ArticleFrontiers in public health2025
Expanding the reach of a fall prevention intervention for older adult emergency department patients through telehealth: a trial protocol.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
10 authors.
Funding
Abstract
Background: Falls are a leading cause of emergency department (ED) visits among older adults, yet many patients are discharged without a clear understanding of their fall risk factors or access to timely prevention services. The Geriatric Acute and Post-Acute Fall Prevention (GAPcare) intervention has demonstrated efficacy in reducing fall-related ED revisits by addressing these factors during the ED visit. Still, its reliance on in-person specialists limits scalability to smaller and lower-resourced EDs. Methods: This study outlines a protocol for adapting GAPcare into a telehealth-enabled model (e-GAPcare) using a two-phase implementation science approach. Phase 1 engages ED staff, patients, and caregivers in structured workgroups to guide the adaptation of telehealth while preserving core intervention components. Phase 2 involves a single-arm trial at one ED with 40 older adults presenting after a fall, evaluating feasibility and acceptability. The intervention includes remote consultations with a pharmacist and physical therapist, tailored assessments to address individual fall risk factors, and a standardized checklist integrated into discharge planning that is shared with primary care clinicians. Outcomes: Data will be collected through surveys and electronic health records over a 6-month follow-up period. Trial outcomes include usability, care transition quality, healthcare utilization, and uptake of recommendations. Conclusion: By leveraging hospital-based telehealth infrastructure and eliciting end-user perspectives on needed adaptations, e-GAPcare aims to extend the reach of evidence-based fall prevention programs to smaller EDs or those that lack in-person pharmacists and physical therapists.
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