The goal of this clinical trial is to determine the feasibility of eGAPcare, a telehealth modification of the GAPcare fall prevention intervention, in older adults in a community emergency department. The main questions it aims to answer are:
* Can telehealth physical therapy and pharmacy consultations be conducted in a community emergency department? * Does the telehealth modification of GAPcare decrease recurrent falls at 6 months? Participants will * Receive telehealth physical therapy and pharmacy consultation while in the emergency department * Participate in follow-up visits over the phone for 6 months following the initial emergency department visit * Complete study questionnaires delivered by study staff.
Community-dwelling adult (non-institutionalized) 65 years-old or older presenting to ED after a fall
Fall not due to syncope or external force (i.e., struck by car or assault)
Fall not due to serious illness (i.e., stroke, acute myocardial infarction)
Will be discharged to home/assisted living/rehabilitation at completion of ED visit (i.e., not admitted)
Unable to give informed consent due to intoxication or acute change in mental status
Presence of injuries that prevent mobilization (i.e., pelvic or lower extremity fractures)
Single group
Telehealth physical therapy and pharmacy consultation
Other interventionTelehealth physical therapy and pharmacy consultation at baseline emergency department visit.
Self-reported or caregiver reported falls
Electronic Health Record reported falls and healthcare usage
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University of Colorado, Denver
Lead sponsor
National Institutes of Health (NIH)
Collaborator
