Other Titles
Enhancing Community Health Volunteers' Competencies [Title Slide]
Abstract
Indonesia faces a shortage of healthcare professionals (3.84 per 1,000 population, compared with the WHO standard of 4.45). Additionally, Community Health Volunteers (CHVs) play a crucial role in community-based geriatric care in Indonesia. However, their competencies in conducting Intrinsic Capacity (IC) screening remain limited.
This study aims to evaluate the effectiveness of a structured training program in improving CHV knowledge and skills related to intrinsic capacity screening.
A pre–post quasi-experimental design was employed with a total of 120 eligible CHVs recruited from three PHCs through purposive judgmental sampling. The two-day training program and a month of personal guidance were implemented using validated instruments and protocols adapted from the WHO ICOPE framework and SKILAS. Knowledge and skill were measured before and after the training by the Wilcoxon signed-rank test. Adherence, accuracy, and time efficiency were measured during the screening process conducted by CHVs.
The participants' mean age was 53 years (SD = 9.15), with the majority being female (97.5%), having a high school education (57.5%), and being housewives (77.5%). Pre-test scores averaged 74.76 (SD = 14.81), increasing to 89.05 (SD = 10.91) post-test. Statistical analysis revealed a significant improvement in knowledge following training (Z = -7.290, p < 0.001). Moreover, the CHV shows good adherence (90.53 + 4.84) and accuracy (81.18 + 4.22), with efficiency of time (1280.90 + 318.65 seconds).
The structured training program substantially enhanced CHVs’ competencies in intrinsic capacity screening, reinforcing their role in early detection of functional decline among older adults. Implementing standardized CHV training can strengthen community-based healthy aging initiatives and support the operationalization of the WHO ICOPE framework in low-resource settings.
Notes
References:
Ali, M. N., & Ahmad, A. (2020). The role of home care Community Health Volunteers (CHV) in Malaysia. International Journal for Studies on Children, Women, Elderly, and Disabled, 10, 54–60. https://www.researchgate.net/publication/343205959
Basrowi, R. W., Rahayu, E. M., Khoe, L. C., Wasito, E., & Sundjaya, T. (2021). The road to healthy ageing: What has Indonesia achieved so far? In Nutrients (Vol. 13, Issue 10). MDPI. https://doi.org/10.3390/nu13103441
Cheng, Y. C., Kuo, Y. C., Chang, P. C., Li, Y. C., Huang, W. T., Chen, W., & Chou, C. Y. (2021). Geriatric functional impairment using the integrated care for older people (ICOPE) approach in community-dwelling elderly and its association with Dyslipidemia. Vascular Health and Risk Management, 17, 389–394. https://doi.org/10.2147/VHRM.S305490
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Choi, J.-Y., Rajaguru, V., Shin, J., & Kim, K. (2023). Comprehensive geriatric assessment and multidisciplinary team interventions for hospitalized older adults: A scoping review. Archives of Gerontology and Geriatrics, 104, 104831. https://doi.org/https://doi.org/10.1016/j.archger.2022.104831
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González-Bautista, E., De Souto Barreto, P., Virecoulon Giudici, K., Andrieu, S., Rolland, Y., & Vellas, B. (2021). Frequency of Conditions Associated with Declines in Intrinsic Capacity According to a Screening Tool in the Context of Integrated Care for Older People. Journal of Frailty and Aging, 10(2), 94–102. https://doi.org/10.14283/jfa.2020.4
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Howell, B. M., Seater, M., Davis, K., & McLinden, D. (2022). Determining the importance and feasibility of various aspects of healthy ageing among older adults using concept mapping. Ageing and Society, 42(6), 1403–1421. https://doi.org/10.1017/S0144686X20001580
Jiang, X., Chen, F., Yang, X., Yang, M., Zhang, X., Ma, X., & Yan, P. (2023). Effects of personal and health characteristics on the intrinsic capacity of older adults in the community: a cross-sectional study using the healthy aging framework. BMC Geriatrics, 23(1), 643. https://doi.org/10.1186/s12877-023-04362-7
Kennedy, M. A., Hatchell, K. E., DiMilia, P. R., Kelly, S. M., Blunt, H. B., Bagley, P. J., LaMantia, M. A., Reynolds, C. F., Crow, R. S., Maden, T. N., Kelly, S. L., Kihwele, J. M., & Batsis, J. A. (2021). Community health worker interventions for older adults with complex health needs: A systematic review. In Journal of the American Geriatrics Society (Vol. 69, Issue 6, pp. 1670–1682). John Wiley and Sons Inc. https://doi.org/10.1111/jgs.17078
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Sigma Membership
Non-member
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Quasi-Experimental Study, Other
Research Approach
Quantitative Research
Keywords:
Mentoring and Coaching, Primary Care, Teaching and Learning Strategies, Older People, Community Health Services, Indonesia
Recommended Citation
Resna, Riksa Wibawa; Chen, Ching-Min; and Nguyen, Tram Thi Bich, "Enhancing Community Health Volunteers in Screening Indonesian Community-Dwelling Older Adults" (2026). International Nursing Research Congress (INRC). 286.
https://www.sigmarepository.org/inrc/2026/presentations_2026/286
Conference Name
37th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Toronto, Ontario, Canada
Conference Year
2026
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All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Date of Issue
2026-09-23
Enhancing Community Health Volunteers in Screening Indonesian Community-Dwelling Older Adults
Toronto, Ontario, Canada
Indonesia faces a shortage of healthcare professionals (3.84 per 1,000 population, compared with the WHO standard of 4.45). Additionally, Community Health Volunteers (CHVs) play a crucial role in community-based geriatric care in Indonesia. However, their competencies in conducting Intrinsic Capacity (IC) screening remain limited.
This study aims to evaluate the effectiveness of a structured training program in improving CHV knowledge and skills related to intrinsic capacity screening.
A pre–post quasi-experimental design was employed with a total of 120 eligible CHVs recruited from three PHCs through purposive judgmental sampling. The two-day training program and a month of personal guidance were implemented using validated instruments and protocols adapted from the WHO ICOPE framework and SKILAS. Knowledge and skill were measured before and after the training by the Wilcoxon signed-rank test. Adherence, accuracy, and time efficiency were measured during the screening process conducted by CHVs.
The participants' mean age was 53 years (SD = 9.15), with the majority being female (97.5%), having a high school education (57.5%), and being housewives (77.5%). Pre-test scores averaged 74.76 (SD = 14.81), increasing to 89.05 (SD = 10.91) post-test. Statistical analysis revealed a significant improvement in knowledge following training (Z = -7.290, p < 0.001). Moreover, the CHV shows good adherence (90.53 + 4.84) and accuracy (81.18 + 4.22), with efficiency of time (1280.90 + 318.65 seconds).
The structured training program substantially enhanced CHVs’ competencies in intrinsic capacity screening, reinforcing their role in early detection of functional decline among older adults. Implementing standardized CHV training can strengthen community-based healthy aging initiatives and support the operationalization of the WHO ICOPE framework in low-resource settings.
Description
This study assessed a structured training program to improve CHVs’ knowledge and skills in intrinsic capacity screening. In 120 CHVs across three health centers, the intervention led to significant knowledge gains (Z = –7.290, p < 0.001) and high adherence, accuracy, and efficiency. Structured training effectively strengthened CHV competencies for early detection of functional decline in older adults.