INTEGRATING HEALTH EDUCATION AND FAMILY SUPPORT TO ENHANCE HEALTHY LIFESTYLE IN ELDERLY POPULATIONS

Authors

  • Kusuma Wijaya Ridi Putra Bachelor of Nursing Study Program, College of Health Science of Husada Jombang
  • Karisma Dwi Ana Bachelor of Nursing Study Program, College of Health Science of Husada Jombang

DOI:

https://doi.org/10.60050/jiphs.v2i2.101

Keywords:

Health Education, Family Support, Healthy Ageing, Elderly, Community-Based Intervention

Abstract

This community-based program aimed to promote healthy lifestyles among elderly populations through an integrated approach combining health education and family support. The intervention was implemented at the Mojoagung Primary Health Center, Jombang Regency, East Java, Indonesia, during October 2025. A total of 40 elderly participants and 40 family members joined a two-week program consisting of group education sessions, family support meetings, and home visits facilitated by health cadres and nursing students. Evaluation included pre- and post-assessments of knowledge, attitudes, and healthy behavior practices. Results showed a 22 % increase in knowledge scores, a 28 % rise in self-reported healthy behaviors, and a 72 % improvement in caregivers’ competence, exceeding targeted outcomes. Attendance rates among elderly participants and caregivers reached 85 % and 74 %, respectively, with 92 % program fidelity. Participants reported high satisfaction and perceived relevance of the program. These findings suggest that integrating health education with structured family support effectively enhances health literacy, behavioral adherence, and caregiving competence among older adults. The approach demonstrates feasibility and acceptability within Indonesia’s community-based primary healthcare system, emphasizing the importance of family engagement in promoting healthy ageing. Further studies with larger samples and extended follow-up periods are recommended to assess long-term sustainability and clinical impacts of this model.

References

Aji, B., Masfiah, S., Anandari, D., Intiasari, A. D., & Widyastari, D. A. (2023). Enablers and Barriers of Healthcare Services for Community-Dwelling Elderly in Rural Indonesia: A Qualitative Evidence Synthesis: Facilitadores e barreiras dos serviços de saúde para os idosos das comunidades nas zonas rurais da Indonésia: uma síntese qualitativa das provas. Portuguese Journal of Public Health, 41(1), 65–79. https://doi.org/10.1159/000530047

Boonyathee, S., Seangpraw, K., Ong-Artborirak, P., Auttama, N., Tonchoy, P., Kantow, S., Bootsikeaw, S., Choowanthanapakorn, M., Panta, P., & Dokpuang, D. (2021). Effects of a social support family caregiver training program on changing blood pressure and lipid levels among elderly at risk of hypertension in a northern Thai community. PloS One, 16(11), e0259697. https://doi.org/10.1371/journal.pone.0259697

Cho, O., & Kim, H. (2025). The Effectiveness of the Safety and Home Injury Prevention for Seniors : A Study Protocol for a Randomized Controlled Trial. 1–19.

Crocker, T. F., Ensor, J., Lam, N., Jordão, M., Bajpai, R., Bond, M., Forster, A., Riley, R. D., Andre, D., Brundle, C., Ellwood, A., Green, J., Hale, M., Mirza, L., Morgan, J., Patel, I., Patetsini, E., Prescott, M., Ramiz, R., … Clegg, A. (2024). Community based complex interventions to sustain independence in older people: systematic review and network meta-analysis. BMJ, 384, e077764. https://doi.org/10.1136/bmj-2023-077764

Dang, M., Chen, Y., Ji, J. S., Zhang, Y., Chen, C., & Zhang, Z. (2024). The association between household and family composition and mental health of the elderly: mediating role of lifestyle. BMC Public Health, 24(1), 2055. https://doi.org/10.1186/s12889-024-19516-4

Hailu, G. N., Gebru, H. B., Hagos, G. G., Weldemariam, A. H., Tadesse, D. B., & Mebrahtom, G. (2025). The role of family caregivers in supporting older adults in Africa: systematic review. BMC Geriatrics, 25(1), 491. https://doi.org/10.1186/s12877-025-06154-7

Isnanik, I., & Rodiyah, I. (2024). Posyandu Cadres’ Contributions to Elderly Health Improvement: Sumbangan Kader Posyandu Terhadap Kesehatan Lansia. Indonesian Journal of Cultural and Community Development, 15(3), 10.21070/ijccd.v15i3.1123. https://doi.org/https://doi.org/10.21070/ijccd.v15i3.1123

Keating, N. (2022). A research framework for the United Nations Decade of Healthy Ageing (2021–2030). European Journal of Ageing, 19(3), 775–787. https://doi.org/10.1007/s10433-021-00679-7

Paula, Y., & Correia, C. (2019). Health education as a strategy for the promotion of the health of the elderly : an integrative review. Revista Brasileira de Geriatria e Gerontologia, 22(4).

Sardareh, M., Matlabi, H., Shafiee-Kandjani, A. R., Bahreini, R., Mohammaddokht, S., & Azami-Aghdash, S. (2024). Interventions for improving health literacy among older people: a systematic review. BMC Geriatrics, 24(1), 911. https://doi.org/10.1186/s12877-024-05522-z

Saucedo-Pahua, G., Caetano, G. M., Roberto, J., & Fhon, S. (2024). Home-based educational interventions for family caregivers of older adults after stroke : a scoping review. 1–9.

Someia, N. M., Atri, S. B., Areshtanab, H. N., Salehi-Pourmehr, H., & Farshbaf-Khalili, A. (2020). Effectiveness of education based on family-centered empowerment model on health-promoting behaviors and some metabolic biomarkers in elderly women: A stratified randomized clinical trial. Journal of Education and Health Promotion, 9, 331. https://doi.org/10.4103/jehp.jehp_520_20

Trisfayeti, I. H., & Idris, H. (2023). Factors associated with utilization of posyandu lansia in Indonesia: an analysis of nationwide survey data. Public Health and Preventive Medicine Archive, 10(1 SE-Articles). https://doi.org/10.53638/phpma.2022.v10.i1.p09

Wei, S., Lim, E., Hwei, J., Chong, S., Chee, J. Y., Chin, C., Lew, H., Lee, H. H., Kher, L., Chua, W., Lim, K. C., Koh, H. A., Sow, B. Y., Wood, J., Gui, D., & Yap, A. U. (2024). Impact of a Community-Based Health Intervention on Health Knowledge , Lifestyle Goals , Dietary Practices , and Physical Activity in Older Adults : A Multisite Cohort Study. 1–12.

World Health Organization [WHO]. (2022). WHO’s work on the UN Decade of Healthy Ageing (2021–2030): Join the Movement on the Decade Platform. https://www.who.int/initiatives/decade-of-healthy-ageing

Yetkin, B., & Başer, A. (2025). Enhancing knowledge and attitudes through the ‘healthy nutrition’ education program: a Solomon four-group experimental study with older adults at a social life campus. BMC Geriatrics, 25(1), 436. https://doi.org/10.1186/s12877-025-05861-5

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Published

2025-07-30

How to Cite

Putra, K. W. R., & Ana, K. D. (2025). INTEGRATING HEALTH EDUCATION AND FAMILY SUPPORT TO ENHANCE HEALTHY LIFESTYLE IN ELDERLY POPULATIONS. Journal of Indonesian Public Health Service, 2(2), 53–63. https://doi.org/10.60050/jiphs.v2i2.101