Development and Evaluation of SIADIL (Sistem Informasi Aktivitas Dukungan Instrumental Lansia): A Community-Based Digital System to Enhance Older Adults’ Care in Rural Indonesia

Authors

DOI:

https://doi.org/10.56294/saludcyt20262596

Keywords:

Access to health services, Community vulnerability assessment, Health care for the poor, Health services accessibility, Social care service

Abstract

Introduction: older adults in rural areas face challenges in performing instrumental activities of daily living (IADLs) due to limited access to resources. However, intergenerational social support and increasing digital literacy among older adults present new opportunities for community-based technological interventions. This study aimed to develop and evaluate SIADIL (Sistem Informasi Aktivitas Dukungan Instrumental Lansia), a community-based digital system to optimize care for older adults in rural settings.
Method: this study used the ADDIE model. Data were collected from older adults, family caregivers, youth, and nurses through focus group discussions and usability testing. The evaluation was assessed using a structured questionnaire adapted from the System Usability Scale, covering the domains of usability, functionality, transportability, reliability, and acceptance. Quantitative data were analyzed using descriptive statistics. Qualitative feedback was analyzed thematically to identify areas for improvement in design and functionality.
Results: during the development phase, 21 participants, including older adults, family caregivers, youth, and nurses, were involved. The system also underwent expert validation focusing on content accuracy, functional suitability, and user interface quality. Seventy participants were included in the study during the evaluation phase. Overall, 95.7 % of respondents found the navigation clear and intuitive. Nearly all respondents (98.6 %) reported that the application was useful, efficient, and enhanced communication between caregivers and older adults.
Conclusions: SIADIL is a feasible, user-accepted innovation to enhance IADL performance among rural older adults through intergenerational and digital collaboration. Further testing is recommended to evaluate its long-term impact on older adults’ independence and quality of life.

 

References

1. BPS-Statistics Indonesia. Elderly Population Statistics 2024. Jakarta: BPS-Statistics Indonesia; 2024.

2. Wenang S, Schaefers J, Afdal A, Gufron A, Geyer S, Dewanto I, et al. Availability and accessibility of primary care for the remote, rural, and poor population of Indonesia. Frontiers in public health. 2021;9:721886.doi:https://doi.org/10.3389/fpubh.2021.721886 DOI: https://doi.org/10.3389/fpubh.2021.721886

3. Suyasa IGPD, Sutini NK, Kamaryati NP, Nuryanto IK. Determinant of functional disability in instrumental activities of daily living among elderly living in a rural area in Bali: a cross-sectional study. Jurnal Ners. 2023;18(2):110-6.doi:https://doi.org/10.20473/jn.v18i2.45700 DOI: https://doi.org/10.20473/jn.v18i2.45700

4. Mercan Y, Selcuk KT, Sayilan AA. The relationship between types of physical disabilities and the Instrumental Activities of Daily Living (IADL) in the elderly. Family Medicine & Primary Care Review. 2021;23(1).doi:https://doi.org/10.5114/fmpcr.2021.103153 DOI: https://doi.org/10.5114/fmpcr.2021.103153

5. Kodama S, Hoshi T, Kurimori S. Decline in independence after three years and its association with dietary patterns and IADL-related factors in community-dwelling older people: an analysis by age stage and sex. BMC geriatrics. 2021;21(1):385.doi:https://doi.org/10.1186/s12877-021-02332-5 DOI: https://doi.org/10.1186/s12877-021-02332-5

6. Yévenes-Briones H, Caballero FF, Struijk EA, Rey-Martinez J, Montes-Jovellar L, Graciani A, et al. Association between hearing loss and impaired physical function, frailty, and disability in older adults: a cross-sectional study. JAMA Otolaryngology–Head & Neck Surgery. 2021;147(11):951-8.doi:https://doi.org/0.1001/jamaoto.2021.2399 DOI: https://doi.org/10.1001/jamaoto.2021.2399

7. Ekadinata N, Hsu H-C, Chen Y-M, Chuang K-Y. Effects of social capital on healthcare utilization among older adults in Indonesia. Health Promotion International. 2023;38(5):daad104.doi:https://doi.org/10.1093/heapro/daad104 DOI: https://doi.org/10.1093/heapro/daad104

8. Widyastuti RH, Sahar J, Rekawati E, Kekalih A. Barriers and support for family caregivers in caring for older adults with dementia: a qualitative study in Indonesia. Nurse Media Journal of Nursing. 2023;13(2):188-201.doi:https://doi.org/10.14710/nmjn.v13i2.55729 DOI: https://doi.org/10.14710/nmjn.v13i2.55729

9. Putri TWS, Kafaa KA, Yuda TK. Community-care approach for social work practice: Learning from community-based healthcare for elderly in yogyakarta. J Ilmu Sos Ilmu Politik. 2020;23(3):198-209.doi:https://doi.org/10.22146/jsp.51896 DOI: https://doi.org/10.22146/jsp.51896

10. Absor MU, McDonald P, Utomo A, Houle B. Care arrangements of older persons in rural Indonesia: a study of six villages. Asian Population Studies. 2024;20(3):245-67.doi:https://doi.org/10.1080/17441730.2023.2193520 DOI: https://doi.org/10.1080/17441730.2023.2193520

11. Mete APKDA, Sudarsana P. Comparing well-being among rural and urban Indonesian older people: a quantitative analysis of the related factors. International Journal of Public Health. 2022;11(4):1553-61.doi:https://doi.org/10.11591/ijphs.v11i4.21752 DOI: https://doi.org/10.11591/ijphs.v11i4.21752

12. Lestari MD, Stephens C, Morison T. The role of local knowledge in multigenerational caregiving for older people. Journal of Intergenerational Relationships. 2023;21(3):339-59.doi:https://doi.org/10.1080/15350770.2022.2059606 DOI: https://doi.org/10.1080/15350770.2022.2059606

13. Jahangir S, Patil DS, Gangopadhyay J, Vogt TC. Understanding intergenerational dynamics and social support’s impact on health and well-being of older adults in South Asia: a scoping review. Systematic Reviews. 2025;14(1):86.doi:https://doi.org/10.1186/s13643-025-02833-z DOI: https://doi.org/10.1186/s13643-025-02833-z

14. Jia Q, Li S, Kong F. Association between intergenerational support, social integration, and subjective well-being among migrant elderly following children in Jinan, China. Frontiers in Public Health. 2022;10:870428.doi:https://doi.org/10.3389/fpubh.2022.870428 DOI: https://doi.org/10.3389/fpubh.2022.870428

15. Pinazo-Hernandis S, Carrascosa C. Effectiveness of intergenerational programs to reduce loneliness: A scoping review and reflections. Journal of Intergenerational Relationships. 2025;23(3):361-78.doi:https://doi.org/10.1080/15350770.2024.2400278 DOI: https://doi.org/10.1080/15350770.2024.2400278

16. Whear R, Campbell F, Rogers M, Sutton A, Robinson‐Carter E, Sharpe R, et al. What is the effect of intergenerational activities on the wellbeing and mental health of older people?: A systematic review. Campbell systematic reviews. 2023;19(4):e1355.doi:https://doi.org/10.1002/cl2.1355 DOI: https://doi.org/10.1002/cl2.1355

17. Suragarn U, Hain D, Pfaff G. Approaches to enhance social connection in older adults: An integrative review of literature. Aging and Health Research. 2021;1(3):100029.doi:https://doi.org/10.1016/j.ahr.2021.100029 DOI: https://doi.org/10.1016/j.ahr.2021.100029

18. Samsudin R, Sulaiman R, Guan TT, Yusof AM, Firdaus M, Yaacob C. Mobile Application Development Through ADDIE Model. International Journal of Academic Research in Progressive Education and Development. 2021;10(2):1017-27.doi:http://dx.doi.org/10.6007/IJARPED/v10-i2/10328

19. BPS-Statistics Gianyar Regency. Payangan District in Figures. Gianyar: BPS-Statistics Gianyar Regency,; 2025.

20. Guest G, Namey E, McKenna K. How many focus groups are enough? Building an evidence base for nonprobability sample sizes. Field Methods. 2017;29(1):3-22.doi:https://doi.org/10.1177/1525822X16639015 DOI: https://doi.org/10.1177/1525822X16639015

21. Brooks J. SUS—A “quick and dirty” usability scale. Digital Equipment Corporation. 1986.

22. Sharfina Z, Santoso HB, editors. An Indonesian adaptation of the system usability scale (SUS). 2016 International conference on advanced computer science and information systems (ICACSIS); 2016: IEEE. DOI: https://doi.org/10.1109/ICACSIS.2016.7872776

23. Fikri MA, Huda H, editors. React Based Village Website Front-End Application. 2024 IEEE 22nd Student Conference on Research and Development, SCOReD 2024; 2024: Institute of Electrical and Electronics Engineers Inc. https://doi.org/10.1109/SCOReD64708.2024.10872683. DOI: https://doi.org/10.1109/SCOReD64708.2024.10872683

24. Lekapol A, Raksanam B, Sornkaew W, Thirarattanasunthon P, Nak-ai W, Bunmalert A, et al. Community-Driven Development of the Chalerm App: A Mobile Health Application for Chronic Disease Management and Elderly Care in Southern Thailand. Journal of Multidisciplinary Healthcare. 2025;18:6115-25.doi:https://doi.org/10.2147/JMDH.S541792 DOI: https://doi.org/10.2147/JMDH.S541792

25. Mohamed Nazar NI, Ab Rahman NS, Alias NE, Zaini S, Tg Mohd Kamil TK, Jamani NA, et al. Impak Sihat: A telehealth system development and feasibility evaluation to empower rural population in Malaysia on the quality use of medicines. PLOS Digit Health. 2025;4(8 August).doi:https://doi.org/10.1371/journal.pdig.0000937 DOI: https://doi.org/10.1371/journal.pdig.0000937

26. Villa-García L, Davey V, Peréz LM, Soto-Bagaria L, Risco E, Díaz P, et al. Co-designing implementation strategies to promote remote physical activity programs in frail older community-dwellers. Frontiers in Public Health. 2023;11.doi:https://doi.org/10.3389/fpubh.2023.1062843 DOI: https://doi.org/10.3389/fpubh.2023.1062843

27. Díaz M, Gil RM, Cabeza LF, Cerezo E, Teixidó M. Enhancing active aging through IRAGE: Mitigating social isolation with intergenerational gaming. Heliyon. 2024;10(12).doi:https://doi.org/10.1016/j.heliyon.2024.e32979 DOI: https://doi.org/10.1016/j.heliyon.2024.e32979

28. Fang ML, Sixsmith J, Hamilton-Pryde A, Rogowsky R, Scrutton P, Pengelly R, et al. Co-creating inclusive spaces and places: Towards an intergenerational and age-friendly living ecosystem. Frontiers in Public Health. 2023;10:996520.doi:https://doi.org/10.3389/fpubh.2022.996520 DOI: https://doi.org/10.3389/fpubh.2022.996520

29. Abdulmunem SA, Shok ME, Hussain Al-Hussaini ZI, Alkinani AS. Multigenerational Urban Design: Creating Urban Spaces That Support Active Aging and Intergenerational Interaction. International Journal of Sustainable Development & Planning. 2024;19(10).doi:https://doi.org/10.18280/ijsdp.191004 DOI: https://doi.org/10.18280/ijsdp.191004

30. Fernandez-Bueno L, Torres-Enamorado D, Bravo-Vazquez A, Rodriguez-Blanco C, Bernal-Utrera C. Technological Innovations to Support Family Caregivers: A Scoping Review. Healthcare. 2024;12(23):2350.doi:https://doi.org/10.3390/healthcare12232350 DOI: https://doi.org/10.3390/healthcare12232350

31. Yazdani-Darki M, Rahemi Z, Adib-Hajbaghery M, Izadi-Avanji FS. Older Adults' Barriers to Use Technology in Daily Life: A Qualitative Study. Nursing and Midwifery Studies. 2020;9(4):229-36.doi:https://doi.org/10.4103/nms.nms_91_19

32. Handajani YS, Schröder-Butterfill E, Hogervorst E, Turana Y, Hengky A. Functional dependency and its associated factors among older adults in Indonesia. Aging Medicine and Healthcare. 2022.doi:https://doi.org/10.33879/AMH.XXX.2022.05051 DOI: https://doi.org/10.33879/AMH.143.2022.05051

33. Parra-Rodríguez L, Reyes-Ramírez ED, Pérez-Sanpablo AI. Gerontechnology. Aging Research—Methodological Issues: Springer; 2024. p. 197-210. DOI: https://doi.org/10.1007/978-3-031-76469-1_14

34. Wei Y, Chen J. Sustainable Design for the Silver Society: Developing the Silver Model for Gerontechnology Product Innovation. Sustainability. 2025;17(1):42.doi:https://doi.org/10.3390/su17010042 DOI: https://doi.org/10.3390/su17010042

35. Kulrattanarak C, Anantaransi P, Kanchanarusmeechoti P, Suwannapasri N, Weeramongkolkul M, Mekintharanggur D, et al. Design and Development of a Mobile-based Caretaking System for the Elderly People in Thailand: A Design Thinking Approach. Infocommunications Journal. 2023 DOI: https://doi.org/10.36244/ICJ.2023.6.4

36. Lee HY, Choi EY, Kim Y, Neese J, Luo Y. Rural and Non-Rural Digital Divide Persists in Older Adults: Internet Access, Usage, and Perception. Innovation in Aging. 2020;4(Supplement_1):412-3.doi:https://doi.org/10.1093/geroni/igaa057.1329 DOI: https://doi.org/10.1093/geroni/igaa057.1329

37. Kaboré SS, Ngangue P, Soubeiga D, Barro A, Pilabré AH, Bationo N, et al. Barriers and facilitators for the sustainability of digital health interventions in low and middle-income countries: a systematic review. Frontiers in digital health. 2022;4:1014375.doi:https://doi.org/10.3389/fdgth.2022.1014375 DOI: https://doi.org/10.3389/fdgth.2022.1014375

38. Kawaguchi K, Nakagomi A, Ide K, Kondo K. Effects of a Mobile app to promote Social Participation on older adults: Randomized Controlled Trial. Journal of Medical Internet Research. 2024;26:e64196.doi:https://doi.org/10.2196/64196 DOI: https://doi.org/10.2196/64196

39. Anderson ET, McFarlane J. Community as Partner: Theory and Practice in Nursing. 8th ed: Lippincott Williams & Wilkins/Wolters Kluwer Health; 2018.

40. Efendi F. Community Health Nursing in Indonesia: Bridging the Gap Between Urban and Rural Healthcare. Indonesian Nursing Journal of Education and Clinic (INJEC). 2023;8(1):1-2 DOI: https://doi.org/10.24990/injec.v7i1.565

Downloads

Published

2026-01-01

How to Cite

1.
Darma Suyasa IGP, Buntari Agustini NLPI, Israfil I. Development and Evaluation of SIADIL (Sistem Informasi Aktivitas Dukungan Instrumental Lansia): A Community-Based Digital System to Enhance Older Adults’ Care in Rural Indonesia. Salud, Ciencia y Tecnología [Internet]. 2026 Jan. 1 [cited 2025 Dec. 29];6:2596. Available from: https://sct.ageditor.ar/index.php/sct/article/view/2596