I-DECIDE After Bronchiolitis Hospitalization
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: Moderate-Resource Implementation Strategy, High-Resource Implementation Strategy.
- Who it may be relevant to
- Registry conditions: Bronchiolitis Acute. Basic parameters: 0 months — 24 months · 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 →
Unsure about the terms? Read our patient guide →
Official title
Cluster Randomized Trial of a Moderate vs High Resource Implementation Strategy to Increase As-needed Post-hospitalization Follow-up for Children With Bronchiolitis
Overview
Although automatic follow-up is a nearly universal practice, research has shown that these visits are often unnecessary after hospitalizations caused by bronchiolitis. Despite endorsement by national pediatric authorities, robust evidence, and family enthusiasm for as-needed (PRN) follow-up, it remains substantially underutilized for children hospitalized for bronchiolitis. The goal of I-DECIDE is to compare the effects of two multi-component implementation strategies, both of which aim to (a) increase PRN follow-up prescribing by hospitalists (physicians who care for hospitalized children) and (b) decrease unnecessary follow-up visit attendance by families.
Interventions
- Other Moderate-Resource Implementation Strategy
The moderate-resource implementation strategy includes educational outreach (including family-facing materials to support follow-up decision making), audit and feedback (review of clinician performance, captured in a structured report), and materials for clinical decision support. - Other High-Resource Implementation Strategy
The high-resource implementation strategy includes all of the moderate resource components, plus two forms of external facilitation: small-group facilitation and expert clinical decision support coach-led facilitation. In total, the high-resource implementation strategy includes educational outreach (including family-facing materials to support follow-up decision-making), audit and feedback (review of clinician performance, captured in a structured report), materials for clinical decision suppor
Primary outcome measures
- Adoption [Time frame: Within 7 days of hospital discharge]
Secondary outcome measures (1)
- Sustainment [Time frame: Within 7 days of hospital discharge]
Eligibility criteria
Inclusion criteria
- Primary diagnosis of bronchiolitis, discharged by a generalist inpatient service from a non-ICU, non-emergency department, non-step down unit
Exclusion criteria
- Children with a history of gestational age <28 weeks, chronic lung disease, complex or hemodynamically significant heart disease, immunodeficiency, or neuromuscular disease
- Children being discharged with home oxygen therapy
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
United States · 56 centers
- Children's of Alabama — Birmingham
- Phoenix Children's Hospital - Arrowhead Campus — Glendale
- Phoenix Children's Hospital — Phoenix
- Adventist Health Lodi Memorial — Lodi
- Children's Hospital Los Angeles — Los Angeles
- Valley Children's Hospital — Madera
- Children's Hospital Orange County (CHOC) — Orange
- University of California Davis Children's Hospital — Sacramento
- … and 48 more centers
Identifiers
NCT: NCT07243652 · BPS-2024C1-35425