Effect of a Dementia Care Class on Knowledge of Community-Based Dementia Care among Informal Caregivers: A Pre-Experimental Study
Abstract
Background. Dementia is developing rapidly, marked by the increasing prevalence of dementia in the world every year, in line with the growing number of the elderly population. Dementia causes dependence, reduced quality of life, and even disability. It is necessary to prevent and treat dementia by empowering informal caregivers.
Objectives.This study aimed to determine the effect of a dementia care class on knowledge of community-based dementia care.
Methods. A pre-experimental pretest–posttest design with a control group was employed. This research was conducted in the Work Area of the Kaliwungu and Dawe Health Centers, Kudus Regency. A sample of 24 informal caregivers for each intervention and control group was taken using purposive sampling. The research instrument used the Alzheimer's Disease Knowledge Scale (ADKS). The intervention dementia care class was conducted in 4 sessions on two days with a duration of 45-60 minutes per session. Wilcoxon and Man Whitney were used for data analysis.
Results. The results showed a statistically significant increase in knowledge scores among informal caregivers in the intervention group compared to the control group with p-value = 0.001 (p <0.05).
Conclusion. Dementia Care Class improves knowledge of informal caregiver. These learning models and media can be integrated into elderly posyandu and elderly health programs in healthcare facilities in community-based dementia management.
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Cohen, S. A., Sabik, N. J., Cook, S. K., Azzoli, A. B., & Mendez-Luck, C. A. (2019). Differences within Differences: Gender Inequalities in Caregiving Intensity Vary by Race and Ethnicity in Informal Caregivers. Journal of Cross-Cultural Gerontology, 34(3), 245–263. https://doi.org/10.1007/s10823-019-09381-9
Dawes, P., Leroi, I., Chauhan, N., Han, W., Harbishettar, V., Jayakody, D. M. P., Jones, L., Konstantinou, A., Maharani, A., Martini, A., Politis, A., Prabhakar, S., Prew, S., Prouskas, C., Russell, G., Sturrock, A., Sunarti, S., Taylor, J., Vorvolakos, T., & Worthington, M. (2021). Hearing and vision health for people with dementia in residential long term care: Knowledge, attitudes, and practice in England, South Korea, India, Greece, Indonesia, and Australia. International Journal of Geriatric Psychiatry, 36(10), 1531–1540. https://doi.org/10.1002/gps.5563
Gérain, P., & Zech, E. (2019). Informal Caregiver burnout? Development of a theoretical framework to understand the impact of caregiving. Frontiers in Psychology, 10(JULY). https://doi.org/10.3389/fpsyg.2019.01748
Green, Lawrence W., & Kreuter, Marshall W. 1991. Health Promotion Planning. An Educational and Environmental Approach. London: Toronto– Mayfield.Publishing Company.
Hasan, L. A., Pratiwi, A., & Sari, R. P. (2020). The effect of training mental health cadres in increasing the knowledge, skills, attitudes, perceptions, and self-efficacy of mental health cadres in caring for people with mental disorders.Journal of Health Sciences, 1(6), 377–384. https://doi.org/10.46799/jhs.v1i6.67
Hekmatpou, D., Baghban, E. M., & Dehkordi, L. M. (2019). The effect of patient care education on the burden of care and the quality of life of caregivers of stroke patients. Journal of Multidisciplinary Healthcare, 12, 211–217. https://doi.org/10.2147/JMDH.S196903
Hidayah, Nurul and Almira Rahmatika. (2021). Sidemen: Empowering Elderly Posyandu Cadres in Dementia Prevention. https://prosiding.umy.ac.id/semnasppm/index.php/psppm/article/view/618
Jauhar, M., I., Kartikasari, F., Rachmawati, U., & Faridah, U. (2022). Community Health Volunteer Up Skilling Increase Community-Based Stunting Early Detection Knowledge. Prima Health Journal, 16(2), 119-131. doi:https://doi.org/10.32807/jkp.v16i2.768
Kudus Health Office. (2021). Kudus Regency Health Profile 2021.Kudus Health Office.
Mediani, H. S., Hendrawati, S., Pahria, T., Mediawati, A. S., & Suryani, M. (2022). Factors Affecting the Knowledge and Motivation of Health Cadres in Stunting Prevention Among Children in Indonesia. Journal of Multidisciplinary Healthcare, 15(May), 1069–1082. https://doi.org/10.2147/JMDH.S356736
Muliatie, Y. E., Jannah, N., & Suprapti, S. (2021). Prevention of Dementia/Alzheimer's in Prigen Village, Prigen District, Pasuruan Regency.Proceedings of the National Conference on Community Service and Corporate Social Responsibility (PKM-CSR), 4, 379–387. https://doi.org/10.37695/pkmcsr.v4i0.1308
Notoatmodjo S. 2012. Promosi Kesehatan dan Perilaku Kesehatan. Jakarta: PT Rineka Cipta.
Nugraha, S., Agustin, D., Rahardjo, T. B. W., & Yuko, H. (2019). Training for Posbindu Cadres on "Long Term Care" (Long Term Care) for Seniors in Depok City.Pamas, 3(2), 113–120. https://doi.org/10.52643/pamas.v3i2.614
Nurroh, S. 2017. Filsafat Ilmu. Assignment Paper of Philosophy of Geography Science: Universitas Gajah Mada.
Purnamasari, H., Shaluhiyah, Z., & Kusumawati, A. (2020). Pelatihan kader posyandu sebagai upaya pencegahan stunting pada balita di wilayah kerja puskesmas margadana dan puskesmas tegal selatan kota tegal. Jurnal Kesehatan Masyarakat, 8(3), 432-439. https://doi.org/10.14710/jkm.v8i3.26580
Ratnasari, N. Y., Marni, M., & Husna, P. H. (2019). Knowledge, Behavior, and Role of Health Cadres in The Early Detection of New Tuberculosis Case in Wonogiri. Journal of Public Health, 15(2), 235–240. https://doi.org/10.15294/kemas.v15i2.20647
Recep, O. R., & Kartal, A. (2019). Influence of caregiver burden on the well-being of family member caregivers of older adults. Psychogeriatrics, 19(5), 482–490. https://doi.org/10.1111/psyg.12421
Saini, R., & Maiti, T. (2018). Critical Comment on Depression in Main Caregivers of Dementia Patients: Prevalence and Predictors. Advanced Biomedical Research, 7(1), 105. https://doi.org/10.4103/abr.abr_48_18
Strunoiu, L. M., Strunoiu, C. M., Chirita, A. L., Pirlog, M. C., & Tica, A. A. (2019). Factors that Impact Caregivers of Patients with Schizophrenia. Current Health Sciences Journal, 45(3), 301–310. https://doi.org/10.12865/CHSJ.45.03.09
Tampake, R., Arianty, R., Mangundap, S. A., Emy, B., & Sasmita, H. (2021). The effectiveness of training on improving the ability of health cadres in early detection of stunting in toddlers. Open Access Macedonian Journal of Medical Sciences, 9(E), 373–377. https://doi.org/10.3889/oamjms.2021.6067
Taufik A , Sari Y , Alivian, GN. (2018). Increasing Knowledge about Dementia in Elderly Posyandu Cadres in Mersi Sub-District through Counseling and Empowerment Activities.http://jurnal.lppm.unsoed.ac.id/ojs/index.php/Prosiding/article/view/696
Tripathy, J.P., Goel, S. & Kumar, A.M.V. Measuring and understanding motivation among community health workers in rural health facilities in India mixed method study. BMC Health Serv Res 16, 366 (2016). https://doi.org/10.1186/s12913-016-1614-0
Tsai, C. F., Hwang, W. S., Lee, J. J., Wang, W. F., Huang, L. C., Huang, L. K., Lee, W. J., Sung, P. S., Liu, Y. C., Hsu, C. C., & Fuh, J. L. (2021). Predictors of caregiver burden in aged caregivers of demented older patients. BMC Geriatrics, 21(1), 1–9. https://doi.org/10.1186/s12877-021-02007-1
Wahyuni, et al. 2019. The Effect of Posyandu Cadre Training with Integrated Modules on Increasing Knowledge, Attitudes, and Participation of Posyandu Cadres. https://doi.org/10.32536/jrki.v3i2.60
Wang, C., Song, P., & Niu, Y. (2022). The management of dementia worldwide: A review on policy practices, clinical guidelines, end-of-life care, and challenge along with the aging population. BioScience Trends, 16(2), 119–129. https://doi.org/10.5582/bst.2022.01042
Xiong, C., Biscardi, M., Astell, A., Nalder, E., Cameron, J. I., Mihailidis, A., & Colantonio, A. (2020). Sex and gender differences in caregiving burden experienced by family caregivers of persons with dementia: A systematic review. PLoS ONE, 15(4), 1–22. https://doi.org/10.1371/journal.pone.0231848
Published
2026-01-30
How to Cite
TIARA, Novi et al.
Effect of a Dementia Care Class on Knowledge of Community-Based Dementia Care among Informal Caregivers: A Pre-Experimental Study.
Journal of Bionursing, [S.l.], v. 8, n. 1, p. 16-26, jan. 2026.
ISSN 2685-6484.
Available at: <https://jos.unsoed.ac.id/index.php/job/article/view/16868>. Date accessed: 10 feb. 2026.
doi: https://doi.org/10.20884/1.job.2026.8.1.16868.
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