{"doi":"10.3389/fpubh.2025.1720938","title":"Expanding the reach of a fall prevention intervention for older adult emergency department patients through telehealth: a trial protocol","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.","journal":"Frontiers in Public Health","year":2025,"id":549636,"datarank":0.10397207708399181,"base_score":0.6931471805599453,"endowment":0.6931471805599453,"self_citation_contribution":0.10397207708399181,"citation_network_contribution":0.0,"self_endowment_contribution":0.10397207708399181,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9522,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1343684,"name":"Megan Bounds","orcid":"0009-0000-3872-7449","position":1,"is_corresponding":false},{"id":518193,"name":"William Mundo","orcid":"0000-0002-0043-7419","position":2,"is_corresponding":false},{"id":1444396,"name":"Jonathan Gomez-Picazo","orcid":null,"position":3,"is_corresponding":false},{"id":340239,"name":"Meredith Mealer","orcid":"0000-0003-1853-3369","position":4,"is_corresponding":false},{"id":717832,"name":"Sunny A. Linnebur","orcid":"0000-0002-3271-7407","position":5,"is_corresponding":false},{"id":1444397,"name":"Bucky Ferozan","orcid":null,"position":6,"is_corresponding":false},{"id":380871,"name":"Julie Dunn","orcid":"0000-0002-9381-9060","position":7,"is_corresponding":false},{"id":1444398,"name":"Jennifer Stevens-Lapsley","orcid":null,"position":8,"is_corresponding":false},{"id":1444399,"name":"Elizabeth Goldberg","orcid":null,"position":9,"is_corresponding":false},{"id":1444395,"name":"Audrey Keleman","orcid":null,"position":0,"is_corresponding":true}],"reference_count":44,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-19T02:54:07.823422Z","pmid":"41480077","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}