Modifying the Geriatric Acute & Post-acute Care Coordination Program for Fall Prevention in the Emergency Department for Telehealth

University of Colorado, Denver40 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Older Adults (65 Years and Older)Fall Prevention Telehealth Emergency Department

Eligibility

Sex: ALLMin age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 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) * Proxy available to give informed consent if patient lacks capacity Exclusion Criteria: * 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)

Outcomes

Primary Outcomes

Self-reported or caregiver reported falls

Time frame: Within 6 months of the initial emergency department visit

Electronic Health Record reported falls and healthcare usage