The Effect of Elderly Gymnastics Intervention And Interactive Counselling Skills on Muscle Strength, Self-Efficacy, and Health Commitment

Vol.20,No.1(2026)

Abstract

Background: Ageing is commonly associated with a decline in physical function, particularly in muscle strength and fitness. Interventions that combine physical activity and psychosocial support may help maintain function and enhance well-being. This study explores the impact of elderly gymnastics intervention combined with interactive counselling skills on increasing muscle strength, self-efficacy, and health commitment in the elderly.

Method: A true experimental study was conducted involving 60 elderly participants (aged 60–75 years) who were randomly assigned into three groups: Group 1 received both elderly gymnastics and interactive counselling, Group 2 received elderly gymnastics only, and Group 3 served as the control group. The intervention lasted six weeks. Outcomes measured included muscle strength (using a handgrip dynamometer), self-efficacy (visual analogue scale), and health commitment (numeric activity participation score). Data were analysed using paired t-tests and ANOVA.

Results: Significant improvements were observed in Group 1 compared to Groups 2 and 3. Group 1 showed the highest increases in muscle strength (p = 0.013), self-efficacy (p = 0.022), and health commitment (p < 0.001). The combination of physical and counselling interventions was more effective than physical exercise alone or no intervention.

Conclusion: A combined elderly gymnastics and interactive counselling program effectively improves both physical and psychological outcomes in older adults. This integrated approach is recommended to promote healthy ageing and improve quality of life.


Keywords:
elderly exercise; interactive counseling skills; muscle strength; self-efficacy; health commitment
References

Abrams, D., & Hogg, M. A. (2010). Social Identity and Self-Categorization. In J. F. Dovidio, M. Hewstone, P. Click, & V. M. Esses (Eds.), The SAGE Handbook of Prejudice, Stereotyping and Discrimination (1st ed., pp. 179–194). SAGE Publications Ltd. https://doi.org/https://dx.doi.org/10.4135/9781446200919

American Heart Association editorial staff. (2011). Learn and live: Physical activity. American Heart Association. https://www.heart.org/en/health-topics/cardiac-rehab/getting-physically-active

Amesberger, G., Finkenzeller, T., Müller, E., & Würth, S. (2019). Aging-related changes in the relationship between the physical self-concept and the physical fitness in elderly individuals. Scandinavian Journal of Medicine and Science in Sports, 29(S1), 26–34. https://doi.org/10.1111/sms.13377

Annesi, J. J., & Whitaker, A. C. (2007). Relations of Changes in Self-Efficacy, Exercise Attendance, Mood, and Perceived and Actual Physical Changes in Obese Women : Assessing Treatment Effects Using Tenets of Self- Efficacy Theory. Journal of Social, Behavioral, and Health Sciences, 1(1), 72–85. https://doi.org/10.5590/JSBHS.2007.01.1.05

Azizan, A., Justine, M., & Kuan, C. S. (2013). Effects of a behavioral program on exercise adherence and exercise self-efficacy in community-dwelling older persons. Current Gerontology and Geriatrics Research, 2013, 1–9. https://doi.org/10.1155/2013/282315

Bandura, A. (2010). Self-efficacy. In The Corsini Encyclopedia of Psychology (pp. 1–3). John Wiley & Sons. https://doi.org/https://doi.org/10.1002/9780470479216.corpsy0836

Bandura, A. (2012). The role of self-efficacy in goal-based motivation. In E. A. Locke & G. P. Latham (Eds.), New developments in goal setting and task performance. In New developments in goal setting and task performance (1st ed., pp. 147–157). Routledge/Taylor & Francis Group.

Bandura, A., & Locke, E. A. (2003). Negative self-efficacy and goal effects revisited. Journal of Applied Psychology, 88(1), 87–99. https://doi.org/10.1037/0021-9010.88.1.87

Brandon, L. (2009). Anatomy for Strength and Fitness Training for Speed: An Illustrated Guide to Your Muscles in Action (1st ed.). McGraw-Hill Education.

Butryn, M. L., Forman, E., Hoffman, K., Shaw, J., & Juarascio, A. (2011). A pilot study of acceptance and commitment therapy for promotion of physical activity. Journal of Physical Activity and Health, 8(4), 516–522. https://doi.org/10.1123/jpah.8.4.516

Cosley, B. J., McCoy, S. K., Saslow, L. R., & Epel, E. S. (2010). Is compassion for others stress buffering? Consequences of compassion and social support for physiological reactivity to stress. Journal of Experimental Social Psychology, 46(5), 816–823. https://doi.org/10.1016/j.jesp.2010.04.008

Datmojo, R. D., & Martono, H. H. (1999). Geriatri: Ilmu Kesehatan Usia Lanjut. (1st ed.). FKUI Publisher.

Dedeyne, L., Deschodt, M., Verschueren, S., Tournoy, J., & Gielen, E. (2017). Effects of multi-domain interventions in (pre)frail elderly on frailty, functional, and cognitive status: A systematic review. Clinical Interventions in Aging, 12, 873–896. https://doi.org/10.2147/CIA.S130794

DiBrezzo, R., Shadden, B. B., Raybon, B. H., & Powers, M. (2005). Exercise intervention designed to improve strength and dynamic balance among community-dwelling older adults. Journal of Aging and Physical Activity, 13(2), 198–209. https://doi.org/10.1123/japa.13.2.198

Flatt, A. E. (1960). The aging hand. Geriatrics, 15(2), 733–745.

Hamar, B., Coberley, C. R., Pope, J. E., & Rula, E. Y. (2013). Impact of a senior fitness program on measures of physical and emotional health and functioning. Population Health Management, 16(6), 364–372. https://doi.org/10.1089/pop.2012.0111

Hartmann, A., Murer, K., De Bie, R. A., & De Bruin, E. D. (2009). The effect of a foot gymnastic exercise programme on gait performance in older adults: A randomised controlled trial et al. Disability and Rehabilitation, 31(25), 2101–2110. https://doi.org/10.3109/09638280902927010a

Heyward, V. H., & Gibson, A. L. (2014). Advanced Fitness Assessment Exercise Prescriptio (A. N. Tocco (ed.); 7th ed., pp. 1–22). Burgess Publishing Company.

Hill, A., & Brettle, A. (2005). The effectiveness of counselling with older people: Results of a systematic review. Counselling and Psychotherapy Research, 5(4), 265–272. https://doi.org/10.1080/14733140500510374

Indonesian Health Ministry. (2015). National Policy and Strategy for the Prevention and Control of Non-Communicable Diseases. Indonesia Health Ministry.

Johnson, R. (2004). Peer Assessments in Physical Education. Journal of Physical Education, Recreation & Dance, 75(8), 33–40. https://doi.org/10.1080/07303084.2004.10607287

Kay, A. D., & Blazevich, A. J. (2009). Isometric contractions reduce plantar flexor moment, Achilles tendon stiffness, and neuromuscular activity but remove the subsequent effects of stretch. Journal of Applied Physiology, 107(4), 1181–1189. https://doi.org/10.1152/japplphysiol.00281.2009

Kemmler, W., von Stengel, S., Engelke, K., Häberle, L., Mayhew, J. L., & Kalender, W. A. (2010). Exercise, Body Composition, and Functional Ability. A Randomized Controlled Trial. American Journal of Preventive Medicine, 38(3), 279–287. https://doi.org/10.1016/j.amepre.2009.10.042

Klassen, R. M. (2004). Optimism and realism: A review of self-efficacy from a cross-cultural perspective. International Journal of Psychology, 39(3), 205–230. https://doi.org/10.1080/00207590344000330

Kok, B. E., Coffey, K. A., Cohn, M. A., Catalino, L. I., Vacharkulksemsuk, T., Algoe, S. B., Brantley, M., & Fredrickson, B. L. (2013). How Positive Emotions Build Physical Health: Perceived Positive Social Connections Account for the Upward Spiral Between Positive Emotions and Vagal Tone. Psychological Science, 24(7), 1123–1132. https://doi.org/10.1177/0956797612470827

Kurina, L. M., Gulati, M., Everson-Rose, S. A., Chung, P. J., Karavolos, K., Cohen, N. J., Kandula, N., Lukezic, R., Dugan, S. A., Sowers, M. F., Powell, L. H., & Pickett, K. E. (2004). The effect of menopause on grip and pinch strength: Results from the Chicago, Illinois, site of the Study of Women’s Health Across the Nation. American Journal of Epidemiology, 160(5), 484–491. https://doi.org/10.1093/aje/kwh244

Langhammer, B., Bergland, A., & Rydwik, E. (2018). The Importance of Physical Activity Exercise among Older People. BioMed Research International, 2018, 3–6. https://doi.org/10.1155/2018/7856823

Mart, E., Code, U., March, R., & June, A. (2013). Frequency of Physical Activity and Self-Efficacy in The Elderly. International Journal of Medicine and Sciences of Physical Activity and Sport, 13(49), 107–120. http://cdeporte.rediris.es/revista/revista49/artfrecuencia349e.pdf

Meyer, J. P., & Herscovitch, L. (2001). Commitment in the workplace: Toward a general model. Human Resource Management Review, 11(3), 299–326. https://doi.org/10.1016/S1053-4822(00)00053-X

Pasquariello, C. D. (2013). Enhancing self-efficacy in the utilization of physical activity counselling: An online constructivist approach with psychologists-in-training. In ProQuest Dissertations and Theses. http://search.proquest.com.ezproxy.library.yorku.ca/docview/1501654522?accountid=15182%5Cnhttp://sfx.scholarsportal.info/york?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&genre=dissertations+&+theses&sid=ProQ:ProQuest+Dissertations+&+

Phillips, S. M., Wójcicki, T. R., & McAuley, E. (2013). Physical activity and quality of life in older adults: An 18-month panel analysis. Quality of Life Research, 22(7), 1647–1654. https://doi.org/10.1007/s11136-012-0319-z

Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. (2017). Fundamentals of Nursing Vol 2- 9th Indonesian edition (9th ed.). Elsevier Singapure Pte Ltd.

Ruiz-Montero, P. J., & Castillo-Rodríguez, A. (2016). Importance of physical fitness during the ageing process. Sport Science, 9(August 2016), 64–66.

Ryoto, V. (2012). Hubungan Antara Kekuatan Otot Genggam Dengan Umur, Tingkat Kemandirian, dan Aktivitas Fisik pada Lansia Wanita Klub Geriatri Terpilih Jakarta Utara Tahun 2012 [Indonesia University]. https://lib.ui.ac.id/file?file=digital/20318247-S-Vergie Ryoto.pdf

Sakti, H. (2011). Efektivitas program psikologis “ASA” terhadap ketaatan minum obat dan kadar interferon gamma pada penderita tuberkulosis.

Semariasih, N. K. D., Andayani, N. L. N., & Muliarta, M. (2019). Hubungan Antara Kekuatan Otot Genggam dan Tingkat Kemandirian Kemampuan Fungsional Pada Lansia Wanita di Desa Tista Kecamatan Kerambitan Tabanan. Bangladesh Journal of Medical Science, 7(1), 10–19.

Statistic Indonesia. (2022). Life Expectacy Rate of Indonesia 2021. BPS. https://www.bps.go.id/indicator/40/501/1/angka-harapan-hidup-ahh-menurut-provinsi-dan-jenis-kelamin.html

Sullivan, D. O., & Strauser, D. R. (2009). Operationalizing Self-Efficacy, Related Social Cognitive Variables, and Moderating Effects: Implications for Rehabilitation Research and Practice. Rehabilitation Counselling Bulletin, 52(4), 251–259. https://doi.org/https://doi.org/10.1177/0034355208329356

Vadesma, I. T., Rajagukguk, A. D., Aprilia, N., Setiawan, I., Setyomurti, M. A., & Rahadhini, M. D. (2023). Increasing the Productivity of Active Ageing-Based Elderly in Overcoming Physical Problems Through Gymnastics. Empowering Humanity, 1(2), 12–20. https://doi.org/10.58765/emhum.v1i2.163

von Berens, Å., Koochek, A., Nydahl, M., Fielding, R. A., Gustafsson, T., Kirn, D. R., Cederholm, T., & Södergren, M. (2018). “Feeling More Self-Confident, Cheerful and Safe”. Experiences from a Health-Promoting Intervention in Community Dwelling Older Adults — A Qualitative Study. Journal of Nutrition, Health and Aging, 22(4), 541–548. https://doi.org/10.1007/s12603-017-0981-5

Wahyuni, E. S., & Arifiati, R. F. (2021). Gymnastics Improve Quality Of Life. Jurnal Keterapian Fisik, 6(1), 29–37. https://doi.org/10.37341/jkf.v0i0.252

Metrics

0

Crossref logo

0


0

Views

0

PDF views