Independence in Activities of Daily Living Among Community-Dwelling Older Adults: A Cross-Sectional Study

Authors

  • Aniek Puspitosari Occupational Therapy Department, Politeknik Kesehatan Kementerian Kesehatan Surakarta
  • Ninik Nurhidayah Occupational Therapy Department, Politeknik Kesehatan Kementerian Kesehatan Surakarta

DOI:

https://doi.org/10.55681/sentri.v4i12.5072

Keywords:

Aging, KATZ Index, Geriatric

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.

Downloads

Download data is not yet available.

References

Albanese, A. M., Bartz‐Overman, C., Parikh, MD, T., & Thielke, S. M. (2020). Associations Between Activities of Daily Living Independence and Mental Health Status among Medicare Managed Care Patients. Journal of the American Geriatrics Society, 68(6), 1301-1306. https://doi.org/10.1111/jgs.16423

Azis, P. N. S., Afriwardi, A., & Liza, R. G. (2024). Hubungan Fungsi Kognitif dengan Tingkat Kemandirian Lansia di Wilayah Puskesmas Padang Kandis. SENTRI: Jurnal Riset Ilmiah, 3(4), 1850-1860.DOI: https://doi.org/10.55681/sentri.v3i4.2309

Badan Pusat Statistik (2023). Statistik Indonesia. Jakarta: BPS Indonesia

Badan Pusat Statistik. (2022). Statistik Penduduk Lanjut Usia Indonesia [Statistics of Older Adults in Indonesia]. Jakarta: BPS.

Bahriah, B., & Mutmainna, M. (2023). Gambaran Tingkat Kemandirian Lansia dalam Pemenuhan Activity Daily Living di Pusat pelayanan Sosial Lanjut Usia Mappakasunggu Kota Parepare . Jurnal Kesehatan Lentera Acitya, 10(1), 34-42.

Darmawan, N. (2024). Gambaran Tingkat Kemandirian Lansia Dalam Pemenuhan Activities Of Daily Living (ADL) Di Rumah Pelayanan Sosial Lanjut Usia Pucang Gading Semarang (Doctoral dissertation, Universitas Islam Sultan Agung Semarang).

Hanif, H. R. R. (2023). Gambaran Tingkat Kemandirian Lansia dalam Pemenuhan Aktifitas Sehari-Hari di Panti Sosial Tresna Werdha Budi Luhur Provinsi Jambi Tahun 2023. Jurnal Pinang Masak, 2(1), 43-54.DOI: https://doi.org/10.22437/jpima.v2i1.26810

Harper, S., & Jones, G. (2020). Active ageing in rural environments. Journal of Rural Health, 36(3), 345–352.

Hastaoglu, F., & Mollaoglu, M. (2022). The Effects of Activities of Daily Living Education on the Independence and Life Satisfaction of Elders. Perspectives in Psychiatric Care, 58(4), 2978-2985. https://doi.org/10.1111/ppc.13149 http://repository.unissula.ac.id/id/eprint/40119

Hurami, N., Antara, A., & Kanum, S. (2024). Hubungan Fungsi Kognitif dengan Tingkat Kemandirian Usia Lansia di Wilayah Puskesmas Mungka. Media of Health Research, 2(1), 14-23. DOI: https://doi.org/10.70716/mohr.v2i1.52

Karlsson, Å., Lindelöf, N., Olofsson, B., Berggren, M., Gustafson, Y., Nordström, P., & Stenvall, M. (2020). Effects of Geriatric Interdisciplinary Home Rehabilitation on Independence in Activities of Daily Living in Older People with Hip Fracture: a Randomized Controlled Trial. Archives of physical medicine and rehabilitation, 101(4), 571-578.https://doi.org/10.1016/j.apmr.2019.12.007

Katz, S., Ford, A. B., Moskowitz, R. W., Jackson, B. A., & Jaffe, M. W. (1963). Studies of illness in the aged: The index of ADL. JAMA, 185, 914–919.

Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist, 9(3), 179–186.

Lumbantobing, S. S. (2022). Gambaran Tingkat Kemandirian Lansia Dalam Pemenuhan Activity Of Daily Living Di Puskesmas Bane Kota Pematang Siantar Tahun 2022. Medan: Https://Repository. Stikeselisabethmeda n. Ac. Id.

Melo, L. P., Oliveira, D. C., Dantas, A. A. T. S. G., Silva Júnior, R. A., Ribeiro, T. S., & Campos, T. F. (2020). Predictive Factors of Functional Independence in Basic Activities of Daily Living During Hospitalization and After Discharge of Stroke Patients. Brain Injury, 35(1), 26–31. https://doi.org/10.1080/02699052.2020.1861649

Miller, C. A. (2018). Nursing for Wellness in Older Adults. Philadelphia: Lippincott Williams & Wilkins.

Motamed-Jahromi, M., & Kaveh, M. H. (2021). Effective Interventions on Improving Elderly's Independence in Activity of Daily Living: A Systematic Review and Logic Model. Frontiers in Public Health, 8, 516151. https://doi.org/10.3389/fpubh.2020.516151

Novitarum, L., Saragih, I., Simorangkir, L., & Damanik, J. V. (2022). Gambaran Tingkat Kemandirian Lansia Melakukan Akitivitas Sehari-hari di Desa Payasimbirong Kecamatan Silinda Tahun 2022. Elisabeth Health Jurnal, 7(2), 147-153.

Noviyanti, A. E., & Kartinah, S. K. (2024). Gambaran Tingkat Kemandirian Lansia Dalam Pemenuhan Activity Daily Living (Doctoral dissertation, Universitas Muhammadiyah Surakarta).

Nugroho, W. (2019). Keperawatan Gerontik [Gerontological Nursing]. Jakarta: EGC.

Pashmdarfard, M., & Azad, A. (2020). Assessment Tools to Evaluate Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) in older adults: A systematic review. Medical journal of the Islamic Republic of Iran, 34, 33. doi: 10.34171/mjiri.34.33

Prayoga, D., & Puspitosari, A. (2024). Pengaruh Memory Training Permainan Anagram terhadap Kognitif Lansia di Panti Jompo Sumber, Surakarta. Jurnal Terapi Wicara dan Bahasa, 3(1), 45-52. DOI: https://doi.org/10.59686/jtwb.v3i1.141

Redzovic, S., Vereijken, B., & Bonsaksen, T. (2023). Aging at Home: Factors Associated with Independence in Activities of Daily Living Among Older Adults in Norway—a HUNT study. Frontiers in Public Health, 11, 1215417.| https://doi.org/10.3389/fpubh.2023.1215417

Sampeangin, H., Tena, A., & Rustang, N. A. (2023). Gambaran Pemenuhan Activity Daily Living di Pusat USAT Pelayanan Sosial Lanjut Usia Mappakasunggu Kota Parepare. Jurnal Kesehatan Lentera Acitya, 10(1), 1-10.

Setiawati, E., Rosmaini, R., Sjaaf, F., & Ismalianti, E. (2024). Analisis Hubungan Tingkat Kemandirian Lansia dalam Melakukan Activity-daily-living (ADL) dengan Faktor-aktor terkait di Provinsi Sumatera Barat. Nusantara Hasana Journal, 4(6), 46-62. DOI: https://doi.org/10.59003/nhj.v4i6.1261

Suhardjo, T. (2021). Health services for older adults in rural areas: Challenges and solutions. Jurnal Kesehatan Masyarakat, 16(2), 112–120.

Taylor, P., & Johnson, R. (2018). Psychological well-being and independence among older adults. Journal of Aging Studies, 23(4), 233–240.

Wahyuni, D., & Rahmat, A. (2020). Determinants of independence in the elderly. Indonesian Journal of Public Health, 15(1), 45–53.

World Health Organization. (2015). World Report on Ageing and Health. Geneva: WHO.

Downloads

Published

2025-12-31

How to Cite

Puspitosari, A., & Nurhidayah, N. (2025). Independence in Activities of Daily Living Among Community-Dwelling Older Adults: A Cross-Sectional Study. SENTRI: Jurnal Riset Ilmiah, 4(12), 4054–4063. https://doi.org/10.55681/sentri.v4i12.5072