Purpose: The objective of this study was to examine the effect of dietary and exercise self-management support program on the dietary behavior, exercise behavior, and clinical outcomes of Muslim patients with poorly controlled type 2 DM in Indonesia. Methods: This study was a quasi-experimental, two group, pre-test and post-test design. The experimental group received the dietary and exercise self-management support program and usual care, whereas the control group only received the usual nursing care. Result: 35 subjects in the experimental group and 35 subjects in the control group completed the program, respectively. The findings indicated that there are significantly differences in dietary behavior (p=.00), exercise behavior (p=.00) and clinical outcomes: fasting blood glucose (FBG) (p=.00), cholesterol total level (p=.01) and systolic blood pressure (p=.00) between the experimental group and control group. However, for the BMI status (p=.84) and diastolic blood pressure (BP) (p=.32) were no significant differences between two groups. Conclusion: The dietary and exercise self-management support program was effective for improving the dietary behavior, exercise behavior, FBG, and total cholesterol level for individuals with poorly controlled type 2 diabetes mellitus. Further studies should be replicated using larger groups over a longer time frame.

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Worksite wellness programs (WWPs) have evolved over the last several decades as a way to positively impact employees' health, and to manage rising healthcare costs. Despite the impact that WWPs can have both clinically and financially, participation rates in many programs remain low. Some research has reported success in increasing participation and engagement through tailoring programs to fit employee preferences. The purpose of this study was to investigate the wellness programming preferences of state employees in West Virginia. A secondary purpose was to identify how these preferences differ by health risk, worksite wellness participation, age, and gender. Respondents (N = 18,791) completed a survey that was developed in collaboration with the Public Employees Insurance Agency of West Virginia, with respondents reporting strong interest in nutrition (77.6%), physical activity (81.0%), and stress management programming (61.1%), and with a 'personalized webpage' being the most preferred contact method. Interest in wellness programming was higher for females, previous participants, and those who were classified as 'high risk.' Focus groups (N = 4) were also conducted at worksites around the state, with employees (n = 24) reporting a lack of knowledge surrounding what programming was offered, and how to get involved. Participants also suggested that future programming should include education tailored to how they could become healthier. Overall the results highlight a lack of familiarity with wellness programs, which was a major barrier to participation. However, interest in wellness programming was high, which suggests that if employees are made aware of what is available, these programs might be taken advantage of.

Objectives: To investigate the wellness programming preferences of state employees in West Virginia. Study Design: A survey-based, descriptive analysis of employees' preferences Methods: State employees (n = 18,791) of West Virginia were given a 38-item wellness survey. Items assessed employees' interest in programming, methods for receiving wellness information, and incentives for participation. Descriptive statistics were run to provide a summary of state employees' preferences. Results: The survey response rate was 40%. Respondents showed interest in physical activity (81.0%), nutrition (77.6%) and stress management programming (61.1%). A personalized webpage was the highest rated method of receiving wellness information and a discount on insurance premiums would be the most motivating incentive (69.6%). Conclusion: Interest in wellness programming was high, which suggests that appropriately target interventions may engage a large portion of West Virginia citizens in health education and lifestyle change.