(1) Background: This study aimed to evaluate the feasibility of a telehealth home-based exercise program for older people with dementia living in Indonesia with support from their informal carers. (2) Methods: Pre–post intervention single group study with three assessment time-points (baseline, 12 and 18 weeks). Participants with dementia underwent a 12-week physiotherapist-delivered telehealth exercise program, with informal carer supervision between supervised online sessions, and continued the exercises for a further six weeks without physiotherapist online supervision. (3) Results: Thirty dyads of older people with dementia and their informal carers were recruited; four (13.3%) withdrew across the 12-week intervention and one (3.3%) in the 6-week self-maintenance period. Median adherence was 84.1% (IQR [25, 75] = 17.1) during the 12-week intervention, and 66.7% (IQR [25, 75] = 16.7) in the self-maintenance period. No falls/adverse events were reported. Physical activity level, some aspects of function and disability, health-related benefits of exercise, exercise enjoyment and quality of life of older people with dementia improved significantly at 12 and 18 weeks. (4) Conclusions: The telehealth exercise program is feasible and safe and may have benefits for the health outcomes of community-living older people with dementia in Indonesia. Additional strategies are necessary to enhance longer-term adherence to the program.

Participating in physical activity is beneficial for older people with dementia. Little is known however about the perceptions of people living with dementia undertaking an online-delivered exercise program. This study aimed to explore the experiences and perceptions of older people with dementia and their carers in Indonesia participating in an online-delivered exercise program, and factors that may influence acceptability to the program. An exploratory qualitative study design using semi-structured interviews was used. Data were recorded, transcribed verbatim, translated into English, and analyzed thematically. Twelve participants with dementia (mean age = 63.3 years) and 30 carers (26 family carers and 4 paid carers) (mean age = 37.9 years) were interviewed separately. Seven themes were identified: (i) Motivating factors to participate; (ii) Benefits for people with dementia; (iii) Impacts on carers; (iv) Challenges and enablers to exercising; (v) Carers’ strategies for exercise engagement; (vi) Roles, relationships and supports; and (vii) Participants’ receptiveness to online delivery of the exercise program. This study illustrated that an online-delivered exercise program was acceptable for people with dementia and their carers in Indonesia and reinforced the importance of carers’ support for the exercise program. These findings can help physiotherapists and other exercise practitioners in considering the aspects of delivery that people with dementia and their carers value in participating in online-delivered exercise programs.

Background: There is a growing evidence on the benefits of exercise for older people living with dementia in developed countries. However, cultural, health-care systems and environmental differences may impact on the uptake of exercise and outcomes in different regions of the world. Objective: This study synthesised the available evidence examining the effectiveness of exercise interventions on improving physical function and reducing behavioural symptoms in community-dwelling older people living with dementia in Asia, and the impact on their informal carers. Methods: Six databases were searched to November 2021. Randomised controlled trials (RCTs) or quasi-experimental studies evaluating exercise interventions for community-dwelling older people with dementia living in Asia were included. The Cochrane risk-of-bias tool for randomised trials and Downs and Black checklist had been used to assess methodological quality of the studies. Meta-analyses using a fixed effects model assessed the effects of exercise interventions where sufficient data were available. Mean difference (MD) with 95% confidence interval (CI) was used to pool results. Results: Nine studies (five RCTs) were included (Hong Kong-4, China-1, South Korea-2, Taiwan-1, Indonesia-1). Exercise improved dynamic balance [Functional Reach (2 studies, $n=111$ people with dementia), $\mathrm{\text{MD}}=2.61$ , 95% CI (1.55, 3.67)], but not for the Berg Balance Scale ($\mathrm{\text{MD}}=1.10$ , 95% CI [$-$ 2.88, 5.07]), Timed Up and Go ($\mathrm{\text{MD}}=-3.47$ , 95% CI [$-$ 7.27, 0.33]) and 5 times sit to stand tests ($\mathrm{\text{MD}}=-1.86$ , 95% CI [$-$ 5.27, 1.54]). Single studies where data could not be pooled showed no effect of exercise on behavioural symptoms or impact on informal carers. Conclusion: Exercise appeared to have a beneficial effect on improving balance performance among older people with dementia living in Asia, however, this evidence is limited and inconsistent, and should be interpreted with caution. Further high-quality large RCTs are necessary for advancing the evidence base of exercise interventions for this population.

Indonesia and other Southeast Asian nations are experiencing rapidly aging populations. The Indonesian Government recently announced a national initiative of aged care homes to support older people not able to live independently or receive family care. Medication‐without‐harm is the topic of the World Health Organization Third Global Patient Safety Challenge. The objective of this study was to prioritize research questions for improving medication management in public and private aged care homes in Indonesia. In April 2025, a 20‐person expert consensus panel was convened comprising general practitioners, geriatricians, neurologists, nurses, pharmacists, physiotherapists, nutritionists, public health practitioners, aged care home managers, Ministry of Health representatives, ASEAN organization representatives, and a family caregiver. The panel used modified nominal group technique to identify and prioritize research for improving medication management in aged care homes in Indonesia. The panel identified 47 research priorities that were consolidated into 15 policy and 20 practice priorities for voting. The highest ranked policy priorities focused on necessary regulations and clinical guidelines; essential medication lists for older people; and policies to support development and use of drug formulations acceptable for residents of aged care homes. The highest ranked practice priorities emphasized digital health technologies; medication safety monitoring; and enhancing communication among families, aged care home staff, and prescribers. The findings lay the groundwork for a culturally‐ and context‐specific research roadmap for improving medication management in Indonesian aged care homes. This will guide researchers and research funding organizations in aligning future studies with policy and practice priorities.