Modifying the Geriatric Acute & Post-acute Care Coordination Program for Fall Prevention in the Emergency Department for Telehealth
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Telehealth physical therapy and pharmacy consultation.
- Who it may be relevant to
- Registry conditions: Older Adults (65 Years and Older), Fall Prevention, Telehealth, Emergency Department. Basic parameters: from 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
eGAPcare: Modifying the Geriatric Acute & Post-acute Care Coordination Program for Fall Prevention in the Emergency Department for Telehealth
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.
Interventions
- Other Telehealth physical therapy and pharmacy consultation
Telehealth physical therapy and pharmacy consultation at baseline emergency department visit.
Primary outcome measures
- 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]
Eligibility criteria
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)
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Prevention
Study locations
United States · 1 center
- Medical Center of the Rockies — Loveland
Identifiers
NCT: NCT07034287 · 24-1370