed demand for nutritious food.  SWAP was pilot tested with 6 Connecticut pantries and feedback informed the messaging and implementation. In the 6 pilot pantries, a brief survey with food pantry staff and volunteers was conducted approximately 3 months after SWAP was implemented to measure their satisfaction with SWAP, ease of use, and perceived satisfaction among clients. The survey also included open-ended questions to gather qualitative feedback about suggestions for improving the system. Overall, the reaction to the new SWAP system was very positive and survey results helped develop additional training materials for future pantries. 

The HER Nutrition Guideline expert panel was purposefully created to include 50% nutrition experts and 50% experts/practitioners in the charitable food system. Then a Feeding America taskforce reviewed, provided feedback, and adopted the guidelines. SWAP was then revised to completely align with the HER Nutrition Guidelines.  

Research on SWAP shows that the availability of healthy food increases significantly when nutrition ranking is used, and it works at every level of the charitable food system. Food pantries order more nutritious food from the food bank when the food bank ranks their inventory using SWAP and displays that information in their online ordering system. Among the largest changes were increases in orders of fresh produce, brown rice, low-fat dairy and low-fat meats and decreases in orders of sugary juice drinks, canned fruit with added sugar, higher fat dairy and higher fat meats. After food pantries implement SWAP, the nutritional quality of their inventory supply improves, and food pantry clients selected more green items and fewer red items than before implementation. 

• Martin KS, Wolff M, Callahan K, Schwartz MB. Supporting wellness at pantries: Development of a nutrition stoplight system for food banks and food pantries. J Acad Nutr Diet. 2019;119(4):553-559. doi:10.1016/j.jand.2018.03.003 

• • https://www.jandonline.org/article/S2212-2672(18)30289-2/fulltext 

• Cooksey-Stowers K, Martin KS, Schwartz M. Client preferences for nutrition interventions in food pantries. J Hunger Environ Nutr. 2019;14(1-2):18-34. doi:10.1080/19320248.2018.1512929 

• • https://www.tandfonline.com/doi/abs/10.1080/19320248.2018.1512929?journalCode=when20 

• Martin K, Xu R, Schwartz MB. Food pantries select healthier foods after nutrition information is available on their food bank’s ordering platform. Public Health Nutr. 2021;24(15):5066-5073. doi:10.1017/S1368980020004814 

• • https://www.cambridge.org/core/journals/public-health-nutrition/article/food-pantries-select-healthier-foods-after-nutrition-information-is-available-on-their-food-banks-ordering-platform/ADF28BAA6EBFA15BEF43829BD9BF12FE 

• Stowers KC, Martin KS, Read M, et al. Supporting Wellness at Pantries (SWAP): changes to inventory in six food pantries over one year. Z Gesundh Wiss. 2022;30(4):1001-1009. doi:10.1007/s10389-020-01350-8 

• • https://link.springer.com/article/10.1007/s10389-020-01350-8 

• McKee SL, Gurganus EA, Atoloye AT, Xu R, Martin K, Schwartz MB. Pilot testing an intervention to educate and promote nutritious choices at food pantries. Z Gesundh Wiss. Published online 2021. doi:10.1007/s10389-021-01570-6  

• • https://link.springer.com/article/10.1007/s10389-021-01570-6 

Evidence-based Approach: Research-Tested 

Based on the SNAP-Ed Evaluation Framework, the following outcome indicators can be used to evaluate intervention progress and success.

	Readiness and Capacity – Short Term (ST)	Changes – Medium Term (MT)	Effectiveness and Maintenance – Long Term (LT)	Population Results (R)
Individual
Environmental Settings		MT5
Sectors of Influence

• MT5a: Number and proportion of sites that make at least one change in writing or practice to expand access or improve appeal for healthy eating  
• MT5f: Total potential number of persons who encounter the improved environment or are affected by the policy change on a regular basis and are assumed to be influenced by it. 

Evaluation materials include: 

• Survey of client food preferences for planning to implement SWAP and understand client preferences. 
• Survey of client feedback and satisfaction to assess client knowledge and attitudes around SWAP. 
• Inventory snapshot worksheet for pantries to record inventory rankings and change over time. 
• Inventory reporting for food banks to run reports, set benchmarks, and display change in their inventory nutritional quality over time. 

The SWAP Toolkit, https://indd.adobe.com/view/0be29257-c5f3-441e-b144-828b7ff00cf9, includes information on how to use SWAP in pantry and food bank settings. 

Contact Person(s): 

Maisie Campbell