NCT07243652

I-DECIDE After Bronchiolitis Hospitalization

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

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 2,700 (estimated)
• Sponsor: Seattle Children's Hospital · Academic / Other
• Sex: All
• Age: 0 Months – 24 Months
• Healthy volunteers: Not accepted

Summary

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.

Conditions

• Bronchiolitis Acute

Interventions

Type	Name	Description
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 support, small-group facilitation and expert clinical decision support coach-led facilitation.

Timeline

• Start date: 2025-11-01
• Primary completion: 2029-05-01
• Completion: 2029-12-01
• First posted: 2025-11-24
• Last updated: 2026-02-04

Locations

56 sites across 1 country: United States