“…Comparing the results of this study with other research, a 1990 to 2003 literature search on 25 nutrition interventions for older adults (18) found that although the interventions had limited success in behavior change, certain features, such as limiting educational messages to one or two, reinforcing and personalizing messages, and providing hands-on activities, all of which are features of the ESLS curriculum, had positive outcomes. Additionally, a longitudinal study of 139 older adults enrolled in six government-sponsored congregate meal site and exercise programs between 2004 and 2007 found improvements in blood pressure and pulse rate, a slight downward trend in ''high-risk'' nutritional scores, and an increase in ''good'' scores over time using the Nutrition Risk Screening Checklist (45).…”