Occupational Independence Among Older Adults in a Semi-Urban Indonesian Community: A Cross-Sectional Study Using the FIM


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

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Note : Google Scholar may take 30 to 40 days to display the article.


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 :

  1. 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
  2. World Health Organization (WHO). Decade of healthy ageing 2020–2030. 2021.
  3. Dinas Sosial Kabupaten Sleman. Data jumlah lansia di wilayah Kalasan. 2022.
  4. 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
  5. Wilcock AA, Hocking C. An occupational perspective of health (3rd ed.). Slack Inc., 2015.
  6. 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
  7. Prasetyo A, Wijaya L, Sari DP. Faktor-faktor yang memengaruhi kemandirian lansia di Yogyakarta. J Kesehat Lansia Indones. 2021;9(1):45–53.
  8. 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
  9. Fozard JL, Gordon-Salant S. Aging and sensory systems. In Handbook of the psychology of aging (10th ed). Academic Press; 2022. 125–148 p.
  10. Salthouse TA. Cognitive aging. Perspect Psychol Sci [Internet]. 2020;15(2):291–316. Available from: https://doi.org/10.1177/1745691619868120
  11. Lin K-C, Al. E. Psychometric properties of the Functional Independence Measure in community-dwelling older adults. Arch Gerontol Geriatr. 2020;88:104029.
  12. 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
  13. 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
  14. 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
  15. 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
  16. 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.

CALL FOR PAPERS


Paper Submission Last Date
31 - December - 2025

Video Explanation for Published paper

Never miss an update from Papermashup

Get notified about the latest tutorials and downloads.

Subscribe by Email

Get alerts directly into your inbox after each post and stay updated.
Subscribe
OR

Subscribe by RSS

Add our RSS to your feedreader to get regular updates from us.
Subscribe