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Tele-Physiotherapy for Older Adults: A Scoping Review of Feasibility, Accessibility, and Clinical Outcomes Catherine Hermawan Salim; Astrid Komala Dewi; Linauli Happy Christina Zega
International Journal Of Health Science Vol. 5 No. 3 (2025): November : International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v5i3.6179

Abstract

The rapid expansion of digital health technologies has increased interest in tele-physiotherapy as an alternative or complementary approach to traditional in-person rehabilitation for older adults. However, evidence regarding its feasibility, accessibility, and clinical outcomes remains fragmented across different populations and delivery models. This scoping review aimed to explore and synthesize current evidence on the feasibility, accessibility, and clinical effectiveness of tele-physiotherapy interventions for older adults published between 2020 and 2025. A systematic search was conducted across four major databases, PubMed, Scopus, and Google Scholar, for studies published from 2020 to 2025. Inclusion criteria comprised peer-reviewed articles involving older adults (≥60 years) who received physiotherapy via telehealth platforms. Studies focusing on feasibility, usability, or clinical outcomes were included. After screening 490 articles and removing duplicates, 8 studies met the inclusion criteria. Data were extracted on study design, sample characteristics, interventions, and outcomes. Tele-physiotherapy represents a promising, cost-effective, and accessible rehabilitation strategy for older adults, particularly in contexts with restricted physical access to healthcare. Although feasibility and short-term effectiveness are well-supported, further research is required to evaluate long-term outcomes. Integrating tele-physiotherapy into geriatric care models could enhance continuity of care and promote functional independence in the aging population.
Enhancing English Communication Skills Through Palliative Contexts for Secondary Students Linauli Happy Christina Zega; Elyin A K Lumban Gaol; Catherine Hermawan Salim
Jurnal Medika: Medika Vol. 5 No. 1 (2026)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/p1sj1s27

Abstract

This activity aims to improve the English speaking skills of tenth-grade students through the implementation of role play activities in a palliative context through Classroom Action Research (CAR). The research was conducted in two cycles, each consisting of planning, action, observation, and reflection stages. The subjects were 32 students of SMAN 19 Jakarta. Data were collected through speaking tests and classroom observations. The speaking test assessed aspects of fluency, accuracy, vocabulary, pronunciation, and pragmatic appropriateness, while the classroom observations documented student participation, engagement, and their responses during the role play activities. The results in Cycle I showed that 46.87% of students achieved the “Good” category, while 53.13% were in the “Fair” category, with an average score of 49.35. The observation results showed moderate student engagement, with 62.50–78.13% of students showing positive behaviors such as active participation, attention, and willingness to use English in the role play. However, some students were still hesitant with a negative percentage of 25–37.50%. Improvement was seen in Cycle II. The proportion of students achieving the “Good” category increased significantly to 84.37%, while only 15.63% remained in the “Sufficient” category. No students fell into the “Poor” or “Very Poor” categories. Observations also confirmed stronger engagement, with over 87% of students demonstrating positive behaviors, including enthusiasm, active discussion, and confidence in using English. It can be concluded that the integration of role play with a palliative context effectively improved students’ English speaking skills and participation in class. Suggestions for repeated improvement were found to improve both linguistic competence and students’ communicative confidence.
Peningkatan Pengetahuan Ibu Tentang Pencegahan Stunting Menuju Generasi Emas Tahun 2045 Sarah Geltri Harahap; Ellynia Ellynia; Tania Gunawan; Ribka Sabarina Panjaitan; Catherine Hermawan Salim
Idea Pengabdian Masyarakat Vol. 6 No. 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ipm.v6i01.511

Abstract

Stunting merupakan masalah kesehatan yang masih menjadi rencana pembangunan jangka menengah nasional. Stunting disebabkan oleh kekurangan gizi kronis yang diterima anak pada masa kritis pertumbuhan. Oleh karena itu, tingkat pengetahuan keluarga khususnya ibu menjadi penting sebagai langkah penanganan kasus tersebut. Untuk itu penelitian ini bertujuan untuk mengetahui apakah tingkat pengetahuan masyarakat dapat dipengaruhi oleh pendidikan kesehatan yang diberikan melalui program pengabdian kepada masyarakat. Penelitian dilakukan dengan memberikan pre-test dan post-test sebanyak 20 soal sebelum dan sesudah edukasi dengan melibatkan 30 partisipan. Hasil penelitian kemudian dianalisis secara univariat untuk mengetahui nilai dari setiap uji yang dilakukan dan bivariat untuk melihat pengaruh yang ditimbulkan. Analisis univariat menunjukkan terdapat perbedaan kategori yang dihasilkan antara pre- test dan post-test yaitu pada post-test sebanyak 100% responden termasuk dalam kategori pengetahuan tinggi. Kemudian, pada perbandingan bivariat, ditemukan adanya pengaruh yang dihasilkan oleh pendidikan kesehatan terhadap tingkat pengetahuan masyarakat (p = <0,001) mengenai pencegahan stunting. Dengan demikian, setelah pendidikan kesehatan dilakukan, diharapkan masyarakat mampu menerapkan langkah-langkah pencegahan stunting secara konsisten dalam kehidupan sehari-hari
Analisis Faktor 5M yang Mempengaruhi Efektivitas Klaim BPJS Kesehatan di Rumah Sakit Amanda Ardianti; Sarah Geltri Haraha; Catherine Hermawan Salim
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.63224

Abstract

Efektivitas proses klaim BPJS Kesehatan merupakan salah satu aspek penting dalam mendukung kelancaran administrasi, operasional, dan stabilitas keuangan rumah sakit. Di Rumah Sakit X masih ditemukan keterlambatan penyelesaian dan pending claim yang dapat dipengaruhi oleh berbagai faktor dalam pendekatan 5M, yaitu Man, Material, Machine, Money, dan Method. Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh masing-masing faktor 5M serta pengaruhnya secara simultan terhadap efektivitas klaim BPJS Kesehatan. Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross-sectional. Sampel penelitian berjumlah 32 responden yang dipilih menggunakan teknik purposive sampling. Data dikumpulkan melalui kuesioner dan checklist kelengkapan rekam medis sebagai data pendukung, kemudian dianalisis secara univariat, bivariat menggunakan uji Spearman Rank, dan multivariat menggunakan regresi linear berganda. Hasil: Hasil analisis bivariat menunjukkan bahwa faktor Man tidak berpengaruh signifikan terhadap efektivitas klaim BPJS, sedangkan faktor Material, Machine, Money, dan Method berpengaruh signifikan. Hasil analisis multivariat menunjukkan bahwa faktor Man, Material, Machine, Money, dan Method secara simultan berpengaruh signifikan terhadap efektivitas klaim BPJS dengan nilai F=4,219 dan signifikansi 0,006. Nilai R² sebesar 0,448 menunjukkan bahwa 44,8% variasi efektivitas klaim dapat dijelaskan oleh faktor 5M. Kesimpulan: Efektivitas klaim merupakan proses multidimensional yang memerlukan keterpaduan seluruh komponen. Rumah sakit disarankan meningkatkan kelengkapan dokumen rekam medis, optimalisasi sistem, koordinasi petugas, dukungan operasional, serta penerapan SOP secara konsisten untuk meminimalkan pending claim.
Peran Dry Needling dalam Menurunkan Nyeri dan Meningkatkan Mobilitas pada Osteoarthritis Lutut: Scoping Review Catherine Hermawan Salim; Astrid Komala Dewi; Paramita Boni Lestari
Jurnal Ventilator Vol. 4 No. 1 (2026): Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i1.2410

Abstract

Knee osteoarthritis is a leading cause of chronic pain and mobility limitations in adults and the elderly. Physiotherapy approaches continue to evolve, one of which is dry needling, which aims to reduce pain through trigger point modulation and improve mobility. However, scientific evidence regarding the effectiveness of this intervention is still scattered and has not been comprehensively mapped. This study aims to map the scientific evidence regarding the role of dry needling in reducing pain and improving mobility in patients with knee osteoarthritis. This study used a scoping review design with reference to the PRISMA-ScR guidelines. A literature search was conducted in several electronic databases such as PubMed, Scopus, ScienceDirect and Google Scholar. Inclusion criteria included studies examining the use of dry needling in patients with knee osteoarthritis, both randomized and non-randomized clinical trials. Extracted data included study characteristics, type of intervention, pain outcomes, and mobility. The search results indicate that dry needling has the potential to reduce pain intensity and improve mobility in patients with knee osteoarthritis. The therapeutic effect is thought to be related to pain modulation through neurophysiological mechanisms, increased local blood flow, and reduced myofascial trigger point activity. However, variations in intervention protocols and methodological limitations in some studies are of concern. Conclusion: Dry needling is a promising intervention in the management of knee osteoarthritis, particularly in reducing pain and improving mobility. However, further studies with more robust designs and consistent intervention standards are needed to strengthen the scientific evidence.
Pengaruh Dynamic Neuromuscular Stabilization (DNS) terhadap Aktivitas Otot Multifidus pada Low Back Pain Astrid Komala Dewi; Catherine Hermawan Salim; Ria Efkelin
Jurnal Ventilator Vol. 4 No. 2 (2026): Juni : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i2.2504

Abstract

Low Back Pain (LBP) is one of the most common musculoskeletal disorders and is closely associated with decreased segmental stability of the spine. The multifidus muscle plays an important role in maintaining lumbar stability; however, patients with LBP frequently exhibit reduced activation and neuromuscular control of this muscle. Dynamic Neuromuscular Stabilization (DNS) is an exercise approach based on developmental kinesiology that aims to optimize the coordination and activation of deep stabilizing muscles. This study aimed to determine the effect of Dynamic Neuromuscular Stabilization on multifidus muscle activity in patients with Low Back Pain. The research employed a quasi-experimental design with a pretest–posttest approach. The study subjects were patients with non-specific Low Back Pain who met the inclusion and exclusion criteria. DNS intervention was administered for 4–6 weeks with a frequency of 2–3 sessions per week. Multifidus muscle activity was measured using electromyography (EMG) before and after the intervention. Data were analyzed using a paired t-test or Wilcoxon test according to data distribution. The results demonstrated a significant increase in multifidus muscle activity following DNS intervention (p < 0.05). In conclusion, Dynamic Neuromuscular Stabilization has a positive effect on increasing multifidus muscle activity in patients with Low Back Pain and can therefore be recommended as a physiotherapy intervention to improve lumbar stability and reduce the risk of pain recurrence.
Determinan Kepuasan Pasien Peserta Jaminan Kesehatan Nasional (JKN/BPJS): A Literatur Review Paramita Boni Lestari; Fariz Kahendra; Ria Efkelin; Catherine Hermawan Salim
Jurnal Ventilator Vol. 4 No. 1 (2026): Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v4i1.2671

Abstract

Indonesia's National Health Insurance (JKN), administered by BPJS Kesehatan, aims to provide equitable healthcare access for all citizens. As the number of participants continues to increase, improving healthcare service quality and patient satisfaction has become essential for ensuring the program's sustainability. This study aimed to identify the determinants of patient satisfaction among BPJS Kesehatan participants through a literature review. A literature review was conducted by analyzing 10 articles published between 2021 and 2026 and retrieved from Google Scholar. The selected studies were synthesized using a descriptive approach. Patient satisfaction was influenced by patient characteristics, particularly age and gender, healthcare service quality based on the SERVQUAL dimensions (tangibles, reliability, responsiveness, assurance, and empathy), and the quality of digital services provided through the Mobile JKN application. Most studies reported a significant relationship between service quality and patient satisfaction. Furthermore, the ease of use and accessibility of the Mobile JKN application positively affected participants' satisfaction. Patient satisfaction among BPJS Kesehatan participants is determined by multiple factors. Improving service quality across all SERVQUAL dimensions and optimizing Mobile JKN services are essential to enhance patient satisfaction and support the successful implementation of the National Health Insurance program.
Implementasi Sistem Informasi Manajemen Rumah Sakit (SIMRS) Menggunakan Unified Theory of Acceptance and Use Technology di RSUD X Hera Putri Rismaya; Ria Efkelin; Catherine Hermawan Salim
Jurnal Kesehatan Masyarakat Indonesia (JKMI) Vol. 4 No. 1 (2026): Oktober
Publisher : Publikasi Inspirasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62017/jkmi.v4i1.9158

Abstract

Keberhasilan implementasi Sistem Informasi Manajemen Rumah Sakit (SIMRS) sangat dipengaruhi oleh tingkat penerimaan dan penggunaan teknologi oleh pengguna. RS X telah menerapkan SIMRS untuk mendukung pelayanan dan pengelolaan informasi rumah sakit. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi penerimaan dan penggunaan SIMRS di RS X menggunakan model Unified Theory of Acceptance and Use of Technology (UTAUT). Penelitian ini menggunakan metode kuantitatif dengan desain cross-sectional. Teknik pengambilan sampel menggunakan simple random sampling dengan jumlah responden sebanyak 100 pengguna SIMRS di RS X. Pengumpulan data dilakukan menggunakan kuesioner, sedangkan analisis data menggunakan metode Structural Equation Modeling–Partial Least Squares (SEM-PLS). Hasil penelitian menunjukkan bahwa variabel Social Influence (p-value 0,000) dan Facilitating Conditions terhadap Behavioral Intention (p-value 0,000) berpengaruh positif dan signifikan. Selain itu, Facilitating Conditions terhadap Use Behavior (p-value 0,001) serta Behavioral Intention terhadap Use Behavior (p-value 0,000) juga berpengaruh positif dan signifikan. Sementara itu, variabel Performance Expectancy (p-value 0,252) dan Effort Expectancy (p-value 0,055) tidak berpengaruh signifikan terhadap Behavioral Intention. Penelitian ini merekomendasikan peningkatan dukungan infrastruktur, pemeliharaan sistem secara berkala, serta pelatihan dan pendampingan bagi pengguna agar implementasi SIMRS di RS X dapat berjalan lebih optimal dan berkelanjutan