Empowerment of Community Health Center Providers about Screening Multidimensional Frailty

Eva Berthy Tallutondok, Yakobus Siswadi, Yenni Ferawati Sitanggang, Martha Octaria, Riama Marlyn Sihombing, Iradewi Iradewi

Sari


ABSTRACT

 

The increasing number of elderly people in Indonesia underscores the need for knowledge about the vulnerabilitiesand health issues affecting the elderly population. Furthermore, the lack of skills among carers and the healthcaresystem to provide adequate, preventive, and dignified care makes it essential to initiate action. The main goal is to disseminate the research results and introduce the multidimensional frailty assessment questionnaire to healthcare providers in Community Health Centres. The procedures commenced through collaboration with the Dinas Kesehatan Kota Bandung. The participatory action technique was employed to incorporate research findings into community service activity through joint planning. Two phases of the program: workshop and follow-up. Discussion, demonstration, and re-demonstration within peer groups were utilized for workshops, with site visits to obtain feedback from participants randomly. 12 Community Health Centres participated in this community service initiative. Six sites were designated for research, while six other sites are situated near Bandung Kulon. Each Community Health Centre was invited to send two representatives, including the principal and the individual responsible for geriatric polyclinics (n=24). This study utilized the Wilcoxon Signed-Rank Test and Interpretative Phenomenological Analysis. The results showed that the workshop effectively improved the knowledge and skills of most healthcare workers, with a p-value of 0.001 (<0.05). Furthermore, the follow-up phase involved exploring healthcare providers’ perspectives on the use of frailty screening for elderly patients at Community Health Centres, which yielded three main themes: Theme 1, Tools and Instruments Used in Screening; Theme 2, Challenges in the Screening Process; and Theme 3, Optimization and Adaptation of the Screening Process. This workshop demonstrated an improvement in critical thinking, problem-solving, and other cognitive skills among healthcare workers. Additionally, the perspectives of primary healthcare providers regarding the implementation of frailty screening for elderly patients at Community Health Centres emphasized the importance of multidimensional frailty assessment for elderly visitors to the centres.

 

Keywords: Community Service Program, Knowledge, Practice, Workshop


Kata Kunci


Keywords: Community Service Program; Knowledge; Practice; Workshop

Teks Lengkap:

Download Artikel

Referensi


Ambagtsheer, R. C., Visvanathan, R., Dent, E., Yu, S., Schultz, T. J., & Beilby, J. (2020). Commonly Used Screening Instruments to Identify Frailty Among Community-Dwelling Older People in a General Practice (Primary Care) Setting: A Study of Diagnostic Test Accuracy. The Journals of Gerontology: Series A, 75(6), 1134–1142. https://doi.org/10.1093/gerona/glz260

Aune, I., Tysland, T., & Amalie Vollheim, S. (2021). Norwegian midwives’ experiences of relational continuity of midwifery care in the primary healthcare service: A qualitative descriptive study. Nordic Journal of Nursing Research, 41(1), 5–13. https://doi.org/10.1177/2057158520973202

Avgerinou, C., Kotsani, M., Gavana, M., Andreou, M., Papageorgiou, D. I., Roka, V., Symintiridou, D., Manolaki, C., Soulis, G., & Smyrnakis, E. (2021). Perceptions, attitudes and training needs of primary healthcare professionals in identifying and managing frailty: a qualitative study. European Geriatric Medicine, 12(2), 321–332. https://doi.org/10.1007/s41999-020-00420-0

Brod, G. (2021). Toward an understanding of when prior knowledge helps or hinders learning. In npj Science of Learning (Vol. 6, Issue 1). Springer Nature. https://doi.org/10.1038/s41539-021-00103-w

Cha, J. M., Jung, D. H., Kim, H. N., & Lim, H. S. (2025). Factors affecting oral frailty and nutritional status in older adults living alone. Frontiers in Nutrition, 12. https://doi.org/10.3389/fnut.2025.1586860

Danaher, T. S., Berry, L. L., Howard, C., Moore, S. G., & Attai, D. J. (2023). Improving How Clinicians Communicate With Patients: An Integrative Review and Framework. Journal of Service Research, 26(4), 493–510. https://doi.org/10.1177/10946705231190018

Deiglmayrc, A., Flaig, M., Simonsmeiera, B. A., Schalkd, L., & Schneider, M. (2021, July 23). Domain-specific prior knowledge and learning: A meta-analysis. Taylor and Francis Group.

Doody, P., Greig, C. A., Lord, J. M., & Whittaker, A. C. (2023, June 22). Frailty: Pathophysiology, Theoretical and Operational Definition(s), Impact, Prevalence, Management and Prevention, in an Increasingly Economically Developed and Ageing World. Frailty: Pathophysiology, Theoretical and Operational Definition(s), Impact, Prevalence, Management and Prevention, in an Increasingly Economically Developed and Ageing World.

Fakoya, O. A., McCorry, N. K., & Donnelly, M. (2020). Loneliness and social isolation interventions for older adults: A scoping review of reviews. BMC Public Health, 20(1). https://doi.org/10.1186/s12889-020-8251-6

Huang, X., Zhou, H., Feng, Y., Li, M., Wang, R., Fang, G., Lu, L., Chen, J., & Jiang, W. (2025). Knowledge, attitude, and practice of frailty management among clinical nurses: a cross-sectional study. BMC Geriatrics, 25(1). https://doi.org/10.1186/s12877-025-05776-1

Isdijoso, W., Kusumastuti Rahayu, S., Indriani, K., Larasati, D., Sondakh, F. A., Siyaranamual, M., Setiawan, A., Asmanto, P., Siagian, A., Arfyanto, H., Adi Rahman, M., Toyamah, N., & Murniati, S. (n.d.). Project Directors Bambang Widianto, Executive Secretary (Ad-Interim) of TNP2K The National Team for the Acceleration of Poverty Reduction (TNP2K) The SMERU Research Institute The Situation of the Elderly in Indonesia and Access to Social Protection Programs: Secondary Data Analysis. www.tnp2k.go.id

Kunz, V., Wichmann, G., Wald, T., Dietz, A., & Wiegand, S. (2024). Frailty and Increased Levels of Symptom Burden Can Predict the Presence of Each Other in HNSCC Patients. Journal of Clinical Medicine, 13(1). https://doi.org/10.3390/jcm13010212

Ludlow, K., Todd, O., Reid, N., & Yaman, H. (2023). Frailty in primary care: challenges, innovations, and future directions. In BMC Primary Care (Vol. 24, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s12875-023-02083-9

Mazarina Devi, H., Soebagiono, & Denik, R. (2024). The Community Health Nursing Assessment Of Tunjungsari Suburban, Bantur Village, Malang District: A Case Study. Indonesian Journal of Community Health Nursing, 9(1), 13–20. https://doi.org/10.20473/ijchn.v9i1.44917

McAtee, R. E., Spradley, L., Tobey, L., Thomasson, W., Azhar, G., & Mercado, C. (2021). Caregiver Burden: Caregiving Workshops Have a Positive Impact on Those Caring for Individuals With Dementia in Arkansas. Journal of Patient Experience, 8. https://doi.org/10.1177/23743735211018085

Moola, S., Bhaumik, S., & Nambiar, D. (2020). Mid-level health providers for primary healthcare: a rapid evidence synthesis. F1000Research, 9, 616. https://doi.org/10.12688/f1000research.24279.1

Pazan, F., & Wehling, M. (2021). Polypharmacy in older adults: a narrative review of definitions, epidemiology and consequences. In European Geriatric Medicine (Vol. 12, Issue 3, pp. 443–452). Springer Science and Business Media Deutschland GmbH. https://doi.org/10.1007/s41999-021-00479-3

Seah, S. J., Mahirah, D., Ho Zhong Hao, C., Tan Yan Fang, C., Si Yinn, L., Yi, X., Koh Wan Cheen, C., Yong Ling, N., Chao Min, T., & Lian Leng, L. (2025). Unmet Needs Among Older Adult Informal Caregivers and Care Recipients in Singapore: A Qualitative Study. Journal of Aging and Social Policy. https://doi.org/10.1080/08959420.2025.2475265

Setiati, S., Soejono, C. H., Harimurti, K., Dwimartutie, N., Aryana, I. G. P. S., Sunarti, S., Budiningsih, F., Mulyana, R., Dwipa, L., Sudarso, A., Rensa, R., Istanti, R., Azwar, M. K., & Marsigit, J. (2021). Frailty and Its Associated Risk Factors: First Phase Analysis of Multicentre Indonesia Longitudinal Aging Study. Frontiers in Medicine, 8. https://doi.org/10.3389/fmed.2021.658580

Swales, B., Ryde, G. C., Fletcher, I., & Whittaker, A. C. (2023). The reliability and suitability of strength assessments in frail and pre-frail older adults: recommendations for strength testing in older populations. BMC Geriatrics, 23(1). https://doi.org/10.1186/s12877-023-04552-3

Tallutondok, E. B., Hsieh, C. J., & Li, P. S. (2022). The Parallel Mediation Effects of Depression, Well-Being, and Social Activity on Physical Performance and Frailty in Community-Dwelling Middle-Aged and Older People. Current Gerontology and Geriatrics Research, 2022. https://doi.org/10.1155/2022/7979006

Topcu, Y., Gobbens, R., van der Ploeg, T., & Tufan, F. (2024). Associations of Frailty, Defined Using Three Different Instruments, with All-Cause Mortality in a Tertiary Outpatient Clinic in Turkiye. International Journal of General Medicine, Volume 17, 5883–5895. https://doi.org/10.2147/ijgm.s485675

Tushe, M. (2025). The Role of Community Health Nursing in Improving Public Health: A Global and Local Perspective. https://doi.org/10.59657/2993-0863.brs.25.224

World Health Organization. (2024, October 1). Ageing and health. World Health Organization.




DOI: https://doi.org/10.33024/jkpm.v8i11.22399

Refbacks

  • Saat ini tidak ada refbacks.


Disponsori oleh : Universitas Malahayati Lampung dan DPW PPNI Lampung

Creative Commons License
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.