Implementation of Interdisciplinary Home Visit Services to Enhance the Quality of Life for Elderly with Dementia in Yogyakarta
Mei Rianita Elfrida Sinaga, Vivi Retno Intening, Joel Rey Acob
= http://dx.doi.org/10.24990/injec.v10i2.1030 
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Abstract
Introduction: Dementia is rapidly increasing in low- and middle-income settings. Elderly individuals with dementia often experience a decline in quality of life due to limitations in cognitive, physical, and social functions. Interdisciplinary Home Visits (IHV) promise support for elderly dementia patients and their families, but evidence and evaluations of their implementation in Yogyakarta, Indonesia, are still scarce. This study aims to implement and evaluate the effectiveness of IHV in improving the quality of life for elderly individuals with dementia in Yogyakarta.
Method: A quasi-experimental approach with a pretest-posttest design without a control group was applied in this study. The IHV team consists of nurses, physical therapists, and informal caregivers. The purposive sampling technique was applied to 30 elderly individuals with dementia who were willing to participate in the series of research activities. The IHV program intervention was conducted over four weeks, with program assessment, implementation, and evaluation stages based on the needs of elderly individuals with dementia. Quality of life assessment was conducted using the Indonesian version of the WHOQoL-BREF questionnaire, which includes four domains: physical, psychological, social, and environmental. Data analysis was performed using the Wilcoxon test.
Result: There was an improvement in all domains of quality of life for the elderly, with Z (p) results of physical -4.798 (p<0.001), psychological -4.804 (p<0.001), social -4.736 (p<0.001), environmental -4.437 (p<0.001), and r values of 0.876, 0.877, 0.865, and 0.810.
Conclusion: Interdisciplinary Home Visit (IHV) has a significant impact on improving the quality of life for elderly individuals with dementia across all physical, psychological, social, and environmental domains. These findings support scaling up and conducting controlled trials to ensure effectiveness and sustainability in primary care in Indonesia.
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References
Alzeimer’s Disease International (2024) Dementia statistics. doi: https://www.alzint.org/what-we-do/partnerships/world-health-organization/who-global-plan-on-dementia/.
Arneliwati et al. (2025) Bunga Rampai Keperawatan Keluarga Dalam Perawatan Lansia. Edited by H. Hastuti. Jakarta: Nuansa Fajar Cemerlang.
Benca, R. et al. (2022) ‘Burden of insomnia and sleep disturbances and the impact of sleep treatments in patients with probable or possible alzheimer’s disease: A structured literature review’, Journal of Alzheimer’s Disease, 86(1), pp. 83–109. doi: 10.3233/JAD-215324.
Brodaty, H. and Donkin, M. (2009) ‘Family caregivers of people with dementia’, Dialogues in Clinical Neuroscience, 11(2), pp. 217–228. doi: 10.31887/dcns.2009.11.2/hbrodaty.
Cepoiu-martin, M. et al. (2016) ‘Predictors of long-term care placement in persons with dementia : A systematic review and meta-analysis’, International Journal od Geriatric Psychiatry. doi: 10.1002/gps.4449.
Ch Salim, O. et al. (2007) ‘Validity and reliability of World Health Organization Quality of Life-BREF to assess the quality of life in the elderly’, Universa Medicina, 26(1), pp. 27–38.
Dunn, R. et al. (2022) ‘Conceptualising comorbidity and multimorbidity in dementia: A scoping review and syndemic framework’, Journal of Multimorbidity and Comorbidity, 12, pp. 1–18. doi: 10.1177/26335565221128432.
Elmiyanti, N. K. and Salamung, N. (2023) ‘Effect cognitive stimulation therapy for dementia: Systematic Review’, Indonesian Nursing Journal of Education and Clinic (INJEC), 7(2), pp. 270–281. doi: 10.24990/injec.v7i2.539.
Farina, N. et al. (2023) ‘Comprehensive measurement of the prevalence of dementia in low- and middle-income countries : STRiDE methodology and its application in Indonesia and South Africa’, BJPsych Open, 9(e102), pp. 1–7. doi: 10.1192/bjo.2023.76.
Fridolin, A., Musthofa, S. B. and Suryoputro, A. (2022) ‘Factors affecting the quality of life elderly in the work area of the Gayamsari health center Semarang city’, Jurnal Kesehatan Komunitas, 8(2), pp. 381–389.
Hazzan, A. A. et al. (2022) ‘Family caregiver quality of life and the care provided to older people living with dementia: qualitative analyses of caregiver interviews’, BMC Geriatrics, 22(1), pp. 1–11. doi: 10.1186/s12877-022-02787-0.
Intening, V. R. et al. (2024) ‘Optimalisasi peran kader dalam promosi pencegahan penyakit tidak menular melalui manajemen kunjungan rumah’, Jukeshum: Jurnal Pengabdian Masyarakat, 4(2), pp. 226–230.
Jayakody, S. and Arambepola, C. (2022) ‘Determinants of quality of life among people with dementia: evidence from a South Asian population’, BMC Geriatrics, 22(1), pp. 1–7. doi: 10.1186/s12877-022-03443-3.
Joseph, S. et al. (2025) ‘Multidisciplinary home-based palliative care for people diving with Dementia: Preliminary findings on palliative care concerns and caregiver burden’, Journal of Appllied Gerontological Society, (7334648251344358). doi: 10.1177/07334648251344358.
Kadar, K., Francis, K., & Sellick, K. (2013) ‘Ageing in Indonesia– health status and challenges for the future’, Ageing International, 4(38), pp. 261–170. doi: https://doi.org/10.1007/s12126-012-9159-y.
Kenne Malaha, A. et al. (2025) ‘Quality of Life of Older Adults Living With Dementia and Caregiver Strain in Benin’, Value in Health Regional Issues, 47, p. 101080. doi: 10.1016/j.vhri.2025.101080.
Kuiper, J. S. et al. (2015) ‘Social relationships and risk of dementia: A systematic review and meta-analysis of longitudinal cohort studies’, Ageing Research Reviews, 22, pp. 39–57. doi: 10.1016/j.arr.2015.04.006.
Lestari, S. et al. (2021) ‘A longitudinal study on social support, social participation, and older Europeans’ Quality of life’, SSM Population Health, 3(13), p. 100747. doi: 10.1016/j.ssmph.2021.100747.
Lv, R. et al. (2024) ‘Relationship between social participation and life satisfaction in community-dwelling older adults: Multiple mediating roles of depression and cognitive function’, Archives of Gerontology and Geriatrics, p. 105233. doi: https://doi.org/10.1016/j.archger.2023.105233.
Mahendradhata, Y., Trisnantoro, L., Listyadewi, S., Soewondo, P., Marthias, T., Harimurti, P., & Prawira, J. (2017) ‘WHO Regional Office for South-East Asia.’, The republic of Indonesia health system review, 7.
Marinho, V. et al. (2021) ‘Cognitive stimulation therapy for people with dementia in Brazil (CST †Brasil): Results from a single blind randomized controlled trial’, International Journal of Geriatric Psychiatry, 36(2), pp. 286–293. doi: 10.1002/gps.5421.
Nichols, E. et al. (2022) ‘Estimation of the global prevalence of dementia in 2019 and forecasted prevalence in 2050: an analysis for the Global Burden of Disease Study 2019’, The Lancet Public Health, 7(2), pp. e105–e125. doi: 10.1016/S2468-2667(21)00249-8.
Palupi, B. S. and Sinaga, M. R. E. (2024) ‘Hubungan status kesehatan fisik dengan kualitas hidup lansia di Kabupaten GunungKidul Yogyakarta’, in Prosiding STIKES Bethesda Conference. Yogyakarta: STIKES Bethesda Yakkum Yogyakarta, pp. 71–85.
Possin, K. L. et al. (2025) ‘Long-term effects of collaborative dementia care on quality of life and caregiver well-being’, Alzheimer’s & dementia : the journal of the Alzheimer’s Association, 21(1), p. e14370. doi: https://doi.org/10.1002/alz.14370.
Prihandini, N., Wardani, H. E. and Tama, T. D. (2022) ‘Early detection and determinants of dementia in the working area of Mojolangu Public Health Center, Malang (Indonesia)’, Journal of Public Health in Africa, 13(s2), pp. 51–54. doi: 10.4081/jphia.2022.2410.
Prince, M. et al. (2016) ‘Recent global trends in the prevalence and incidence of dementia, and survival with dementia’, Alzheimer’s Research and Therapy, 8(1). doi: 10.1186/s13195-016-0188-8.
Putri, N. L. A. N. W. and Sinaga, M. R. E. (2025) ‘Hubungan dukungan emosional caregiver dengan kualitas hidup lansia’, Jurnal Kesehatan, 12(1).
Rahardian, G. A. and Juniwati, A. (2023) ‘Fasilitas Hunian dan Perawatan Lansia Demensia di Yogyakarta’, JURNAL eDIMENSI ARSITEKTUR, XI(1), pp. 441–448.
Reed, C. et al. (2017) ‘How useful is the EQ-5D in assessing the impact of caring for people with Alzheimer ’ s disease ?’, Health and Quality of Life Outcomes, 15(16), pp. 1–9. doi: 10.1186/s12955-017-0591-2.
Sari, Y. M. et al. (2024) ‘Experiences of Indonesian people with dementia and carers undertaking an online-delivered exercise program’, Dementia, 23(4), pp. 584–609. doi: 10.1177/14713012241235688.
Sinaga, M. R. E., Simanjuntak, S. R. and Locsin, R. C. (2022) ‘Factors affecting the quality of life of older people during the Covid-19 pandemic’, Nurse Media Journal of Nursing, 12(August), pp. 185–195.
Stern, Y. (2013) ‘Cognitive reserve in ageing and alzheimer’s disease’, Lancet Neurol., 11(11), pp. 1006–1012. doi: 10.1016/S1474-4422(12)70191-6.Cognitive.
Tay, Y. L. et al. (2021) ‘Effects of home visits on quality of life among older adults: a systematic review protocol’, Systematic Reviews, 10(1), pp. 1–7. doi: 10.1186/s13643-021-01862-8.
Thea, S., Devy, M. S. and Hardi, N. (2022) ‘Cognitive Impairment And Depression : A Cross-Sectional Study Among Elderly Undergoing’, Prociding of the 15th continuing Modical education, (ISSN 2721-2882).
Tori, K. et al. (2020) ‘Association between dementia and psychiatric disorders in long-term care residents: An observational clinical study’, Medicine, 99(31), pp. 1–7.
World Health Organization (2017) Integrated care for older people: Guidelines on community-level interventions to manage declines in intrinsic capacity. Geneva.
World Health Organization (2025) Dementia. doi: https://www.who.int/news-room/fact-sheets/detail/dementia.
Yin, G. et al. (2025) ‘Home-based end-of-life care for people with dementia: A systematic review of quantitative and qualitative evidence’, Dementia, 24(4), pp. 794–831. doi: 10.1177/14713012241308625.
Young, D. K. (2020) ‘Multicomponent intervention combining a cognitive stimulation group and tai chi to reduce cognitive decline among community-dwelling older adults with probable dementia : A multi-center , randomized controlled trial’, Dementia, 19(6), pp. 2073–2089. doi: 10.1177/1471301218814637.
Yusra, A., Gusril, A. and Gafar, A. (2025) ‘Dementia Care in the Elderly : A Case Study in Tanjung Paku Health’, 1(3), pp. 105–111.
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