Elderly Program Research Articles

노인운동프로그램에 관한 국내연구동향 : 2012년-2022년까지

The study analyzed in detail the research trends on the elderly execise program for the last ten years(years 2012-2022). It aims to design and develop an exercise program for the elderly and present guidance for future directions. A keyword analysis was conducted on the collected data according to each academic journal, research method, and characteristics of the research subjects. Moreover, the time, frequency, and intensity according to the type of exercise program and keywords related to the elderly exercise program were analyzed. The result is as follows. First, for the last ten years, research on the elderly exercise program has been consistently published. However, most of the research is skewed toward natural science. Second, from 238 research articles on the elderly exercise program, the research on the elderly male has shown a remarkably low publication rate compared to elderly females. (199 articles) Also, the participating elderly had a high proportion of research participants with the traits of obesity. (31 articles) Third, since the research methods on the elderly exercise program are mostly composed of quantitative research methodology, there were some limitations to having an in-depth understanding of their physical and psychological elements. Fourth, the elderly exercise program was composed of 2 or more compound exercises. Accordingly, the exercise frequency was 1-5 times weekly, and the exercise time was 25-90 minutes. As for intensity, although there was a difference depending on its form, it showed 1-18 intensity based on exercise awareness. Lastly, among the main keywords for the elderly exercise program, cognitive function (26 articles) and blood lipid (26 articles) showed the highest frequency, and the most active research was being conducted in the field of physiology among major areas in athletics. Therefore, balanced research reports and concerns for athletics are necessary for the future of the elderly exercise program.

시장형 노인일자리사업 성공요인에 관한 사례연구

This study aims to explore the success factors of the marketable project group. To achieve this goal, we selected a business unit, that is considered to be operating successfully. We conducted an in-depth analysis of their economic and social achievements as well as their success factors, by appling a case study method suitable for understanding “why“ and “how“ little-known early phenomenon is occurring. The analysis identified the following success factors: 1) selection of industry and scale suitable for the elderly employment program structure; 2) mutually beneficial network with other organizations working for public purposes; 3) business strategies that satisfy the market; 4) composition of synergistic and complementary human resources; 5) organizational culture of mutual respect; 6) voluntary learning and professional job training for the members; 7) a labor environment suitable for the elderly; 8) rational operating principles and transparent information sharing. The researchers interpreted the results by comparing the success factors of the H business unit with other organizations’ factors that have similar characteristics to the marketable project group, considering the situation and context of the case. Based on this, we discussed the implications for other marketable project groups.

Influencing factors of participation in and satisfaction with elderly health checkups: a cross-sectional study.

Attending health checkups as a primary prevention strategy benefits older adults in facilitating the identification of health issues and risk factors for disease. Little is known about factors influencing participation in and satisfaction with a free annual elderly health checkup program (EHCP) in Taiwan. This study aimed to extend current knowledge related to the uptake of this service and individuals' views of the service. This was a cross-sectional study using a telephone interview survey method to compare influencing factors and satisfaction between participants and non-participants of an EHCP. The individuals involved were older adults in Taipei, Taiwan. The random sampling method included 1,100 people, 550 older adults who had participated in the EHCP within the last 3 years, and 550 older adults who had not. A questionnaire containing personal characteristics and satisfaction with the EHCP was used. Independent t-test and Pearson's Chi-squared test were used to evaluate differences between the two groups. Associations between individual characteristics and health checkup attendance were estimated using log-binomial models. Results showed that 51.64% of participants reported being satisfied with the checkups; however, only 41.09% of non-participants were satisfied. In the association analysis, age, educational level, chronic diseases, and subjective satisfaction were related to older persons' participation. Furthermore, having a stroke was associated with a higher attendance rate [prevalence ratio: 1.49; 95% confidence interval: (1.13, 1.96)]. The EHCP had a high proportion of satisfaction among participants, but the proportion was low among non-participants. Several factors were associated with participation and might lead to unequal healthcare service uptake. Health checkups need to increase among people at a young age, those with low educational backgrounds, and those without chronic diseases.

Optimalisasi Peran Kader Kesehatan dalam Edukasi dan Implementasi Gaya Hidup Sehat Lansia

The health problems of the elderly in ​​the Puskesmas Industri, Gresik work area align with the Indonesian health phenomenon where the number of elderly and degenerative diseases is high. Health cadres training in the work area of ​​the Puskesmas Industri is needed to optimize the role of cadres in educating and implementing a healthy lifestyle in older adults. The Community Partnership Program, focusing on health as part of goal 3 of The Sustainable Development Goals (SDGs), was carried out on September 1, 2022, and was attended by 57 cadres from 6 villages. Health information was provided as a provision for cadres to provide education to the public about the healthy lifestyle of the elderly. The results showed that there was an increase of 17,26 points (34,76%) after training. The lowest post-test results were on the topic of BMI and its interpretation, as well as physical activity in the elderly, so further action is needed. During FGD, the Elderly Health Book from the Ministry of Health of the Republic of Indonesia was introduced. The results of the FGD showed that the introduction of the Elderly Health Book should be continued so that health cadres can consistently use it. Health cadres have a significant role in realizing the elderly health program from the Indonesian Ministry of Health. This health cadre training has proven to be very necessary because it can increase understanding as a provision for cadres in providing education to the public regarding the healthy lifestyle of the elderly.

Elderly Knowledge About Lancia Posyandu in Sinar Sabungan Village, Bonatua Lunasi District, Tobasa Regency

Elderly Posyandu is an integrated service post for the elderly in a certain area that has been agreed upon, which is driven by the community where they can get health services. This study aims to determine the knowledge of the elderly about the elderly Posyandu in the Village of Sinar Sabungan, District of Bonatua Lunasi, Tobasa Regency. This research method is descriptive, where the elderly population is 57 people, the sampling technique is done by total sampling, and the sample that meets the research criteria and fills out a questionnaire is 57 respondents. Data collection was carried out from 21 April 2021 to 24 May 2021 using a questionnaire which consisted of two parts: the first was about demographic data, the second part was Knowledge of the elderly about the Elderly Posyandu in Sinar Sabungan Village, Bonatua Lunasi District, Tobasa Regency. From the data analysis it is known that out of 57 respondents there are 51 respondents (89.5%) who have good knowledge, 6 respondents (10.5%) who have sufficient knowledge and no respondent (0%) who has less knowledge. This shows that the knowledge of the elderly about the elderly posyandu is good. It is recommended that health center staff continue to improve the elderly posyandu program and provide health education as well as socialize the existence and benefits of elderly posyandu services.

The elderly's satisfaction with physical activity programs in senior welfare centers.

Healthcare for the aging population has become a crucial issue in South Korea to maintain the elderly's quality of life, and physical activity is of primary importance for older adults. This study evaluated the exercise characteristics and satisfaction of the elderly who participated in physical activity programs provided by senior welfare centers in South Korea. We surveyed 266 participants to learn the characteristics of the elderly's exercise participation and their satisfaction with instructors, exercise programs, and facilities provided by senior welfare centers. A total of 263 copies were analyzed using the SPSS 23.0 statistical software. The top three physical activity programs that the elderly participated in senior welfare centers were dancing (25.3%), gymnastics (24.8%), and table tennis/badminton (13.2%). There were significant differences in respondents' satisfaction according to sex, education level, spouse, family type, and monthly income per household (p < 0.05). The elderly were satisfied with programs (4.183 ± 0.483), facilities (3.881 ± 0.483), and instructors (3.604 ± 0.483) in order. Also, this study shows that user satisfaction differs depending on the demographic characteristics (gender, education, marital status, family type, economic status) and the characteristics of the exercise participation of the elderly (exercise duration, participation period). In conclusion, we presented the elderly's satisfaction with physical activity programs in senior welfare centers, suggesting that the elderly need physical activity programs according to their demographic and exercise characteristics.

치위생(학)과 학생들의 문제 해결 능력과 노인 관련 교육 경험이 노인에 대한 공감력에 미치는 영향

Objectives: This study was conducted to determine the effect of senior-related education experience and problem-solving ability on the ability of dental hygiene students to empathize with the elderly.&#x0D; Methods: This study surveyed students attending dental hygiene departments in some areas of Daegu, Busan, and Ulsan Metropolitan City in Korea.&#x0D; Results: Education experience related to the elderly and the sub-factors of problem-solving ability affected empathy for the elderly among dental hygiene students. Divergent thinking (p&lt;0.001), information collection (p&lt;0.001), execution and risk taking (p&lt;0.001), oral education experience with the elderly (p&lt;0.01), and problem.&#x0D; Conclusions: Effective oral care for the elderly, problem-solving skills, and educational programs related to the elderly will be needed to increase empathy for the elderly among dental hygiene students.

The elderly's experiences: family support and participation in the integration of health services

Background: Higher life expectancy in Indonesia alarms the government to become more serious in enhancing the implementation of community programs for elderlies. The programs are intended to improve the life quality of the elderlies. Integration of health services for the elderly program that is well-implemented will make it easier for elderlies to Purpose: To determine the relationship between family support and the active participation of elderlies in attending integration of health servicesMethod: This correlational study was performed using a cross-sectional approach on 30 elderlies as respondents who were purposively sampled. Data of this study were collected using questionnaires which were then analyzed in a univariate analysis using frequency data. Bivariate analysis was also carried out using the chi-square test. Results: Most of the respondents actively participated in the program (76.67 percent). They are aware that they are vulnerable to health problems because respondents have good family support (53.33 percent). In particular, they rated good emotional support (66.67 percent), good facility support (73.33 percent), good knowledge and information support (46.67 percent), and good appraisal support (46.67 percent).Conclusion: The data analysis indicated the presence of a correlation between family support and the active participation of elderlies in the integration of health services for the elderly program in Ende Regency.Suggestion: Public Health Center needs to raise awareness of the reluctance of elderlies in attending the integration of health services for the elderly. It is necessary that health workers visit and approach the family of elderlies in order to improve the elderly's health and quality of life.

Activeness of Visits to Integrated Healthcare Post and the Quality of Life among the Elderly in Peguyangan Kangin Village, North Denpasar, Bali

The number of people aged over 60 years exceeds seven percent of the total world population which is currently in the era of aging population. Elderly Integrated Healthcare Post (Posyandu) provide social, religion, education, skills, sports, arts and culture services and other services with the aim of improving the quality of life of the elderly. This study aims to determine the relationship between activeness of visits to Posyandu and the quality of life among the elderly. This was a cross-sectional study conducted in Peguyangan Kangin Village, North Denpasar, Bali from April 2022-May 2022. The independent variable was the activeness of visits and the dependent variable was the quality of life of the elderly. The samples involved 158 respondents who were selected using a purposive sampling technique. Demographic data and questions related to quality of life were obtained by distributing questionnaires containing informed consent during the elderly Posyandu activities. Meanwhile, data on the activeness of the elderly for the last six months was taken from attendance data recorded by cadres in 10 banjars/hamlets. Bivariate analysis towards data with ordinal and nominal scales using the Spearman rho test obtained a p value of 0.873. Thus, statistically there was no relationship between the activeness of visits to Posyandu and the quality of life among the elderly in Peguyangan Timur Village, Denpasar. Healthcare workers and elderly Posyandu cadres are recommended to focus not only on the presence of the elderly at the Posyandu, but also try to implement the elderly Posyandu program properly.

Program Arrives Home Smoothly: Uncertainty-Based Routing Scheduling of Home-Based Elderly Care Programs

In China, the home-based elderly care program system plays an important role in meeting the needs of elderly individuals. The routing scheduling of home-based elderly care (RSHEC) programs is closely related to the quality of the home-based elderly care programs. The structural supply problem faced by home-based elderly care programs is a prominent problem, and the RSHEC programs are an important aspect that has rarely been studied. This paper explores RSHEC programs under uncertainty by comprehensively considering the costs of home-based elderly care, such as the fixed costs, time, and transportation costs. First, a deterministic mixed integer programming (MIP) model was constructed to solve the general routing scheduling problem. In addition, to effectively cope with the uncertainty and risk of the modern market, the robust optimization theory and algorithm model are introduced, namely, the mixed integer box set robust optimization (MIBRO) model and the mixed integer ellipsoid set robust optimization (MIERO) model. Finally, MATLAB and the Gurobi package are applied to obtain the solutions of the models. The case verification shows that the MIP model has the lowest total cost under deterministic conditions. However, the MIERO and MIBRO models can achieve more robust RSHEC programs under uncertain conditions. The results prove the effectiveness and feasibility of the optimization model and algorithm, which provides reference value for management decisions regarding home-based elderly care programs.

The Effect of a Non-Pharmacological Multicomponent Pain Management Program on Pain Intensity and Quality of Life in Community-Dwelling Elderly Men With Chronic Musculoskeletal Pain

Background and AimImproving the level of care for the elderly with musculoskeletal pain requires pharmacological and non-pharmacological pain control methods. This study aimed to investigate the effect of a non-pharmacological pain management intervention on pain intensity and quality of life in community-dwelling older men with musculoskeletal pain who were referred to comprehensive healthcare centers in the city of Ilam, Iran. Materials and MethodsA quasi-experimental study with pre and post-test design was performed on 65 older men with chronic musculoskeletal pain. The samples were selected regarding inclusion criteria as available and randomly assigned to either the control (usual care) or the experimental group (educational intervention plus physical exercises). Baseline characteristics of participants, the Visual Analogue Scale, and the CASP-19 Quality of Life were used to collect data. Data were analyzed by SPSS software using the ANCOVA, independent and paired t-test, and chi-square test at the statistically significant level of 5 %. ResultsAccording to the findings, there was a significant difference between the experimental and control groups in terms of quality of life (p < .05) and pain intensity (p < .05) after the intervention. No relevant differences were found between groups regarding demographic characteristics at baseline. ConclusionsA six-week physical activity and education program for community-dwelling older men with chronic musculoskeletal pain could improve quality of life and decrease pain intensity after a one-month follow-up compared with usual care. Therefore, it seems necessary to consider pain management programs in the elderly care program and familiarize health care professionals with these pain control methods.

Implementation of Elderly School Bagja Lahir Batin in Raja Manggala Kulon, Cipatat, West Bandung, West Java Province

An increase in the number of the elderly population becomes a problem if the elderly experience a decline in health which has an impact on increasing healthcare costs, increasing disability rates, decreasing income, lack of social support and an environment that is less friendly to the elderly. BAZNAS (National Amil Zakat Agency) of West Java Province in collaboration with Yayasan Indonesia Ramah Lansia and the West Bandung District Government of West Java Province, is committed to providing services to the elderly and providing education to the public to care for the elderly, namely the Nya'ah Ka Kolot (care for the elderly) program. One of the activities of the Nya'ah Ka Kolot extensive program to contribute to improving the quality of life of the elderly is an informal school for the elderly called "Sekolah Lansia Bagja Lahir Batin". This activity is carried out once a month for ten months. Elderly who attends elderly schools experience an increase in knowledge and skills regarding physical, psychological, social and spiritual health problems so that the quality of life of the elderly has increased. The satisfaction index of the elderly attending senior school is above 80%.

Penerapan Algoritma K-Means untuk Klasterisasi Penduduk Miskin pada Kota Pagar Alam

The purpose of this study was to obtain a poverty data cluster in Pagar Alam City. The data collection of beneficiaries of the Program Keluarga Harapan (PKH) is not correct, the provision of assistance only pays attention to the criteria for poverty in general, so there are still many poor people who feel more deserving of PKH assistance. To overcome the problem of PKH recipients, it is necessary to cluster the community into various levels, so that the government can know the level of poverty of the community and can provide PKH assistance appropriately. The methods used in this study are CRISP-DM and the K-Means clustering algorithm. The attributes used are Identity Number, Name, Family Family Card Number, Poverty Rate, Pregnant Women, Early Childhood, Elementary School, Junior High School, Senior High School, Elderly, and Family Hope Program Recipient Group. This clustering process produced three clusters, namely cluster_0 as many as 156 people, cluster_1 as many as 82 people, and cluster_2 as many as 233 people. Furthermore, it was developed into a system with the Rapid Application Development (RAD) system development method. Thus producing a K-Means algorithm system to classify the poor in Pagar Alam City. The system test method uses black box testing with the alpha method and obtained database test results with a value of 4, interfaces with a value of 4, functionality of 4.42, and algorithms with a value of 4. In the testing process with UAT, in the system aspect got 87% of users agreed, in the user aspect 86% agreed, and in the interaction aspect 87% of users agreed. So it can be concluded that this system is worth using.

Interactomics: Dozens of Viruses, Co-evolving With Humans, Including the Influenza A Virus, may Actively Distort Human Aging.

Some viruses (e.g., human immunodeficiency virus 1 and severe acute respiratory syndrome coronavirus 2) have been experimentally proposed to accelerate features of human aging and of cellular senescence. These observations, along with evolutionary considerations on viral fitness, raised the more general puzzling hypothesis that, beyond documented sources in human genetics, aging in our species may also depend on virally encoded interactions distorting our aging to the benefits of diverse viruses. Accordingly, we designed systematic network-based analyses of the human and viral protein interactomes, which unraveled dozens of viruses encoding proteins experimentally demonstrated to interact with proteins from pathways associated with human aging, including cellular senescence. We further corroborated our predictions that specific viruses interfere with human aging using published experimental evidence and transcriptomic data; identifying influenza A virus (subtype H1N1) as a major candidate age distorter, notably through manipulation of cellular senescence. By providing original evidence that viruses may convergently contribute to the evolution of numerous age-associated pathways through co-evolution, our network-based and bipartite network-based methodologies support an ecosystemic study of aging, also searching for genetic causes of aging outside a focal aging species. Our findings, predicting age distorters and targets for anti-aging therapies among human viruses, could have fundamental and practical implications for evolutionary biology, aging study, virology, medicine, and demography.

HUBUNGAN INDEKS MASSA TUBUH (IMT) DENGAN STATUS KOGNITIF PADA LANSIA DI KELURAHAN TANJUNG BUNTUNG WILAYAH KERJA PUSKESMAS TANJUNG BUNTUNG KOTA BATAM TAHUN 2022

One of the main problems faced by the elderly is the deterioration of cognitive function which is a degenerative disease. According to the World Health Organization in 2021, there are more than 55 million elderly people worldwide who experience dementia and impaired cognitive function. According to data on elderly morbidity in Batam city, ten elderly health problems in Batam city include cognitive impairment as many as 30,693 cases and Body Mass Index (BMI) as many as 24,334 cases. The purpose of this study was to determine the relationship between Body Mass Index (BMI) and cognitive status in the elderly. This type of research is observative analytic using cross sectional method on 64 elderly people selected based on cluster random sampling. The research was conducted in Tanjung Buntung Village, Tanjung Buntung Health Center, Batam City. The results of this study showed that 51.6% of the elderly in Tanjung Buntung Village experienced cognitive decline and as many as 62.5% of the elderly had a low Body Mass Index (BMI). Based on the chi-square statistical test obtained p = 0.005 &lt;0.05, meaning that there is a significant relationship between Body Mass Index (BMI) and Cognitive Status in the elderly in Tanjung Buntung Village. The Head of Puskesmas Tanjung Buntung is expected to be able to make an elderly health program about counseling regarding cognitive impairment in the elderly and take regular measurements of Body Mass Index to the elderly in the Tanjung Buntung health centre.

S-02-4: BLOOD PRESSURE, ANTIHYPERTENSIVES AND DEMENTIA, AN INDIVIDUAL PATIENT DATA META-ANALYSIS

Background: A large number of observational studies show links between hypertension or higher blood pressure (BP) in mid-life and an increased risk of later dementia. In late life, the evidence is more mixed with some studies indicating higher BP is associated with higher dementia risk and some finding U-shaped associations between BP and incident dementia in older age. The clinical trials of antihypertensives to lower BP have shown largely negative results when examining the relationship between antihypertensive use and incident dementia. However, the trials were designed to examine cardiovascular endpoints and several stopped early for cardiovascular benefit thus limiting their statistical power and ability to accrue dementia outcomes. To overcome some of these limitations a pooled individual patient data meta-analysis of five seminal double-blind placebo-controlled randomised trials was undertaken to better define the effects of BP lowering treatment for the prevention of dementia. Methods: The double-blind placebo-controlled randomised antihypertensive trials; Action in Diabetes and Vascular disease: preterAx and diamicroN-MR Controlled Evaluation (ADVANCE), Hypertension in the Very Elderly Trial (HYVET), Perindopril Protection Against Recurrent Stroke Study (PROGRESS), Systolic Hypertension in the Elderly Program (SHEP), and SYSTolic Hypertension in EURope Trial (SYST-EUR) were merged into a single database. Multilevel logistic regression was used to evaluate the treatment effect on incident dementia. Effect modification was assessed for key population characteristics including age, baseline systolic BP, sex, baseline Mini-Mental State Exam (MMSE) score and presence of prior stroke. Results: All trials were balanced across randomised groups. The combined sample was n = 28,008 recruited from 20 countries. Mean baseline age was 69.1 (Standard Deviation 9.3). Median follow-up 4.3 years. Incident dementia occurred in 2.9% and 3.3% of those in active and placebo groups, respectively. Multilevel logistic regression reported an adjusted odds ratio 0.87 (95% confidence interval 0.75, 0.99) in favour of antihypertensive treatment reducing risk of incident dementia with a mean BP lowering of 10/4mmHg. Further multinomial regression taking account of death as a competing risk found similar results. There was no effect modification by age, sex, baseline systolic BP, baseline MMSE or prior stroke. Discussion: This is the first single-stage individual patient data meta-analysis from double-blind placebo-controlled clinical trials. It provides high-quality evidence to support the benefits of antihypertensive treatment in late-mid and later life to lower the risk of dementia. Questions remain as to the potential benefit from antihypertensive treatment commenced earlier in the life-course to reduce the long-term risk of dementia.

Meningkatkan Kemampuan Kader Posyandu Lansia melalui Penerapan Latihan GELASE (GERAKAN BALANCE EXERCISE)

The elderly experience decreased of muscle strength and balance which can lead to falls. Falls can be fatal and lead to death. So far, health programs have only focused on non-communicable diseases, so it is necessary to implement a program to prevent elderly from falls. GELASE exercise is an elderly physical exercise program that involves the lower limbs to improve its strength and balance. This program consisted of health education sessions, sharing sessions, exercises, and role play which were attended by five cadres and one community health centres nurse. The targets were given pre and post-program questionnaires and an evaluation form was carried out. It was known that all targets experienced an increase in knowledge and ability about the risk of falling and the GELASE exercise. It is important for the cadres to apply GELASE exercises regularly to the elderly group in their area.

A study for the development of the evaluation indicators for the middle-aged and elderly lifelong education program based on the Kirkpatrick model

이 연구는 최근 들어 중장년층을 위한 교육 프로그램에 대한 요구와 필요성이 높아짐에 따라 다양한 평생교육기관들이 제공하는 중장년층 대상 평생교육 프로그램의 성과를 종합적이고 체계적으로 평가하기 위한 평가지표를 개발하는데 목적을 두고 수행되었다. 이를 위해 우선 문헌연구를 통하여 교육프로그램 평가모형의 전형이라고 할 수 있는 Kirkpatrick 평가 모형 및 이를 활용한 선행연구에 대한 분석을 실시하였고, 국내외 사례 분석을 통하여 평가지표 초안을 개발하였다. 그리고 개발된 평가지표 초안를 토대로 교육담당자 FGI와 델파이조사를 통한 타당화 과정을 거친 후 최종적으로 반응평가, 학습평가, 행동평가의 3개 영역, 11개 항목, 51개 지표로 구성된 중장년층 대상 평생교육 프로그램 평가지표를 개발하였다. 그리고 이 연구를 통하여 개발된 평가지표를 실제 평가에 적용할 경우 상대평가가 아닌 교육프로그램 참여를 통하여 일정 기대 수준에 도달하였는지 여부를 확인하기 위한 목적으로 평가 결과를 활용할 필요가 있으며, 각 기관이 평가 지표를 통하여 프로그램 운영 및 성과에 대한 환류 역량을 함양할 수 있는 지침으로 활용할 필요가 있음을 시사점으로 제안하였다.

EVALUASI PROGRAM LANSIA DI WILAYAH KERJA PUSKESMAS PERAWANG TAHUN 2022

Evaluation is a systematic process that aims to collect, analyze, and present useful information that has benchmarks, and the results of these evaluations can be used to make policies. Based on data from the Siak District Health Office in 2020 from 15 Puskesmas in Siak Regency, the lowest data for the elderly in utilizing the Elderly Health Service in the Perawang Health Center with 184 elderly (14.09%). The purpose of the study was to analyze the Elderly Program in the Work Area of the Perawang Health Center. The type of research is qualitative analytic with an observational design. The research location is in the Work Area of the Perawang Health Center, Siak Regency (West Perawang Posyandu). The research time is February to April 2022. There are 6 informants in this research, consisting of 1 key informant (Head of Perawang Health Center), 3 main informants (Elderly Program holder of Perawang Health Center, Midwife, Kader), and 1 supporting informant. (Elderly Program Holder at the Health and Elderly Service). Data were collected utilizing in-depth interviews and observations. Data analysis was collected by triangulation of sources, methods, and data. The results of this study are the planning has been running following the regulations that have been set. Human Resources / Officers are still lacking. Because doctors are lacking, officers have never received training. The facilities are still lacking because there is only 1 kit for the elderly for the public health center and the Posyandu for the elderly does not have a fixed building. Monitoring and evaluation have not gone well because recording and reporting are not synchronized. We hope that Cross Programs will cooperate in implementing the Posyandu for the elderly.Keywords: Evaluation of Elderly Program, Monitoring &amp; Evaluation, Planning, Facilities.

Innovation of Elderly in Care Sticks in Maintaining Elderly Walking Balance and Speed

&#x0D; &#x0D; &#x0D; &#x0D; The study of balance in the elderly is a serious concern. Even the main goal of rehabilitation for elderly people who have fallen is to improve balance. The need for a simple, fast, and accurate balance-checking tool is expected to help the elderly rehabilitation program. The purpose of this research is to produce Assistive Technology in fulfilling ADL to reach the SMART elderly. Research Methods This type of research is a cross-sectional study with observational (survey). Observation of balance in the elderly with two measuring devices, namely balance and walking speed. This research was conducted at the Tresna Werda Nursing Home Jakarta in August 2022. The number of residents of the Tresna Werda Jakarta Nursing Home who participated in the inclusion and exclusion criteria selection was 30 people consisting of 10 (35%) men and 30 ( 65 %) females. The elderly who have fulfilled the inclusion and exclusion criteria become research subjects. In this study of the elderly using the I Care Stick, the results were better than the ordinary stick with a significance of 0.001. The average speed of respondents walking using the I Care Stick was 28.47 seconds and the normal walking stick was 31.87 seconds. In this study, it was found that the balance of the elderly who used the I Care Stick was more stable than the elderly who walked using a regular cane with a significance of 0.001, with the average slope that occurred on the I Care Stick at 21.13 seconds and the regular cane at 10.53. The elderly who used the I Care Cane significantly (p-value: 0.001) seemed to walk better than the regular cane with an average speed of 34.70 seconds, while the average speed of the cane was 42.80 seconds. The balance of the elderly who uses the I Care Cane is very significant compared to the elderly who walks using a regular cane.&#x0D; &#x0D; &#x0D; &#x0D;