I-DECIDE After Bronchiolitis Hospitalization

Seattle Children's Healthcare System

Status: Enrolling

Conditions: Bronchiolitis Acute

Treatments: Other: High-Resource Implementation Strategy; Other: Moderate-Resource Implementation Strategy

Study type: Interventional

Funder types: Other

Identifiers

NCT07243652

BPS-2024C1-35425

Details and patient eligibility

About

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.

Enrollment: 2,700 estimated patients

Sex: All

Ages: Under 24 months old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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2,700 participants in 2 patient groups

Moderate-Resource Implementation Strategy

Active Comparator group

Treatment:

Other: Moderate-Resource Implementation Strategy

High-Resource Implementation Strategy

Experimental group

Treatment:

Other: High-Resource Implementation Strategy