eGAPcare: Modifying the Geriatric Acute & Post-acute Care Coordination Program for Fall Prevention in the Emergency Department for Telehealth
Trial Snapshot
- Phase
- Not Applicable
- Status
- Active, not recruiting
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Self-reported or caregiver reported falls
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 65 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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)
Arms & Interventions
Intervention
Telehealth physical therapy and pharmacy consultation at baseline emergency department visit.
Intervention: Telehealth physical therapy and pharmacy consultation (Other)
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
Time Frame: Within 6 months of the initial emergency department visit
Secondary Outcomes
No secondary outcomes reported
