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

University of Colorado Denver (CU Denver)

Status

Begins enrollment in 4 months

Conditions

Older Adults (65 Years and Older)

Emergency Department

Fall Prevention

Telehealth

Treatments

Other: Telehealth physical therapy and pharmacy consultation

Study type

Interventional

Funder types

Other

NIH

Identifiers

NCT07034287

24-1370

Details and patient eligibility

About

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.

Enrollment

40 estimated patients

Sex

All

Ages

65+ years old

Volunteers

No Healthy Volunteers

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)