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RECRUITING Not applicable ClinicalTrials.gov

I-DECIDE After Bronchiolitis Hospitalization

Sponsor: Seattle Children's Hospital • ClinicalTrials.gov ID: NCT07243652

Registry updated: 2026-09-10
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Description

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

  • Moderate-Resource Implementation Strategy (Other)
    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.
  • High-Resource Implementation Strategy (Other)
    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.

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

Conditions

Bronchiolitis Acute

Locations

  • Children's of Alabama — Birmingham, Alabama, United States
  • Phoenix Children's Hospital - Arrowhead Campus — Glendale, Arizona, United States
  • Phoenix Children's Hospital — Phoenix, Arizona, United States
  • Adventist Health Lodi Memorial — Lodi, California, United States
  • Children's Hospital Los Angeles — Los Angeles, California, United States
  • UCLA Mattel Children's Hospital — Los Angeles, California, United States
  • Valley Children's Hospital — Madera, California, United States
  • Children's Hospital Orange County (CHOC) — Orange, California, United States
  • University of California Davis Children's Hospital — Sacramento, California, United States
  • Children's Hospital Colorado — Aurora, Colorado, United States
  • Connecticut Children's Medical Center — Hartford, Connecticut, United States
  • Yale-New Haven Children's Hospital — New Haven, Connecticut, United States
  • Children's National Medical Center — Washington D.C., District of Columbia, United States
  • Johns Hopkins All Children's Hospital — St. Petersburg, Florida, United States
  • Ann & Robert H. Lurie Children's Hospital of Chicago — Chicago, Illinois, United States
  • OSF Children's Hospital of Illinois — Peoria, Illinois, United States
  • Riley Hospital for Children — Indianapolis, Indiana, United States
  • Northern Light Eastern Maine Medical Center — Bangor, Maine, United States
  • Johns Hopkins Children's Center — Baltimore, Maryland, United States
  • Boston Children's Hospital — Boston, Massachusetts, United States
  • Baystate Children's Hospital — Springfield, Massachusetts, United States
  • Children's Mercy Kansas City — Kansas City, Missouri, United States
  • Cox Medical Center South — Springfield, Missouri, United States
  • Bryan Medical Center - Children's Nebraska Community site — Lincoln, Nebraska, United States
  • Children's Nebraska — Omaha, Nebraska, United States
  • Children's Hospital at Dartmouth-Hitchcock — Manchester, New Hampshire, United States
  • JM Sanzari Children's Hospital, Hackensack Meridian Children's Health — Hackensack, New Jersey, United States
  • K. Hovnanian Children's Hospital, Jersey Shore University Medical Center — Neptune City, New Jersey, United States
  • CHOP Pediatric Care at Penn Medicine/Princeton Health — Plainsboro, New Jersey, United States
  • Albany Medical Center — Albany, New York, United States
  • Oishei Children's Hospital — Buffalo, New York, United States
  • Hassenfeld Children's Hospital at NYU Langone — New York, New York, United States
  • University of Rochester Golisano Children's Hospital — Rochester, New York, United States
  • Children's Hospital at Montefiore — The Bronx, New York, United States
  • Wake Forest Baptist Medical Center — Winston-Salem, North Carolina, United States
  • Akron Children's Hospital — Akron, Ohio, United States
  • Cincinnati Children's Hospital Medical Center — Cincinnati, Ohio, United States
  • University Hospitals Rainbow Babies and Children's Hospital — Cleveland, Ohio, United States
  • Cleveland Clinic Children's — Cleveland, Ohio, United States
  • Nationwide Children's Hospital — Columbus, Ohio, United States
  • Dayton Children's Hospital — Dayton, Ohio, United States
  • Children's Hospital of Oklahoma — Oklahoma City, Oklahoma, United States
  • Children's Hospital of Philadelphia - KOPH — King of Prussia, Pennsylvania, United States
  • Children's Hospital of Philadelphia — Philadelphia, Pennsylvania, United States
  • UPMC Children's Hospital of Pittsburgh — Pittsburgh, Pennsylvania, United States
  • Hasbro Children's Hospital — Providence, Rhode Island, United States
  • Texas Children's Hospital - North Campus — Austin, Texas, United States
  • Baylor Scott and White Mclane Children's — Belton, Texas, United States
  • Children's Memorial Hermann — Houston, Texas, United States
  • Texas Children's Hospital - Main — Houston, Texas, United States
  • Texas Children's Hosptial - West Campus — Houston, Texas, United States
  • Covenant Children's Hospital — Lubbock, Texas, United States
  • Texas Children's Hospital The Woodlands — The Woodlands, Texas, United States
  • Primary Children's Hospital - Lehi Campus — Lehi, Utah, United States
  • Primary Children's Hospital — Salt Lake City, Utah, United States
  • Seattle Children's Hospital — Seattle, Washington, United States
  • WVU Children's Hospital — Morgantown, West Virginia, United States
  • American Family Children's Hospital — Madison, Wisconsin, United States
  • Children's Wisconsin — Milwaukee, Wisconsin, United States
  • Children's Wisconsin - Fox Valley — Neenah, Wisconsin, United States
  • Alberta Children's Hospital — Calgary, Alberta, Canada
  • BC Children's Hospital — Vancouver, British Columbia, Canada
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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

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