I-DECIDE After Bronchiolitis Hospitalization
ConditionBronchiolitis Acute
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age0-24
SponsorSeattle Children's Hospital
About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Primary diagnosis of bronchiolitis, discharged by a generalist inpatient service from a non-ICU, non-emergency department, non-step down unit
Disqualifiers
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
Trial design
Design model
Parallel
Treatments tested in this trial
Moderate-Resource Implementation Strategy
Other interventionThe 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.
High-Resource Implementation Strategy
Other interventionThe 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 support, small-group facilitation and expert clinical decision support coach-led facilitation.
Treatment groups
2,700 Participants
are divided into 3 treatment groupsGroup A: Moderate-Resource Implementation StrategyActive comparator 1 intervention
Group B: High-Resource Implementation StrategyExperimental treatment 1 intervention
Group C: Concurrent controlsNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
Adoption
Proportion of participants who are prescribed PRN follow-up
Time frame
Within 7 days of hospital dischargeSecondary outcomes
1
Sustainment
Proportion of participants who attend a follow-up visit
Time frame
Within 7 days of hospital dischargeSponsors and contacts
Click on the lead sponsor to view all of their trials.
Seattle Children's Hospital
Lead sponsor
Patient-Centered Outcomes Research Institute
Collaborator
Children's Hospital of Philadelphia
Collaborator
Source ClinicalTrials.gov