{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T20:27:31Z","timestamp":1790627251208,"version":"4.1.0"},"reference-count":31,"publisher":"LIDSEN Publishing Inc","issue":"04","license":[{"start":{"date-parts":[[2019,10,10]],"date-time":"2019-10-10T00:00:00Z","timestamp":1570665600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["OBM Geriatr"],"accepted":{"date-parts":[[2019,9,29]]},"published-print":{"date-parts":[[2019,10,10]]},"abstract":"<jats:p>&lt;strong&gt;&lt;i&gt;Background&lt;\/i&gt;&lt;\/strong&gt;&lt;strong&gt;:&lt;\/strong&gt; Three million US emergency department (ED) visits occur for falls each year. The mortality of falls is increasing and only one fourth of older adults report their fall to their primary care provider, suggesting that valuable preventative opportunities are missed. A fall prevention intervention initiated in the ED immediately after a fall has the potential to reduce subsequent falls, but ED providers lack the time and resources to complete fall risk assessments on their patients. GAPcare, the Geriatric Acute and Post-Acute Fall Prevention Intervention, was developed to address this need.\n&lt;strong&gt;&lt;i&gt;Methods&lt;\/i&gt;&lt;\/strong&gt;&lt;strong&gt;: &lt;\/strong&gt;GAPcare combines a pharmacist-led medication therapy management intervention with a physical therapist (PT)-administered fall risk assessment and disposition planning. A key objective of this pilot randomized controlled trial (RCT) was to create a patient and caregiver-centric intervention. This manuscript reports on the results of the qualitative companion study in which we conducted in-depth interviews with patients and caregivers to determine their lived experience with the intervention, barriers and perceived impact of the intervention, and to obtain their recommendations for the improvement of GAPcare. We recruited patients and their caregivers from the RCT into 30 minutes interviews in the participants&amp;rsquo; home singularly or in dyads (patient and caregiver together). Interviews were audio-recorded, transcribed, and double-coded. We used applied thematic analysis to guide the data analysis.\n&lt;strong&gt;&lt;i&gt;Results&lt;\/i&gt;&lt;\/strong&gt;&lt;strong&gt;: &lt;\/strong&gt;We conducted 20 interviews; patients (n=12), caregivers (n=11). Patients were on average 83 years old, 7\/12 were female, and 2\/14 had cognitive impairment. 6\/11 caregiver interviews were in reference to a patient with dementia. Patients and caregivers reported they embraced the experience of motivational interviewing elements, citing its collaborative and inclusive nature. Caregivers in particular said they felt that PT helped their loved one recognize and overcome functional limitations. Barriers included lack of time, the burden of coordinating multiple service providers once home, and concerns that PT would be ineffective or increase pain. Areas for improvement included better screening for those who would benefit from the individual components (pharmacy vs. PT consultation), improving identification of GAPcare pharmacists and PTs vs. other hospital staff in the ED, and expanding the role of GAPcare personnel to provide culturally competent, comprehensive care to improve adherence and medication education.\n&lt;strong&gt;&lt;i&gt;Conclusions&lt;\/i&gt;&lt;\/strong&gt;&lt;strong&gt;:&lt;\/strong&gt;&lt;strong&gt; &lt;\/strong&gt;We found that GAPcare, a new team-based intervention for fall prevention in the ED, was welcomed by patients and their caregivers. Several suggestions to improve the intervention were made that will inform the screening, content, and communication with patients in GAPcare.<\/jats:p>","DOI":"10.21926\/obm.geriatr.1904078","type":"journal-article","created":{"date-parts":[[2019,10,14]],"date-time":"2019-10-14T04:16:50Z","timestamp":1571026610000},"page":"1-22","update-policy":"https:\/\/doi.org\/10.21926\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["GAPcare: The Geriatric Acute and Post-Acute Fall Prevention Intervention for Emergency Department Patients \u2013 A Qualitative Evaluation"],"prefix":"10.21926","volume":"03","author":[{"given":"Elizabeth M.","family":"Goldberg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cameron J.","family":"Gettel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelsey","family":"Hayes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renee R.","family":"Shield","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate M.","family":"Guthrie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"9387","published-online":{"date-parts":[[2019,10,10]]},"reference":[{"key":"ref=1","unstructured":"Albert M, Rui P, McCaig LF. Emergency department visits for injury and illness among adults aged 65 and over: United States, 2012-2013. NCHS Data Brief. 2017: 1-8."},{"key":"ref=2","unstructured":"Owens PL, Russo CA, W. S. Emergency department visits for injurious falls among the elderly, 2006: Statistical brief #80. Healthcare Cost and Utilization Project (HCUP) Statistical Briefs. 2016; PMID: 21452495."},{"key":"ref=3","unstructured":"Centers for Disease Control and Prevention. Important facts about falls. 2019. Available from: http:\/\/www.cdc.gov\/homeandrecreationalsafety\/falls\/adultfalls.html"},{"key":"ref=4","unstructured":"Carpenter CR, Hwang U, Biese K, Carter D, HOgan T, Karounos M, et al. ACEP accredits geriatric emergency care for emergency departments. ACEP Now. 2017. Available from: http:\/\/www.acepnow.com\/article\/acep-accredits-geriatric-emergency-care-emergency-departments\/"},{"key":"ref=5","doi-asserted-by":"crossref","unstructured":"Carpenter CR, Cameron A, Ganz DA, Liu S. Older adult falls in emergency medicine-a sentinel event. Clin Geriatr Med. 2018; 34: 355-367.","DOI":"10.1016\/j.cger.2018.04.002"},{"key":"ref=6","doi-asserted-by":"crossref","unstructured":"Carpenter CR, Shah MN, Hustey FM, Heard K, Gerson LW, Miller DK. High yield research opportunities in geriatric emergency medicine: Prehospital care, delirium, adverse drug events, and falls. J Gerontol A Biol Sci Med Sci. 2011; 66: 775-783.","DOI":"10.1093\/gerona\/glr040"},{"key":"ref=7","unstructured":"Jaffe S. Hospitals step up to help seniors avoid falls. January 16, 2016. Available from: http:\/\/khn.org\/news\/hospitals-step-up-to-help-seniors-avoid-falls\/"},{"key":"ref=8","doi-asserted-by":"crossref","unstructured":"Hartholt KA, Lee R, Burns ER, van Beeck EF. Mortality from falls among US adults aged 75 years or older, 2000-2016. JAMA. 2019; 321: 2131-2133.","DOI":"10.1001\/jama.2019.4185"},{"key":"ref=9","doi-asserted-by":"crossref","unstructured":"Carpenter CR. Deteriorating functional status in older adults after emergency department evaluation of minor trauma--opportunities and pragmatic challenges. J Am Geriatr Soc. 2013; 61: 1806-1807.","DOI":"10.1111\/jgs.12478"},{"key":"ref=10","doi-asserted-by":"crossref","unstructured":"Sirois MJ, Emond M, Ouellet MC, Perry J, Daoust R, Morin J, et al. Cumulative incidence of functional decline after minor injuries in previously independent older Canadian individuals in the emergency department. J Am Geriatr Soc. 2013; 61: 1661-1668.","DOI":"10.1111\/jgs.12482"},{"key":"ref=11","doi-asserted-by":"crossref","unstructured":"Pines JM, Mullins PM, Cooper JK, Feng LB, Roth KE. National trends in emergency department use, care patterns, and quality of care of older adults in the United States. J Am Geriatr Soc. 2013; 61: 12-17.","DOI":"10.1111\/jgs.12072"},{"key":"ref=12","doi-asserted-by":"crossref","unstructured":"Chang JT, Morton SC, Rubenstein LZ, Mojica WA, Maglione M, Suttorp MJ, et al. Interventions for the prevention of falls in older adults: Systematic review and meta-analysis of randomised clinical trials. BMJ. 2004; 328: 680.","DOI":"10.1136\/bmj.328.7441.680"},{"key":"ref=13","doi-asserted-by":"crossref","unstructured":"Tinetti ME. Multifactorial fall-prevention strategies: Time to retreat or advance. J Am Geriatr Soc. 2008; 56: 1563-1565.","DOI":"10.1111\/j.1532-5415.2008.01800.x"},{"key":"ref=14","unstructured":"Gittlen S. Survey snapshot: Health care providers on the problems of patient engagement design NEJM catalyst. June 7, 2017. Available from: http:\/\/catalyst.nejm.org\/problems-patient-engagement-design\/?platform=hootsuite"},{"key":"ref=15","doi-asserted-by":"crossref","unstructured":"Yardley L, Bishop FL, Beyer N, Hauer K, Kempen GI, Piot-Ziegler C, et al. Older people's views of falls-prevention interventions in six European countries. Gerontologist. 2006; 46: 650-660.","DOI":"10.1093\/geront\/46.5.650"},{"key":"ref=16","doi-asserted-by":"crossref","unstructured":"Goldberg EM, Resnik L, Marks SJ, Merchant RC. GAPcare: The geriatric acute and post-acute fall prevention intervention\u2014a pilot investigation of an emergency department-based fall prevention program for community-dwelling older adults. Pilot Feasibility Stud. 2019; 5: 106.","DOI":"10.1186\/s40814-019-0491-9"},{"key":"ref=17","doi-asserted-by":"crossref","unstructured":"Goldberg E, Marks S, Ilegbusi A, Resnik L, Strauss DH, Merchant RC. GAPcare: The geriatric acute and post-acute fall prevention intervention in the emergency department \u2013 preliminary data: Feasibility and acceptability. J Am Geriatr Soc. 2019; 5: 106.","DOI":"10.1186\/s40814-019-0491-9"},{"key":"ref=18","unstructured":"Morse JM. Designing funded qualitative research. Thousand Oaks, CA: Sage Publications; 1994."},{"key":"ref=19","unstructured":"Rubak S, Sandbaek A, Lauritzen T, Christensen B. Motivational interviewing: A systematic review and meta-analysis. Br J Gen Pract. 2005; 55: 305-312."},{"key":"ref=20","doi-asserted-by":"crossref","unstructured":"Pippins JR, Gandhi TK, Hamann C, Ndumele CD, Labonville SA, Diedrichsen EK, et al. Classifying and predicting errors of inpatient medication reconciliation. J Gen Intern Med. 2008; 23: 1414-1422.","DOI":"10.1007\/s11606-008-0687-9"},{"key":"ref=21","unstructured":"Curry L, Shield R, Wetle T. Improving aging and public health research: Qualitative and mixed methods. Washington, DC: American Public Health Association and the Gerontological Society of America; 2006."},{"key":"ref=22","unstructured":"QSR International. NVivo. Available from: https:\/\/www.qsrinternational.com\/nvivo\/home"},{"key":"ref=23","doi-asserted-by":"crossref","unstructured":"Mott DA, Martin B, Breslow R, Michaels B, Kirchner J, Mahoney J, et al. Impact of a medication therapy management intervention targeting medications associated with falling: Results of a pilot study. J Am Pharm Assoc. 2016; 56: 22-28.","DOI":"10.1016\/j.japh.2015.11.001"},{"key":"ref=24","doi-asserted-by":"crossref","unstructured":"Lesser A, Israni J, Kent T, Ko KJ. Association between physical therapy in the emergency department and emergency department revisits for older adult fallers: A nationally representative analysis. J Am Geriatr Soc. 2018; 66: 2205-2212.","DOI":"10.1111\/jgs.15469"},{"key":"ref=25","doi-asserted-by":"crossref","unstructured":"Patterson BW, Repplinger MD, Pulia MS, Batt RJ, Svenson JE, Trinh A, et al. Using the Hendrich II inpatient fall risk screen to predict outpatient falls after emergency department visits. J Am Geriatr Soc. 2018; 66: 760-765.","DOI":"10.1111\/jgs.15299"},{"key":"ref=26","doi-asserted-by":"crossref","unstructured":"Carpenter CR, Shelton E, Fowler S, Suffoletto B, Platts-Mills TF, Rothman RE, et al. Risk factors and screening instruments to predict adverse outcomes for undifferentiated older emergency department patients: A systematic review and meta-analysis. Acad Emerg Med. 2015; 22: 1-21.","DOI":"10.1111\/acem.12569"},{"key":"ref=27","doi-asserted-by":"crossref","unstructured":"Hoffman GJ, Ha J, Alexander NB, Langa KM, Tinetti M, Min LC. Underreporting of fall injuries of older adults: Implications for wellness visit fall risk screening. J Am Geriatr Soc. 2018; 66: 1195-1200.","DOI":"10.1111\/jgs.15360"},{"key":"ref=28","doi-asserted-by":"crossref","unstructured":"Avin KG, Hanke TA, Kirk-Sanchez N, McDonough CM, Shubert TE, Hardage J, et al. Management of falls in community-dwelling older adults: Clinical guidance statement from the Academy of Geriatric Physical Therapy of the American Physical Therapy Association. Phys Ther. 2015; 95: 815-834.","DOI":"10.2522\/ptj.20140415"},{"key":"ref=29","unstructured":"Goldberg EM, McCreedy EM, Gettel CJ, Merchant RC. Slipping through the cracks: A cross-sectional study examining older adult emergency department patient fall history, post-fall treatment and prevention. R I Med J. 2017; 100: 18-23."},{"key":"ref=30","doi-asserted-by":"crossref","unstructured":"Close J, Ellis M, Hooper R, Glucksman E, Jackson S, Swift C. Prevention of falls in the elderly trial (PROFET): A randomised controlled trial. Lancet. 1999; 353: 93-97.","DOI":"10.1016\/S0140-6736(98)06119-4"},{"key":"ref=31","doi-asserted-by":"crossref","unstructured":"Lebec M, Cernohous, S, Tenbarge L, Gest, C, Severson, K, Howard, S. Emergency department physical therapist service: A pilot study examining physician perceptions. 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