ArticleFlorence Nightingale journal of nursing2026
Effectiveness of an Android-Based Loneliness Prevention Intervention for Community-Dwelling Older Adults in Indonesia: A Quasi-Experimental Study.
Article in Florence Nightingale journal of nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
aimThis study aimed to evaluate the effectiveness of SIAGA (Sistem Intervensi Anti-Kesepian untuk Geriatri), a culturally adapted Android application, in reducing loneliness among community-dwelling older adults in Indonesia.
methodsA quasi-experimental study with a pre-test post-test non-equivalent control group design was conducted from June to July 2025 in Payung Sekaki District, Pekanbaru City, Indonesia. One hundred older adults (≥60 years) living with families were recruited through multistage cluster sampling and allocated to the intervention group (n = 50, receiving the SIAGA app with music, videos, stories, and cognitive games) or the control group (n = 50, standard care). The validated Indonesian UCLA Loneliness Scale Version 3 (19 items) was administered at baseline, two weeks, and four weeks post-intervention. Statistical analysis included independent t-tests and repeated-measures General Linear Model.
resultsSignificant loneliness reductions were observed in the intervention group compared to controls at 2 weeks (22.00 Å} 1.64 vs. 45.74 Å} 4.19, p < .001) and 4 weeks (17.60 Å} 1.74 vs. 46.54 Å} 3.87, p < .001) post-intervention. The intervention group demonstrated a 60.4% reduction at 2 weeks and a 68.1% reduction at 4 weeks from baseline (55.50 Å} 1.82). A total of 94% of intervention participants achieved clinically meaningful improvement (≥5-point reduction) compared with 8% of controls.
conclusionThe SIAGA application effectively reduced loneliness among Indonesian communitydwelling older adults, demonstrating superior effectiveness compared to standard care. This digital intervention delivered through community health networks represents a promising, scalable model for addressing mental health needs in aging populations. Cite this article as: Ezalina, E., Deswinda, D., & Maputra, Y. (2026). Effectiveness of an android-based loneliness prevention intervention for community-dwelling older adults in Indonesia: A quasi-experimental study. Florence Nightingale Journal of Nursing, 34, 0374, doi: 10.5152/FNJN.2026.25374.
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