Authors :
Endang Sri Wahyuni; Retna Febri Arifianti; Haryanti
Volume/Issue :
Volume 10 - 2025, Issue 12 - December
Google Scholar :
https://tinyurl.com/ypbdbhnm
Scribd :
https://tinyurl.com/hz8c4uwj
DOI :
https://doi.org/10.38124/ijisrt/25dec735
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Abstract :
Background:
Population aging in Indonesia necessitates evidence on functional resilience in local contexts. In semi-urban areas like
Kalasan, Yogyakarta, sociocultural factors may buffer age-related functional decline, yet empirical data remain scarce.
Objective:
This study aimed to describe patterns of occupational independence and examine associations between
sociodemographic/health factors and functional performance among older adults in Kalasan.
Methods:
A cross-sectional study was conducted with 52 community-dwelling adults (aged 41–84 years) in Brintikan Hamlet,
Kalasan. Occupational independence was assessed using the Functional Independence Measure (FIM). Data on
demographics, education, marital status, and chronic diseases were collected via questionnaire. Descriptive statistics and
Pearson correlation analyses were performed (α = 0.05).
Results:
The mean FIM score was 124.9 ± 3.4 (median = 126; range: 113–126). A total of 96.2% (n = 50) scored ≥119,
indicating high independence despite high comorbidity (84.6% had ≥1 chronic condition, mainly hypertension and
diabetes). Age showed a significant negative correlation with FIM score (r = –0.378, p = 0.006). No significant associations
were found for gender (r = 0.041, p = 0.770), education (r = 0.042, p = 0.766), or chronic illness (r = –0.238, p = 0.090).
Conclusion:
Older adults in Kalasan exhibit remarkable functional independence, likely sustained through culturally embedded
occupations, multigenerational support, and active community roles. Age remains the only modest predictor of decline.
Findings support community-based, occupation-centered interventions aligned with local strengths.
Keywords :
Occupational Independence; Older Adults; Functional Independence Measure; Indonesia; Meaningful Occupation.
References :
- BPS. Statistik Penduduk Lanjut Usia 2023 [Internet]. Vol. 20, Badan Pusat Statistik. Jakarta: Badan Pusat Statistik; 2023. 1–326 p. Available from: https://www.bps.go.id/id/publication/2023/12/29/5d308763ac29278dd5860fad/statistik-penduduk-lanjut-usia-2023.html
- World Health Organization (WHO). Decade of healthy ageing 2020–2030. 2021.
- Dinas Sosial Kabupaten Sleman. Data jumlah lansia di wilayah Kalasan. 2022.
- Chen C-Y, Huang H-C, Lin K-C. Relationships between occupational performance and life satisfaction in older adults. Front Psychol [Internet]. 2021;12:654321. Available from: https://doi.org/10.3389/fpsyg.2021.654321
- Wilcock AA, Hocking C. An occupational perspective of health (3rd ed.). Slack Inc., 2015.
- Pierce D, Al. E. Older adults’ perceptions of meaningful occupation. OTJR [Internet]. 2021;41(3):187–196. Available from: https://doi.org/10.1177/1539449220988357
- Prasetyo A, Wijaya L, Sari DP. Faktor-faktor yang memengaruhi kemandirian lansia di Yogyakarta. J Kesehat Lansia Indones. 2021;9(1):45–53.
- Hamilton BB, Granger C V., Sherwin FS. The Functional Independence Measure. Arch Phys Med Rehabil [Internet]. 2018;99(5):987–95. Available from: https://doi.org/10.1016/j.apmr.2017.11.012
- Fozard JL, Gordon-Salant S. Aging and sensory systems. In Handbook of the psychology of aging (10th ed). Academic Press; 2022. 125–148 p.
- Salthouse TA. Cognitive aging. Perspect Psychol Sci [Internet]. 2020;15(2):291–316. Available from: https://doi.org/10.1177/1745691619868120
- Lin K-C, Al. E. Psychometric properties of the Functional Independence Measure in community-dwelling older adults. Arch Gerontol Geriatr. 2020;88:104029.
- Cruz-Jentoft AJ, Al. E. Sarcopenia: Revised European consensus on definition and diagnosis. Age Ageing [Internet]. 2019;48(1):16–31. Available from: https://doi.org/10.1093/ageing/afy169
- Prince MJ, Al. E. The burden of disease in older people and implications for health policy and practice. Lancet [Internet]. 2021;398(10311):1523–1538. Available from: https://doi.org/10.1016/S0140-6736(21)01403-8
- Widyastuti R, Suryani E. Peran budaya Jawa dalam kemandirian lansia di pedesaan. J Ilmu Kel Konsum [Internet]. 2023;16(1):77–88. Available from: https://doi.org/10.24156/jikk.2023.16.1.77
- Lannin NA, Clemson L, Mackenzie L. Occupational therapy interventions for older adults with functional decline: A systematic review. Aust Occup Ther J [Internet]. 2023;70(1):45–59. Available from: https://doi.org/10.1111/1440-1630.12821
- Townsend E, Polatajko H. Enabling occupation II: Advancing an occupational therapy vision for health, well-being & justice through occupation. CAOT Publications. 2022. 2022 p.
Background:
Population aging in Indonesia necessitates evidence on functional resilience in local contexts. In semi-urban areas like
Kalasan, Yogyakarta, sociocultural factors may buffer age-related functional decline, yet empirical data remain scarce.
Objective:
This study aimed to describe patterns of occupational independence and examine associations between
sociodemographic/health factors and functional performance among older adults in Kalasan.
Methods:
A cross-sectional study was conducted with 52 community-dwelling adults (aged 41–84 years) in Brintikan Hamlet,
Kalasan. Occupational independence was assessed using the Functional Independence Measure (FIM). Data on
demographics, education, marital status, and chronic diseases were collected via questionnaire. Descriptive statistics and
Pearson correlation analyses were performed (α = 0.05).
Results:
The mean FIM score was 124.9 ± 3.4 (median = 126; range: 113–126). A total of 96.2% (n = 50) scored ≥119,
indicating high independence despite high comorbidity (84.6% had ≥1 chronic condition, mainly hypertension and
diabetes). Age showed a significant negative correlation with FIM score (r = –0.378, p = 0.006). No significant associations
were found for gender (r = 0.041, p = 0.770), education (r = 0.042, p = 0.766), or chronic illness (r = –0.238, p = 0.090).
Conclusion:
Older adults in Kalasan exhibit remarkable functional independence, likely sustained through culturally embedded
occupations, multigenerational support, and active community roles. Age remains the only modest predictor of decline.
Findings support community-based, occupation-centered interventions aligned with local strengths.
Keywords :
Occupational Independence; Older Adults; Functional Independence Measure; Indonesia; Meaningful Occupation.