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Cognitive Stimulation Therapy (Indonesian Version): Effects on Factors Associated with Cognitive Function in Middle Adult Aniek Puspitosari; Ninik Nurhidayah
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.
Effects of Modified Board Game–Based Cognitive Stimulation on Cognitive Function in Community-Dwelling Older Adults: an Occupational Therapy Intervention Study Aniek Puspitosari; Ninik Nurhidayah
Jurnal Penelitian Pendidikan IPA Vol 12 No 3 (2026)
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v12i3.14884

Abstract

Cognitive decline is a common condition among older adults that may affect memory, attention, and functional independence. Non-pharmacological interventions, particularly activity-based approaches, are increasingly recommended to maintain cognitive function. Board game–based cognitive stimulation has emerged as a promising, engaging, and accessible intervention within occupational therapy practice. This study aimed to examine the effect of a modified board game–based cognitive stimulation program on cognitive function among community-dwelling older adults. This study employed a quantitative pre-experimental design using a one-group pretest–posttest approach. A total of 50 pre-elderly and older adults were recruited using purposive sampling based on predetermined inclusion criteria. Cognitive function was measured using the Indonesian version of the Montreal Cognitive Assessment (MoCA-Ina) before and after the intervention. The intervention consisted of a modified board game program conducted over eight sessions, each lasting 30–60 minutes, integrating cognitive tasks across multiple domains. Data were analyzed using descriptive statistics and paired sample t-test with a significance level of p < 0.05. The findings showed a statistically significant improvement in cognitive function after the intervention (p = 0.000, p < 0.05). Participants demonstrated increased scores across multiple cognitive domains following the modified board game–based cognitive stimulation program. The modified board game–based intervention was effective in improving cognitive function among community-dwelling older adults. This approach offers a practical, low-cost, and engaging strategy that can be implemented in community and occupational therapy settings to support cognitive health and functional independence in aging populations.
Effect of Balance Strategy Exercise Combined with an Occupational Therapy–Based Home Program on Functional Mobility in Community-Dwelling Older Adults Aniek Puspitosari; Ninik Nurhidayah
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 2 (2026): Juni 2026
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i2.280

Abstract

Background: Declines in balance ability and mobility are major factors that increase the risk of falls and reduce independence among community-dwelling older adults. Exercise programs targeting balance strategy exercises can improve postural control, while occupational therapy–based home programs help translate these improvements into meaningful daily activities. Objectives: This study aimed to examine the effect of balance strategy exercises combined with an occupational therapy–based home program on functional mobility among community-dwelling older adults. Methods: This study employed a pre-experimental one-group pre-test and post-test design involving 48 older adults living in RW VIII, Kemiri Village, Kebakkramat, Karanganyar. Functional mobility was measured using the Four Square Step Test. The intervention consisted of three stages of balance strategy exercises, including ankle strategy exercises, hip strategy exercises, and stepping strategy exercises, combined with an occupational therapy–based home program delivered according to a structured intervention module. Data were analyzed using a paired t-test after the normality assumption was confirmed using the Shapiro–Wilk test. Results: The results of the paired t-test indicated a significant difference before and after the intervention (p < 0.05). An improvement in Four Square Step Test scores was observed following the balance strategy exercise and occupational therapy–based home program intervention, with a mean difference of 1.372. The combined intervention significantly improved functional mobility among older adults (p = 0.000). Most participants belonged to the elderly age group (76%), and 80% of the participants were female. Conclusion: The findings indicate that balance strategy exercises combined with an occupational therapy–based home program have a significant effect on improving functional mobility among community-dwelling older adults. Keywords: Balance Strategy Exercise, Occupational Therapy, Home Program, Functional Mobility, Community-Dwelling Older Adults.
Impact of Crossword Puzzle Therapy on Cognitive Performance Among Elderly Individuals Ninik Nurhidayah; Annisa Aulia Rachma
Jurnal Keterapian Fisik 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.
Exercise-Based Intervention and Its Impact on Sleep Quality Among Older Adults Ninik Nurhidayah; Yusni Ayu Adi Susanti
Jurnal Keterapian Fisik 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.v11i1.475

Abstract

Background: Poor sleep quality is one of the common problems in the elderly. Non-pharmacological interventions such as chair-based exercise (CBE) are considered effective in improving sleep quality. The study aimed to determine how CBE affects the sleep quality of older people at community-based health service posts in Central Java, Indonesia.   Methods: A pre-experimental one-group pretest-post test design was conducted at community-based health service posts in Central Java, Indonesia, with 30 elderly respondents selected through a purposive sampling technique. The intervention was performed for 4 weeks, twice a week. 30 minutes/session. Sleep quality was measured with the Pittsburgh Sleep Quality Index (PSQI). Data analysis using the Wilcoxon test.   Results: The mean PSQI score before the intervention was 10.23 (SD = 1.80), with a maximum score of 15, and a minimum score of 7. After the intervention, the mean score decreased to 5.43 (SD =1.85), with a maximum score of 10 and a minimum score of 3. There was a significant decrease in PSQI scores after the intervention (Z= -4.583, p <0.001).   Conclusion: CBE can be an alternative non-pharmacological therapy that is effective, safe, and easy to implement in the elderly community, especially in the posyandu environment, which is the center of public health activities, especially to improve sleep quality. Its inclusion in posyandu lansia programs provides a useful way to enhance sleep quality and support health promotion and prevention initiatives, without the need for medication.
Independence in Activities of Daily Living Among Community-Dwelling Older Adults: A Cross-Sectional Study Aniek Puspitosari; Ninik Nurhidayah
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.
Pemberdayaan Kader Kesehatan Dalam Pencegahan Penurunan Fungsi Kognitif Lansia Melalui Permainan Edukatif di Desa Kemiri Aniek Puspitosari; Ninik Nurhidayah
JGEN : Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 3 (2026): JGEN : Jurnal Pengabdian Kepada Masyarakat, Juni 2026
Publisher : Lumbung Pare Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60126/jgen.v4i3.1551

Abstract

Peningkatan jumlah penduduk lanjut usia di Indonesia berimplikasi pada meningkatnya risiko permasalahan kesehatan, salah satunya penurunan fungsi kognitif. Upaya preventif diperlukan untuk mempertahankan fungsi kognitif lansia agar tetap mandiri dan memiliki kualitas hidup yang baik. Salah satu pendekatan yang dapat dilakukan adalah melalui stimulasi kognitif berbasis aktivitas yang bermakna dengan melibatkan peran kader kesehatan sebagai fasilitator di masyarakat. Program pengabdian kepada masyarakat ini bertujuan untuk meningkatkan kapasitas kader kesehatan dalam pencegahan penurunan fungsi kognitif lansia melalui permainan edukatif. Kegiatan dilaksanakan di Desa Kemiri, Kebakkramat, Karanganyar, Jawa Tengah dengan melibatkan 25 lansia dan 5 kader kesehatan. Metode yang digunakan meliputi penyuluhan, pelatihan, dan praktik langsung. Penyuluhan diberikan terkait pentingnya menjaga fungsi kognitif pada lansia, sedangkan pelatihan difokuskan pada penggunaan permainan edukatif yang dimodifikasi, yaitu bingo, tebak gambar, ular tangga, dan monopoli sebagai media stimulasi kognitif. Kader kesehatan dilatih untuk memfasilitasi permainan tersebut sehingga dapat diterapkan secara berkelanjutan dalam kegiatan lansia. Hasil kegiatan menunjukkan adanya peningkatan pemahaman kader kesehatan dan lansia mengenai pentingnya stimulasi kognitif, serta meningkatnya keterlibatan aktif lansia dalam aktivitas permainan edukatif. Selain itu, kegiatan ini juga berdampak positif terhadap aspek sosial dan emosional lansia, seperti meningkatnya interaksi sosial dan suasana hati yang lebih positif. Dengan demikian, pemberdayaan kader kesehatan melalui permainan edukatif dapat menjadi strategi efektif dan berkelanjutan dalam upaya pencegahan penurunan fungsi kognitif lansia serta mendukung terwujudnya lansia yang sehat, aktif, dan mandiri.
DARI LATIHAN KESEIMBANGAN KE PERFORMA OKUPASIONAL: PENGARUH LATIHAN KESEIMBANGAN TERHADAP MOBILITAS FUNGSIONAL LANSIA Aniek Puspitosari; Ninik Nurhidayah
CENDEKIA: Jurnal Ilmu Pengetahuan Vol. 6 No. 3 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/cendekia.v6i3.10055

Abstract

ABSTRACT Decline in balance among older adults is one of the main factors that increases the risk of falls and reduces functional mobility as well as independence in activities of daily living. Balance training in the form of Square Stepping Exercise (SSE) is one of the exercise interventions that has the potential to improve balance and movement coordination in older adults. This study aimed to analyze the effect of SSE balance training on the functional mobility of older adults. The study employed a quantitative pre-experimental design with a one-group pretest–posttest approach. The sample consisted of 24 older adults selected using a purposive sampling technique. Functional mobility, indicated by balance performance, was measured using the Berg Balance Scale (BBS) before and after the intervention. The SSE intervention was administered over 12 sessions within 6 weeks. Data were analyzed using the Wilcoxon test with a significance level of p < 0.05. The results showed an improvement in balance scores after the intervention, with a p-value of 0.000 (p < 0.05), indicating a significant effect of SSE balance training on the functional mobility of older adults. In conclusion, SSE balance training is effective in improving balance in older adults and has the potential to enhance functional mobility as well as independence in daily activities. ABSTRAK Penurunan keseimbangan pada lansia merupakan salah satu faktor utama yang meningkatkan risiko jatuh dan menurunkan mobilitas fungsional serta kemandirian dalam aktivitas sehari-hari. Latihan keseimbangan berupa Square Stepping Exercise (SSE) merupakan salah satu intervensi latihan yang berpotensi meningkatkan keseimbangan dan koordinasi gerak lansia. Penelitian ini bertujuan untuk menganalisis pengaruh latihan keseimbangan SSE terhadap mobilitas fungsional lansia. Penelitian ini menggunakan desain kuantitatif pre-experimental dengan pendekatan one-group pretest-posttest. Sampel berjumlah 24 lansia yang dipilih menggunakan teknik purposive sampling. Pengukuran mobilitas fungsional lansia dengan indikator keseimbangan dilakukan menggunakan instrumen Berg Balance Scale (BBS) sebelum dan sesudah intervensi. Intervensi SSE diberikan selama 12 sesi dalam 6 minggu. Analisis data menggunakan uji Wilcoxon dengan tingkat signifikansi p<0,05. Hasil analisis menunjukkan adanya peningkatan skor keseimbangan setelah intervensi dengan nilai p=0,000 (p<0,05), yang berarti terdapat pengaruh signifikan pemberian latihan keseimbangan SSE terhadap mobilitas fungsional lansia. Latihan keseimbangan SSE efektif dalam meningkatkan keseimbangan lansia dan berpotensi meningkatkan mobilitas fungsional serta kemandirian dalam aktivitas sehari-hari.
PENGARUH PROGRESSIVE MUSCLE RELAXATION TERHADAP TINGKAT HIPERTENSI PADA MIDDLE ADULTHOOD DI DESA KEMIRI KECAMATAN KEBAKKRAMAT KABUPATEN KARANGANYAR: THE EFFECT OF PROGRESSIVE MUSCLE RELAXATION ON HYPERTENSION LEVEL IN MIDDLE ADULTHOOD IN KEMIRI VILLAGE, KEBAKKRAMAT DISTRICT, KARANGANYAR REGENCY Aniek Puspitosari; Ninik Nurhidayah
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 2 No. 2 (2022): Juli : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v2i2.274

Abstract

Usia dewasa tengah merupakan masa semakin besarnya tanggung jawab dan menurunnya kemampuan fisik. Salah satu penurunan kemampuan fisik yang dialami usia dewasa tengah yaitu adanya penurunan efisiensi sistem kardiovaskular yang disebabkan oleh penebalan dinding arteri yang karena adanya penumpukan zat kolagen pada lapisan otot, sehingga pembuluh darah berangsur-angsur menyempit yang menyebabkan tekanan darah akan terus meningkat. Salah satu upaya untuk menurunkan tekanan darah pada usia dewasa tengah yaitu Progressive Muscle Relaxation. Penelitian ini merupakan penelitian kuantitatif ­pre-experimental one group pretest posttest design. Teknik pengumpulan sampel dengan purposive sampling. Penelitian dilakukan pada 35 sampel dengan rentang usia 48 sampai 55 tahun. Tingkat hipertensi diukur dengan menggunakan instrumen sphygmomanometer. Metode analisis yang digunakan adalah uji Wilcoxon karena pada penelitian ini menggunakan skala nominal dan ordinal. Uji Wilcoxon menunjukkan Sig. (2-tailed) systole bernilai 0,001 dan diastole 0,004. Nilai Sig. (2-tailed) < α yang sudah ditentukan (0,05) yang berarti Ha diterima bahwa Progressive Muscle Relaxation berpengaruh terhadap penurunan hipertensi pada usia dewasa tengah. Penerapan Progressive Muscle Relaxation berpengaruh terhadap penurunan hipertensi pada tekanan darah systole maupun diastole usia dewasa tengah di Desa Kemiri Kecamatan Kebakkramat Kabupaten Karanganyar. Progressive Muscle Relaxation dilakukan dengan memusatkan perhatian pada suatu aktivitas otot dan mengidentifikasi otot yang tegang.
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