Actively Recruiting
Cluster Randomized Trial of Moderate vs High Resource Strategies to Increase As-needed Follow-up After Bronchiolitis Hospitalization in Children
Led by Seattle Children's Hospital · Updated on 2026-02-04
2700
Participants Needed
56
Research Sites
30 weeks
Total Duration
On this page
Sponsors
S
Seattle Children's Hospital
Lead Sponsor
P
Patient-Centered Outcomes Research Institute
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are studying children hospitalized with bronchiolitis to compare two different strategies aimed at improving follow-up care after hospital discharge. The study focuses on increasing the use of as-needed follow-up visits prescribed by hospital physicians and reducing unnecessary routine follow-up visits, which research has shown are often not needed. This trial evaluates how these strategies may impact care and family experience for young children recovering from bronchiolitis. The study compares a moderate-resource implementation strategy with a high-resource implementation strategy. The moderate approach includes educational outreach with materials for families, clinician performance reviews, and clinical decision support tools. The high-resource strategy adds small-group facilitation and expert coach-led support to the components of the moderate strategy. These strategies are designed to encourage appropriate follow-up care decisions by hospitalists. Participants are children diagnosed primarily with bronchiolitis, discharged from general inpatient care outside intensive or emergency settings. Researchers will measure how often as-needed follow-up is prescribed and sustained within seven days after hospital discharge. Families' attendance at follow-up visits will be tracked to assess if unnecessary visits decrease. The study will monitor outcomes related to follow-up care practices and their impact through the hospital stay and shortly after discharge, with participation lasting through the immediate post-hospital period.
CONDITIONS
Brief Title
I-DECIDE After Bronchiolitis Hospitalization
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Primary diagnosis of bronchiolitis
- Discharged by a general inpatient service (not ICU, emergency department, or step down unit)
- Age between 0 and 24 months
You will not qualify if you...
- History of gestational age less than 28 weeks
- Chronic lung disease
- Complex or hemodynamically significant heart disease
- Immunodeficiency
- Neuromuscular disease
- Being discharged with home oxygen therapy
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Within 7 days of hospital discharge
Participants receive either a moderate-resource or high-resource implementation strategy to support follow-up decision making after bronchiolitis hospitalization.
1 visit (in-person) around hospital discharge
Duration - Within 7 days of hospital discharge
Participants are monitored for sustainment of the intervention strategies within 7 days after hospital discharge.
Follow-up contact within 7 days post-discharge
Trial Site Locations
Total: 56 locations
1
Children's of Alabama
Birmingham, Alabama, United States, 35233
Actively Recruiting
2
Phoenix Children's Hospital - Arrowhead Campus
Glendale, Arizona, United States, 85308
Actively Recruiting
3
Phoenix Children's Hospital
Phoenix, Arizona, United States, 85016
Actively Recruiting
4
Adventist Health Lodi Memorial
Lodi, California, United States, 95240
Actively Recruiting
5
Children's Hospital Los Angeles
Los Angeles, California, United States, 90027
Actively Recruiting
6
Valley Children's Hospital
Madera, California, United States, 93636
Actively Recruiting
7
Children's Hospital Orange County (CHOC)
Orange, California, United States, 92868
Actively Recruiting
8
University of California Davis Children's Hospital
Sacramento, California, United States, 95817
Actively Recruiting
9
Children's Hospital Colorado
Aurora, Colorado, United States, 80045
Actively Recruiting
10
Connecticut Children's Medical Center
Hartford, Connecticut, United States, 06106
Actively Recruiting
11
Yale-New Haven Children's Hospital
New Haven, Connecticut, United States, 06511
Actively Recruiting
12
Children's National Medical Center
Washington D.C., District of Columbia, United States, 20010
Actively Recruiting
13
Johns Hopkins All Children's Hospital
St. Petersburg, Florida, United States, 33701
Actively Recruiting
14
Ann & Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, United States, 60611
Actively Recruiting
15
OSF Children's Hospital of Illinois
Peoria, Illinois, United States, 61637
Actively Recruiting
16
Riley Hospital for Children
Indianapolis, Indiana, United States, 46202
Actively Recruiting
17
Northern Light Eastern Maine Medical Center
Bangor, Maine, United States, 04401
Actively Recruiting
18
Johns Hopkins Children's Center
Baltimore, Maryland, United States, 21287
Actively Recruiting
19
Boston Children's Hospital
Boston, Massachusetts, United States, 02115
Actively Recruiting
20
Baystate Children's Hospital
Springfield, Massachusetts, United States, 01199
Actively Recruiting
21
Children's Mercy Kansas City
Kansas City, Missouri, United States, 64108
Actively Recruiting
22
Cox Medical Center South
Springfield, Missouri, United States, 65807
Actively Recruiting
23
Bryan Medical Center - Children's Nebraska Community site
Lincoln, Nebraska, United States, 68506
Actively Recruiting
24
Children's Nebraska
Omaha, Nebraska, United States, 68114
Actively Recruiting
25
Children's Hospital at Dartmouth-Hitchcock
Manchester, New Hampshire, United States, 03104
Actively Recruiting
26
JM Sanzari Children's Hospital, Hackensack Meridian Children's Health
Hackensack, New Jersey, United States, 07601
Actively Recruiting
27
CHOP Pediatric Care at Penn Medicine/Princeton Health
Plainsboro, New Jersey, United States, 08536
Actively Recruiting
28
Albany Medical Center
Albany, New York, United States, 12208
Actively Recruiting
29
Oishei Children's Hospital
Buffalo, New York, United States, 14203
Actively Recruiting
30
Hassenfeld Children's Hospital at NYU Langone
New York, New York, United States, 10016
Actively Recruiting
31
University of Rochester Golisano Children's Hospital
Rochester, New York, United States, 14642
Actively Recruiting
32
Children's Hospital at Montefiore
The Bronx, New York, United States, 10467
Actively Recruiting
33
Wake Forest Baptist Medical Center
Winston-Salem, North Carolina, United States, 27103
Actively Recruiting
34
Akron Children's Hospital
Akron, Ohio, United States, 44308
Actively Recruiting
35
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States, 45229
Actively Recruiting
36
University Hospitals Rainbow Babies and Children's Hospital
Cleveland, Ohio, United States, 44106
Actively Recruiting
37
Cleveland Clinic Children's
Cleveland, Ohio, United States, 44195
Actively Recruiting
38
Nationwide Children's Hospital
Columbus, Ohio, United States, 43205
Actively Recruiting
39
Dayton Children's Hospital
Dayton, Ohio, United States, 45404
Actively Recruiting
40
Children's Hospital of Oklahoma
Oklahoma City, Oklahoma, United States, 73104
Actively Recruiting
41
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States, 19104
Actively Recruiting
42
UPMC Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, United States, 15224
Actively Recruiting
43
Hasbro Children's Hospital
Providence, Rhode Island, United States, 02903
Actively Recruiting
44
Texas Children's Hospital - North Campus
Austin, Texas, United States, 78717
Actively Recruiting
45
Baylor Scott and White Mclane Children's
Belton, Texas, United States, 76513
Actively Recruiting
46
Children's Memorial Hermann
Houston, Texas, United States, 77030
Actively Recruiting
47
Texas Children's Hospital - Main
Houston, Texas, United States, 77030
Actively Recruiting
48
Texas Children's Hosptial - West Campus
Houston, Texas, United States, 77094
Actively Recruiting
49
Covenant Children's Hospital
Lubbock, Texas, United States, 79410
Actively Recruiting
50
Texas Children's Hospital The Woodlands
The Woodlands, Texas, United States, 77384
Actively Recruiting
51
Primary Children's Hospital - Lehi Campus
Lehi, Utah, United States, 84043
Actively Recruiting
52
Primary Children's Hospital
Salt Lake City, Utah, United States, 84113
Actively Recruiting
53
Seattle Children's Hospital
Seattle, Washington, United States, 98105
Actively Recruiting
54
WVU Children's Hospital
Morgantown, West Virginia, United States, 26506
Actively Recruiting
55
Children's Wisconsin
Milwaukee, Wisconsin, United States, 53226
Actively Recruiting
56
Children's Wisconsin - Fox Valley
Neenah, Wisconsin, United States, 54956
Actively Recruiting
Research Team
E
Eric Coon, MD, MS
C
Chris Bonafide, MD, MSCE
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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