Implementasi Intervensi Fisioterapi Berbasis Promosi Kesehatan untuk Meningkatkan Aktivitas Fisik di Tingkat Masyarakat
Keywords:
physical activity, community physiotherapy, community, health promotion, disease preventionAbstract
Physical activity is a crucial factor in preventing non-communicable diseases and improving the quality of life of the community, yet participation rates in physical activity at the community level remain low. Physiotherapy plays a strategic role in promotive and preventive efforts through structured and contextualized health promotion-based interventions. This study aims to evaluate the implementation of a health promotion-based physiotherapy intervention in increasing community physical activity. The study used a quasi-experimental design with a pretest–posttest one-group design among adults at the community level. The intervention included physical activity education, simple community-based physical exercises, and mentoring by a physiotherapist over an eight-week period. Physical activity data were collected using standardized instruments before and after the intervention and then analyzed quantitatively using appropriate statistical tests. The results showed a significant increase in community physical activity levels after the intervention. These findings indicate that health promotion-based physiotherapy interventions are effective in encouraging changes in physical activity behavior at the community level. This study provides an empirical contribution to the development of community physiotherapy and serves as a basis for the formulation of sustainable, profession-based physical activity promotion programs.
References
Bauman, A. E., Reis, R. S., Sallis, J. F., Wells, J. C., Loos, R. J. F., & Martin, B. W. (2012). Correlates of physical activity: Why are some people physically active and others not? The Lancet, 380(9838), 258–271. https://doi.org/10.1016/S0140-6736(12)60735-1
Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., … Willumsen, J. F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54(24), 1451–1462. https://doi.org/10.1136/bjsports-2020-102955
Dean, E. (2009). Physical therapy in the 21st century (Part I): Toward practice informed by epidemiology and the crisis of lifestyle conditions. Physiotherapy Theory and Practice, 25(5–6), 330–353. https://doi.org/10.1080/09593980902804365
Hallal, P. C., Andersen, L. B., Bull, F. C., Guthold, R., Haskell, W., & Ekelund, U. (2012). Global physical activity levels: Surveillance progress, pitfalls, and prospects. The Lancet, 380(9838), 247–257. https://doi.org/10.1016/S0140-6736(12)60646-1
Heath, G. W., Parra, D. C., Sarmiento, O. L., Andersen, L. B., Owen, N., Goenka, S., … Brownson, R. C. (2012). Evidence-based intervention in physical activity: Lessons from around the world. The Lancet, 380(9838), 272–281. https://doi.org/10.1016/S0140-6736(12)60816-2
Kolu, P., Kari, J. T., Raitanen, J., Sievänen, H., Tokola, K., Puolakka, J., … Kujala, U. M. (2015). Economic evaluation of physical activity interventions: A systematic review. Scandinavian Journal of Medicine & Science in Sports, 25(6), 722–734. https://doi.org/10.1111/sms.12459
Müller, A. M., Khoo, S., & Morris, T. (2016). Health promotion interventions for physical activity in community settings: A systematic review. Health Promotion International, 31(2), 382–396. https://doi.org/10.1093/heapro/dau121
O’Donovan, G., Lee, I.-M., Hamer, M., & Stamatakis, E. (2017). Association of “weekend warrior” and other leisure time physical activity patterns with risks for all-cause, cardiovascular disease, and cancer mortality. JAMA Internal Medicine, 177(3), 335–342. https://doi.org/10.1001/jamainternmed.2016.8014
Reijula, J., Kinnunen, U. M., Rantanen, J., Torkki, P., & Kujala, U. M. (2018). Effectiveness of physical activity interventions in primary care: A systematic review. Scandinavian Journal of Primary Health Care, 36(4), 335–347. https://doi.org/10.1080/02813432.2018.1523988
Sallis, J. F., Owen, N., & Fisher, E. B. (2015). Ecological models of health behavior. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health behavior: Theory, research, and practice (5th ed., pp. 43–64). Jossey-Bass.
Sherrington, C., Fairhall, N., Wallbank, G., Tiedemann, A., Michaleff, Z. A., Howard, K., … Lamb, S. (2019). Exercise for preventing falls in older people living in the community. British Journal of Sports Medicine, 53(14), 905–911. https://doi.org/10.1136/bjsports-2017-098106
Skelton, D. A., & Mavroeidi, A. (2018). Which strength and balance activities are safe and efficacious for individuals with specific challenges? Journal of Frailty, Sarcopenia and Falls, 3(2), 85–104. https://doi.org/10.22540/JFSF-03-085
Warburton, D. E. R., & Bredin, S. S. D. (2017). Health benefits of physical activity: A systematic review of current systematic reviews. Current Opinion in Cardiology, 32(5), 541–556. https://doi.org/10.1097/HCO.0000000000000437

