Teens as Teachers: Positive Outcomes and Recommendations for Promoting Healthy Nutrition in Adolescents


  • Elizabeth H. Weybright Washington State University https://orcid.org/0000-0002-3995-7067
  • AnaMaria Diaz Martinez Washington State University
  • Gary Varrella Washington State University
  • Mary Katherine Deen Washington State University
  • Kevin Wright Washington State University




teens as teachers, nutrition, youth–adult partnerships, social cognitive theory


The prevalence of overweight and obese status in adolescence points to a need to identify and broadly disseminate effective approaches promoting healthy eating. One promising approach engages teens as teachers to implement a nutrition education curriculum for younger youth. This article highlights qualitative evaluation results of a cross-age peer-teaching program on teen teachers. Results strengthen our knowledge base of cross-age peer teaching and inform policy and practice implications. Teens experienced greater internalization of curriculum content as evidenced by increased knowledge, improved behaviors, and overcoming barriers to healthy eating. These findings are grounded in social learning theory. To disseminate cross-age peer teaching within youth-serving organizations, we recommend the use of an evidence-based framework to guide program implementation and the development of policy to ensure intentional teen teaching opportunities.


Arnold, M. E., Flesch, J. M., Ashton, C., Black, L., Brody, B., Hosty, M., & Northway, S. (2016). YA4-H! Youth Advocates for Health: Impact of a 4-H Teens-as-Teachers Program. Journal of Extension, 54(6), n6. Retrieved from https://www.joe.org/joe/2016december/rb5.php

Arnold, M. E., & Gifford, L. N. (2014). YA4-H! Youth advocates for health - Building successful youth-adult partnerships. Chevy Chase, MD: National 4-H Council.

Arnold, M. E., Gifford, L. N., Deen, M. K. Y., & Edwards, J. W. (2015). YA4-H! Youth advocates for health - Teens as teachers. Chevy Chase, MD: National 4-H Council.

Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191.

Bandura, A. (1998). Health promotion from the perspective of social cognitive theory. Psychology and Health 13, 623-349.

Bandura, A. (2004). Health promotion by social cognitive means. Health Education & Behavior, 31(2), 143-164.

Centers for Disease Control and Prevention. (2015). Youth risk behavior survey data. Retrieved from https://nccd.cdc.gov/youthonline/App/Default.aspx

Coleman, K., Clark, A., Shordon, M., Ocana, L., Walker, C., Araujo, R., . . . Philis-Tsimikas, A. (2011). Teen peer educators and diabetes knowledge of low-income fifth frade students. Journal of Community Health, 36(1), 23-26.

Cornell University. (2014). Choose Health: Food, Fun, and Fitness. Ithaca, NY: Cornell University.

Creswell, J. W. (2013). Qualitative inquiry and research design: Choosing among five approaches. Thousand Oaks, CA: Sage Publications.

Eccles, J. S., & Gootman, J. A. (2002). Features of positive developmental settings. In J. S. Eccles & J. A. Gootman (Eds.), Community programs to promote youth development. (pp. 26–120). Washington, DC: National Academies Press.

Enfield, R. P. (2001). Connections between 4-H and John Dewey’s philosophy of education. Focus. Davis, CA: Center for Youth Development, University of California. Retrieved from http://www.ca4h.org/files/1234.pdf

Enfield, R. P., Schmitt-McQuitty, L., & Smith, M. H. (2007). The development and evaluation of experiential learning workshops for 4-H volunteers. Journal of Extension, 45(1). Retrieved from https://www.joe.org/joe/2007february/a2.php

Flesch, J. M., Lile, J. R., & Arnold, M. E. (2015). YA4-H! Youth advocates for health: Teens as teachers. Journal of Youth Development, 10(2), 121-124. Retrieved from https://jyd.pitt.edu/ojs/jyd/article/viewFile/414/400

Green, J., Willis, K., Hughes, E., Small, R., Welch, N., Gibbs, L., & Daly, J. (2007). Generating best evidence from qualitative research: The role of data analysis. Australian and New Zealand Journal of Public Health, 31(6), 545–550. doi: 10.1111/j.1753-6405.2007.00141.x

Guest, G., Bunce, A., & Johnson, L. (2006). How many interviews are enough?: An experiment with data saturation and variability. Field Methods, 18(1), 59–82. doi: 10.1177/1525822X05279903

Hill, L., McGuire, J., Parker, L., & Sage, R. (2009, February). 4-H healthy living literature review and recommendations for program planning and evaluation. Retrieved from National 4-H Council website: https://4-h.org/wp-content/uploads/2016/02/4-h-healthy-living-complete-literature-review.pdf

Hoelscher, D. M., Evans, A., Parcel, G. S., & Kelder, S. H. (2002). Designing effective nutrition interventions for adolescents. Journal of the American Dietetic Association, 102(3), S52-S63.

Jones, F. C., & Broome, M. E. (2001). Focus groups with African American adolescents: Enhancing recruitment and retention in intervention studies. Journal of Pediatric Nursing, 16(2), 88–96. doi: 10.1053/jpdn.2001.23151

Karcher, M. J. (2005). Cross-age peer mentoring. In D. L. Dubois & M. J. Karcher (Eds.), Handbook of youth mentoring (pp. 266-285). Thousand Oaks, CA: Sage Publications.

Kolb, D. A. (1984). Experiential learning: Experience as the source of learning and development. Upper Saddle River, NJ: Prentice-Hall.

Kress, C. (2005). Essential elements of positive youth development. In Strengthening positive youth development environments (pp. 20-23). Madison, WI: University of Wisconsin Extension 4-H Program.

Lee, F. C. H., & Murdock, S. (2001). Teenagers as teachers program: Ten essential elements. Journal of Extension, 39(1). Retrieved from https://joe.org/joe/2001february/rb1.php

Lerner, R. M., Lerner, J. V, von Eye, A., Bowers, E. P., & Lewin-Bizan, S. (2011). Individual and contextual bases of thriving in adolescence: A view of the issues. Journal of Adolescence, 34(6), 1107–1114. doi: 10.1016/j.adolescence.2011.08.001

Lobstein, T., Jackson-Leach, R., Moodie, M. L., Hall, K. D., Gortmaker, S. L., Swinburn, B. A.,… McPherson, K. (2015). Child and adolescent obesity: Part of a bigger picture. Lancet, 385(9986), 2510–2520. doi:10.1016/S0140-6736(14)61746-3

Martz, J., Mincemoyer, C., & McNeely, N. N (2016). Essential elements of 4-H youth development programs: Curriculum and training guide. Chevy Chase, MD: National 4-H Council.

Nation, M., Crusto, C., Wandersman, A., Kumpfer, K. L., Seybolt, D., Morrissey-Kane, E., & Davino, K. (2003). What works in prevention: Principles of effective prevention programs. American Psychologist, 58(6-7), 449–456. doi: 10.1037/0003-066X.58.6-7.449

National 4-H Council. (2009). Health Rocks! Intermediate level [4-H Health Life Series Curriculum]. Chevy Chase, MD: National 4-H Council.

Ogden, C. L., Carroll, M. D., Fryar, C. D., & Flegal, K. M. (2015). Prevalence of obesity among adults and youth: United States 2011-2014 (NCHS data brief, no. 219). Hyattsville, MD. Retrieved from https://www.cdc.gov/nchs/data/databriefs/db219.pdf

Pate, R. R., Trost, S. G., Mullis, R., Sallis, J. F., Wechsler, H., & Brown, D. R. (2000). Community interventions to promote proper nutrition and physical activity among youth. Preventive Medicine, 31(2), S138–S149. doi:10.1006/pmed.2000.0632

Rabiee, F. (2004). Focus-group interview and data analysis. Proceedings of the Nutrition Society, 63(4), 655–660. doi: 10.1079/PNS2004399

Sawyer, S. M., Afifi, R. A., Bearinger, L. H., Blakemore, S. J., Dick, B., Ezeh, A. C., & Patton, G. C. (2012). Adolescence: A foundation for future health. The Lancet, 379(9826), 1630–1640. doi: 10.1016/S0140-6736(12)60072-5

Smith, A. (2014). Peer health teaching improves nutrition behaviors in the teen teacher population (Master’s thesis). University of Nebraska, Lincoln. Retrieved from http://digitalcommons.unl.edu/nutritiondiss/48

Story, M., Lytle, L. A., Birnbaum, A. S., & Perry, C. L. (2002). Peer-led, school-based nutrition education for young adolescents: Feasibility and process evaluation of the TEENS study. Journal of School Health, 72(3), 121–127. doi: 10.1111/j.1746-1561.2002.tb06529.x

U.S. Department of Agriculture, National Institute of Food and Agriculture. (n.d.) National 4-H strategic plan 2017. Retrieved from https://nifa.usda.gov/sites/default/files/resources/National%204-H%20Strategic%20Plan%202017.pdf

U.S. Department of Agriculture, National Institute of Food and Agriculture. (2017). Growing together: 4-H professional, research, knowledge and competencies 2017. Retrieved from https://nifa.usda.gov/sites/default/files/resources/4-H%20PRKC%202017%20Guide.pdf

U.S. Department of Health and Human Services and U.S. Department of Agriculture. (2015, December). 2015-2020 Dietary Guidelines for Americans (8th ed.). Retrieved from http://health.gov/dietaryguidelines/2015/guidelines/

Weybright, E. H., Hrncirik, L. M., White, A. J., Cummins, M. M., Deen, M. K., & Calodich, S. (2016). “I felt really respected and I know she felt respected too”: Using youth-adult partnerships to promote positive youth development in 4-H youth. Journal of Human Sciences and Extension, 4(3), 93–110.

Zeldin, S., Krauss, S. E., Kim, T., Collura, J., & Abdullah, H. (2016). Pathways to youth empowerment and community connectedness: A study of youth-adult partnership in Malaysian after-school, co-curricular programs. Journal of Youth and Adolescence, 45(8), 1638-1651. doi: 10.1007/s10964-015-0320-2