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.
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)