The Application of Crossword Puzzle Therapy (CPT) to Improve Cognitive Function in Older Adults in Griya Lansia Garut: A Case Study

Amalla Pataya, Witdiawati Witdiawati, Sheizi Prista Sari

Abstract


Introduction: Older adults are an age group that is vulnerable to a decline in cognitive function as they age. One of the efforts to slow down the process is through the provision of fun and structured cognitive stimulation, such as crossword puzzle games or Crossword Puzzle Therapy (CPT). Objective: : To determine the effectiveness of
the application of CPT on improving cognitive function in older adults who experience mild cognitive function impairment. Methods: This study used a case study method with a nursing approach to a 74-year-old older adult with mild cognitive function impairment at Griya Lansia Garut. Cognitive function was measured using a questionnaire with the intervention given was Crossword Puzzle Therapy (CPT) for six times in ten days. Results: There was an increase in cognitive scores (from 18 to 21) before and after the intervention, especially in aspects of orientation and short-term memory. Clients can perform CPT exercises with assistance and only in the easiest CPT level. Conclusion: This study shows that CPT intervention can be an effective alternative nonpharmacological therapy to stimulate and improve cognitive function in older adults. A longer time and increase the sample size with various characteristics to determine the broader effectiveness of this intervention are recommended. The activity should begin with a low level of difficulty and be tailored to the individual’s ability in order to achieve more optimal outcomes. 

Keywords: Cognitive Function, Crossword Puzzle Therapy (CPT), Older Adult


Keywords


Cognitive Function; Crossword Puzzle Therapy (CPT); Older Adult

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Abdillah, A. J., & Octaviani, A. P. (2018). Pengaruh senam otak terhadap penurunan tingkat demensia. . Jurnal Kesehatan, 9(2), 112–118.

Al-Finatunni’mah, A., & Nurhidayati, T. (2020). Pelaksanaan senam otak untuk peningkatan fungsi kognitif pada lansia dengan demensia. . Ners Muda, 1(2), 139.

Astuti, W. T., Susanti, E. T. ., Nurhayati, L., Marhamah, E., Susanti, I., Rusminah, R., & Bagus, F. (2023). Upaya Peningkatan Fungsi Kognitif Dengan Permainan Teka-Teki Silang pada Lansia Demensia. . In Prosiding Seminar Nasional Pengabdian Kepada Masyarakat: Peduli Masyarakat , 27–38.

BPS. (2024). Statistik Penduduk Lanjut Usia 2024. Diakses dari https://www.bps.go.id/id/publication/2024/12/31/a00d4477490caaf0716b711d/statistik-penduduk-lanjut-usia-2024.html

Devanand, D. P., Goldberg, T. E., Qian, M., Rushia, S. N., Sneed, J. R., Andrews, H. F., Nino, I., Phillips, J., Pence, S. T., Linares, A. R., Hellegers, C. A., Michael, A. M., Kerner, N. A., Petrella, J. R., & Doraiswamy, P. M. (2022). Computerized Games versus Crosswords Training in Mild Cognitive Impairment. NEJM Evidence, 1(12). https://doi.org/10.1056/evidoa2200121

Dewi, S. R. (2016). Pengaruh Senam Otak dan Bermain Puzzle terhadap Fungsi kognitif lansia di PLTU Jember. JKP (Jurnal Kesehatan Primer), 1(1), 64–69.

Hutasuhut, A. F., Anggraini, M., & Angnesti, R. (2020). Analisis fungsi kognitif pada lansia ditinjau dari jenis kelamin, riwayat pendidikan, riwayat penyakit, aktivitas fisik, aktivitas kognitif, dan keterlibatan sosial. Jurnal Psikologi Malahayati, 2(1).

Komsin, N. K., & Isnaini, N. (2020). PENGARUH CROSSWORD PUZZLE THERAPY (CPT) TERHADAP FUNGSI KOGNITIF LANSIA DI PANTI PELAYANAN SOSIAL LANJUT USIA (PPSLU) SUDAGARAN BANYUMAS. In Artikel Penelitian Jurnal Keperawatan Sriwijaya (Vol. 7, Issue 2).

Munawarah, S., Rahmawati Devi, & Setiawan, Herry. (2018). Spiritualitas dengan kualitas hidup lansia. . Nerspedia Journal, 1(1), 64–69.

Mutyah, D., Hidayatus, S., Sustrami, D., Nurlela, L., & Ayu, S. (2024). Terapi Kognitif: Stimulasi Sensori “Dengan Pengisian Teka-Teki Silang: Upaya Merangsang Kerja Otak Sekaligus Mencegah Penurunan Kerja Otak Pada Usia Lanjut di Poli Geriatri RSPAL Dr. Ramelan Surabaya. Jurnal Pengabdian Kesehatan, 7(4), 647–654.

Nugroho, T., & Pratiwi, F. (2021). Analisis Perbedaan Fungsi Kognitif Pada Lansia Antara Sebelum Dan Sesudah Dilakukan Senam Vitalisasi Otak. . Jurnal Ilmiah Kesehatan Ilmu Keperawatan, 9(1), 35–42.

Petrella, J. R., Michael, A. M., Qian, M., Nwosu, A., Sneed, J., Goldberg, T. E., Devanand, D. P., & Doraiswamy, P. M. (2023). Impact of Computerized Cognitive Training on Default Mode Network Connectivity in Subjects at Risk for Alzheimer’s Disease: A 78-week Randomized Controlled Trial. Journal of Alzheimer’s Disease, 91(1), 483–494. https://doi.org/10.3233/JAD-220946

Prahasasgita, M. S., & Lestari, M. D. (2023). Stimulasi Fungsi Kognitif Pada Lanjut Usia Di Indonesia: Tinjauan Literatur. Buletin Psikologi, 31(2), 247. https://doi.org/10.22146/buletinpsikologi.80371

Susilowati, T. S., Prajayanti, E. D. P., & Mutnawasitoh, A. R. M. (2023). Analisis Faktor yang Mempengaruhi Kesepian Lansia di Kelurahan Bedoro, Sambungmacan, Sragen: Analysis of Factors Affecting Elderly Loneliness in Bedoro Village, Sambungmacan, Sragen. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 6(12), 2511–2515.

Tim Pokja SDKI DPP PPNI. (2018). Standar diagnosis Keperawatan Indonesia. Jakarta : Dewan Pengurus Pusat PPNI.

Tim Pokja SIKI DPP PPNI. (2018). Standar intervensi keperawatan Indonesia. Jakarta : Dewan Pengurus Pusat PPNI.

Undang-Undang Republik Indonesia Nomor 13 Tahun 1998 tentang Kesejahteraan Lanjut Usia

Wang, L. A., Goldberg, T. E., Harvey, P. D., Hanson, A. J., Motter, J., Andrews, H., Qian, M., Zhang, R., Janis, M., Doraiswamy, P. M., & Devanand, D. P. (2025). Crossword puzzle training and neuroplasticity in mild cognitive impairment (COGIT-2): 78-week, multi-site, randomized controlled trial with cognitive, functional, imaging and biomarker outcomes. International Journal of Clinical Trials. https://doi.org/10.18203/2349-3259.ijct20251032

Wibowo, F., & Sakti, I. P. (2017). Pengaruh kegiatan stimulasi otak terhadap upaya meminimalisir demensia pada lansia. Jurnal Keperawatan Malang, 2(1), 1–7.

WHO. (2024). Ageing and health. https://www.who.int/news-room/factsheets/detail/ageing-and-health

Zainurridha, Y. A., Sakinah, N. A., & Azari, A. A. (2021). Faktor-Faktor yang Mempengaruhi Kemampuan Kognitif Lansia. . Jurnal Penelitian Kesehatan" SUARA FORIKES", 12(3), 287–289.

Zaliavani, I., Anissa, M., & Sjaaf, F. (2019). Hubungan Gangguan Fungsi Kognitif dengan Kejadian Depresi pada Lansia di Posyandu Lansia Ikur Koto Wilayah Kerja Puskesmas Ikur Koto Kota Padang. Health & Medical Journal., 1(1), 30–37.




DOI: https://doi.org/10.24198/jnc.v8i2.63994

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