Emergency Department, Fall Prevention, Older Adults (65 Years and Older), Telehealth
Conditions
Brief summary
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.
Interventions
Telehealth physical therapy and pharmacy consultation at baseline emergency department visit.
Sponsors
Study design
Eligibility
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)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Self-reported or caregiver reported falls | Within 6 months of the initial emergency department visit |
| Electronic Health Record reported falls and healthcare usage | Within 6 months of the initial emergency department visit |
Countries
United States