I-DECIDE After Bronchiolitis Hospitalization

Официальное название

Cluster Randomized Trial of a Moderate vs High Resource Implementation Strategy to Increase As-needed Post-hospitalization Follow-up for Children With Bronchiolitis

Обзор

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.

Вмешательства

• Другое 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.
• Другое 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

Первичные конечные точки

• Adoption [Срок оценки: Within 7 days of hospital discharge]

Вторичные конечные точки (1)

• Sustainment [Срок оценки: Within 7 days of hospital discharge]

Критерии участия

Критерии включения

• Primary diagnosis of bronchiolitis, discharged by a generalist inpatient service from a non-ICU, non-emergency department, non-step down unit

Критерии исключения

• 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

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Лечение

Центры проведения

США · 56 центров

• 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
• … и ещё 48 центров

Идентификаторы

NCT: NCT07243652 · BPS-2024C1-35425

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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