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Ninik Nurhidayah, Ninik
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Impact of Interventions with Modified Snake Ladder Games on Cognitive Abilities and Reducing Cognitive Decline in Aging Puspitosari, Aniek; Nurhidayah, Ninik; Anggit Jiwantoro, Yudha; Puput Dinda Kurniawan, Ganesa
Jurnal Keterapian Fisik Jurnal Keterapian Fisik Volume 9 Issue 2 Year 2024
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkf.v9i2.455

Abstract

Background: Aging is the process by which humans slowly lose the capacity of their tissue to improve. Elderly people experience physical, mental, and social decline as well as a decrease in cognitive function. To maintain cognitive abilities, interventions in the form of cognitive activities are needed. The purpose of this study was to determine the effect of a cognitive game in the form of a modified Indonesian version of the Snakes and Ladders board game on cognitive abilities. Methods: This research is quantitative research with a pre-experimental design with one group pre-post test. The sampling technique used was purposive sampling with a sample size of thirty people. The instrument used was the MoCA-Ina. The cognitive game Modified Snakes & Ladders Indonesian version was carried out in 8 sessions over 18 weeks. Data analysis using paired t-test. Results: The research sample shows that the characteristics of age are dominated by female middle-aged elderly, and the characteristics of the sample with a final elementary school education are 14 people. Paired t-test results Sig. (2-tailed) = 0.000, which means p-value <0.05. It shows that a cognitive game in the form of a modified Indonesian version of the Snakes and Ladders board game has an effect on cognitive abilities. Conclusion: The modified Indonesian version of the Snake Ladder Game is one of the board games used in activity therapy that can be used for cognitive function in the elderly.
Independence in Activities of Daily Living Among Community-Dwelling Older Adults: A Cross-Sectional Study Puspitosari, Aniek; Nurhidayah, Ninik
SENTRI: Jurnal Riset Ilmiah Vol. 4 No. 12 (2025): SENTRI : Jurnal Riset Ilmiah, Desember 2025
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v4i12.5072

Abstract

Older adults constitute a vulnerable population experiencing declines in physical, psychological, and social functioning, which may compromise their independence in performing activities of daily living (ADL). Maintaining ADL independence is essential for preserving quality of life, autonomy, and reducing dependency on family and long-term care services. Elderly associations serve as important community-based platforms that support social and psychological well-being; however, empirical evidence regarding ADL independence among their members remains limited. This study aimed to analyze the level of independence in activities of daily living among community-dwelling older adults. An analytical cross-sectional survey was conducted involving 101 elderly individuals residing in Kebakkalang RW VIII, Kemiri, Kebakkramat, Karanganyar. Independence in ADL was assessed using the Katz Index. The findings indicate that more than half of the respondents demonstrated independence in performing daily activities, suggesting a generally favorable functional status among elderly individuals engaged in community-based social groups. This level of independence reflects the potential role of social participation and community support in maintaining functional ability among older adults, particularly in early old age. These results provide important empirical evidence for healthcare providers, families, and community stakeholders to develop targeted preventive and promotive interventions aimed at sustaining and enhancing functional independence among older adults living in the community.
Pengaruh Terapi Hortikultura terhadap Tingkat Stres Lanjut Usia Pratama, Afizal Yusa; Nurhidayah, Ninik
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 1 (2025): Desember 2025
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i1.261

Abstract

Background: Elderly is someone who enters the age of 60 years and over and experiences the aging process which results in physical, cognitive, emotional, social, and sexual changes that trigger stress in the elderly. Horticultural therapy is one of the effective nonpharmacological interventions to overcome stress problems. Objectives: The purpose of this study was to determine the effect of horticultural therapy on elderly stress levels. This type of research is quantitative research using a pre-experimental design with one group pretest-posttest. This research was conducted in RW 08 Sumber Village, Trucuk District, Klaten Regency. Methods: Data collection methods were interviews, questionnaires, observation, and documentation. The sampling technique used was purposive sampling with asample size of 30 respondents. The instrument used to measure stress levels was the Perceived Stress Scale (PSS). The majority of the research sample was in the elderly category with an age range of 60-74 years (96.7%), female (56.7%), married (76.7%), and had an elementary education level (53.3%). %). Results: The results of data analysis obtained t=7.763, p=0.000. There is an effect of giving horticultural therapy on the stress level of the elderly. Conclusion: Based on the results of this study, horticultural therapy is an effective way to overcome stress problems in the elderly. Keywords: Horticultural Therapy, Stress level, Elderly.
Eksplorasi Intervensi Stimulasi Kognitif terhadap Kemampuan Kognitif Dewasa Tengah Usia 50-60 Tahun Puspitosari, Aniek; Wajihan, Zakiatul; Nurhidayah, Ninik
Jurnal Kesehatan Vokasional Vol 10, No 1 (2025): February
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.101733

Abstract

Latar Belakang: Gejala awal gangguan kognitif pada dewasa tengah usia 50-60 tahun seringkali diabaikan dan akan berdampak pada kelangsungan hidup individu disaat memasuki lansia. Gangguan kognitif berdampak pada seluruh aspek kehidupan dan dapat mengakibatkan kesulitan pada semua area fungsi okupasional. Intervensi yang dilakukan untuk mengatasi gangguan kognitif pada penelitian sebelumnya yaitu terapi gerak, terapi musik, berkebun dan olahraga. Cognitive Stimulation Therapy (CST) merupakan intervensi yang bertujuan untuk merangsang fungsi kognitif yang nantinya akan berdampak pada kemampuan kognitif mereka.Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh CST terhadap kemampuan kognitif individu dewasa tengah usia 50-60 tahun.Metode: Penelitian ini merupakan penelitian kuantitatif one group pre-post test. Lokasi penelitian di Kecamatan Baki, Sukoharjo, Jawa Tengah dengan jumlah sampel 27 dengan kriteria sampel berusia 50-60 tahun, skor MoCA-Ina minimal 10 dan tidak memiliki hambatan mobilitas fisik. Analisis data menggunakan Uji t-berpasangan (paired t-test).Hasil: Hasil penelitian menunjukkan bahwa terjadi peningkatan kemampuan kognitif dilihat dari perubahan rerata skor MoCA-Ina dari 17.41 menjadi 21.44. Hasil uji hipotesis nilai Sig. (2-tailed) < 0.05.Kesimpulan: Cognitive Stimulation Therapy berpengaruh terhadap kemampuan kognitif individu dewasa tengah usia 50-60 tahun
Impact of Crossword Puzzle Therapy on Cognitive Performance Among Elderly Individuals Nurhidayah, Ninik; Rachma, Annisa Aulia
Jurnal Keterapian Fisik Article in Press: Jurnal Keterapian Fisik Volume 11 Issue 1 Year 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkf.v11i1.474

Abstract

Background: The elderly experience a decline in cognitive function due to degenerative processes that affect their independence and quality of life. Crossword Puzzle Therapy is one of the non-pharmacological interventions that can stimulate cognitive functions, including memory, concentration, language, and problem-solving. This study aimed to examine the effect of crossword puzzle therapy on cognitive function among older adults at community-based health service posts in Central Java, Indonesia. Methods: This research utilized a pre-experimental design with a one-group pretest–posttest approach. The sample, selected through purposive sampling, consisted of 35 elderly participants who took part in six intervention sessions over a two-week period. Cognitive function was assessed using the Mini-Mental State Examination (MMSE). Data analysis involved the paired sample t-test for comparison, with the Shapiro–Wilk test applied to assess data normality. Results: The findings revealed an increase in the average MMSE score from 24.74 to 26.20 following the intervention. Results of the paired sample t-test yielded a p-value of <0.001 (<0.05), indicating a statistically significant difference between pre- and post-therapy scores. Conclusion: Crossword Puzzle Therapy significantly improves the cognitive function of the elderly and offers an easy, affordable, and enjoyable intervention that can be applied within the community. Crossword Puzzle Therapy can be an intervention option to prevent cognitive decline and for older adults with cognitive impairment.
Cognitive Stimulation Therapy (Indonesian Version): Effects on Factors Associated with Cognitive Function in Middle Adult Puspitosari, Aniek; Nurhidayah, Ninik
Jurnal Penelitian Pendidikan IPA Vol 11 No 1 (2025): January
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i1.9890

Abstract

Cognitive development in adulthood involves the ability to better integrate emotion and logic to make decisions and a reduced ability to process information quickly. In late adulthood, cognitive development is characterized by neurocognitive disorders, intellectual changes, and memory changes. When cognitive decline is regarded as a continuous process from normal cognitive function to mild cognitive impairment and dementia, the identification and management of influential factors such as cognitive decline-related demographic characteristics, comorbid diseases and health habits may contribute to the delay or prevention of dementia. Cognitive Stimulation Therapy (CST) is an intervention that aims to stimulate the cognitive function of middle adult individuals aged 50-60 years with cognitive activities. This study aims to determine the effect of Cognitive Stimulation Therapy on factors of cognitive function of middle adult individuals aged 50-60 years in Kemiri Village, Kebakkramat District, Karanganyar Regency. This research is a quantitative-research with a pre-experimental design with one group pre-post test. The sampling technique used was purposive sampling with a sample size of twenty-seven people. The instrument used was the Indonesian Version of the Montreal Cognitive Assessment (MoCA-Ina). Cognitive Stimulation Therapy (CST) was carried out in 6 sessions over 8 weeks. Data analysis using paired t-test (paired t-test). Paired t-test results Sig. (2-tailed) = 0.000, which means p-value < 0.05, which shows that Cognitive Stimulation Therapy has an effect on the cognitive abilities of middle adult individuals aged 50-60 years in Kemiri Village, Kebakkramat District, Karanganyar Regency.
Co-Authors Aniek Puspitosari Badriyani, Ayu Cembun, Cembun Dian Ayu Anggraeni, Ni Putu Pratama, Afizal Yusa Puput Dinda Kurniawan, Ganesa Rachma, Annisa Aulia Wajihan, Zakiatul Wijayanti, I Gusti Ayu Sri Puja Warnis Yudha Anggit Jiwantoro