I-DECIDE After Bronchiolitis Hospitalization
I-DECIDE
Cluster Randomized Trial of a Moderate vs High Resource Implementation Strategy to Increase As-needed Post-hospitalization Follow-up for Children With Bronchiolitis
1 other identifier
interventional
2,700
1 country
56
Brief 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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Nov 2025
Longer than P75 for not_applicable
56 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 29, 2025
CompletedStudy Start
First participant enrolled
November 1, 2025
CompletedFirst Posted
Study publicly available on registry
November 24, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2029
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 1, 2029
February 4, 2026
November 1, 2025
3.5 years
September 29, 2025
February 2, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Adoption
Proportion of participants who are prescribed PRN follow-up
Within 7 days of hospital discharge
Secondary Outcomes (1)
Sustainment
Within 7 days of hospital discharge
Study Arms (2)
Moderate-Resource Implementation Strategy
ACTIVE COMPARATORHigh-Resource Implementation Strategy
EXPERIMENTALInterventions
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.
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.
Eligibility Criteria
You may qualify if:
- Primary diagnosis of bronchiolitis, discharged by a generalist inpatient service from a non-ICU, non-emergency department, non-step down unit
You may not qualify if:
- 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
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Seattle Children's Hospitallead
- Children's Hospital of Philadelphiacollaborator
- Patient-Centered Outcomes Research Institutecollaborator
Study Sites (56)
Children's of Alabama
Birmingham, Alabama, 35233, United States
Phoenix Children's Hospital - Arrowhead Campus
Glendale, Arizona, 85308, United States
Phoenix Children's Hospital
Phoenix, Arizona, 85016, United States
Adventist Health Lodi Memorial
Lodi, California, 95240, United States
Children's Hospital Los Angeles
Los Angeles, California, 90027, United States
Valley Children's Hospital
Madera, California, 93636, United States
Children's Hospital Orange County (CHOC)
Orange, California, 92868, United States
University of California Davis Children's Hospital
Sacramento, California, 95817, United States
Children's Hospital Colorado
Aurora, Colorado, 80045, United States
Connecticut Children's Medical Center
Hartford, Connecticut, 06106, United States
Yale-New Haven Children's Hospital
New Haven, Connecticut, 06511, United States
Children's National Medical Center
Washington D.C., District of Columbia, 20010, United States
Johns Hopkins All Children's Hospital
St. Petersburg, Florida, 33701, United States
Ann & Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, 60611, United States
OSF Children's Hospital of Illinois
Peoria, Illinois, 61637, United States
Riley Hospital for Children
Indianapolis, Indiana, 46202, United States
Northern Light Eastern Maine Medical Center
Bangor, Maine, 04401, United States
Johns Hopkins Children's Center
Baltimore, Maryland, 21287, United States
Boston Children's Hospital
Boston, Massachusetts, 02115, United States
Baystate Children's Hospital
Springfield, Massachusetts, 01199, United States
Children's Mercy Kansas City
Kansas City, Missouri, 64108, United States
Cox Medical Center South
Springfield, Missouri, 65807, United States
Bryan Medical Center - Children's Nebraska Community site
Lincoln, Nebraska, 68506, United States
Children's Nebraska
Omaha, Nebraska, 68114, United States
Children's Hospital at Dartmouth-Hitchcock
Manchester, New Hampshire, 03104, United States
JM Sanzari Children's Hospital, Hackensack Meridian Children's Health
Hackensack, New Jersey, 07601, United States
CHOP Pediatric Care at Penn Medicine/Princeton Health
Plainsboro, New Jersey, 08536, United States
Albany Medical Center
Albany, New York, 12208, United States
Oishei Children's Hospital
Buffalo, New York, 14203, United States
Hassenfeld Children's Hospital at NYU Langone
New York, New York, 10016, United States
University of Rochester Golisano Children's Hospital
Rochester, New York, 14642, United States
Children's Hospital at Montefiore
The Bronx, New York, 10467, United States
Wake Forest Baptist Medical Center
Winston-Salem, North Carolina, 27103, United States
Akron Children's Hospital
Akron, Ohio, 44308, United States
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229, United States
University Hospitals Rainbow Babies and Children's Hospital
Cleveland, Ohio, 44106, United States
Cleveland Clinic Children's
Cleveland, Ohio, 44195, United States
Nationwide Children's Hospital
Columbus, Ohio, 43205, United States
Dayton Children's Hospital
Dayton, Ohio, 45404, United States
Children's Hospital of Oklahoma
Oklahoma City, Oklahoma, 73104, United States
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
UPMC Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, 15224, United States
Hasbro Children's Hospital
Providence, Rhode Island, 02903, United States
Texas Children's Hospital - North Campus
Austin, Texas, 78717, United States
Baylor Scott and White Mclane Children's
Belton, Texas, 76513, United States
Children's Memorial Hermann
Houston, Texas, 77030, United States
Texas Children's Hospital - Main
Houston, Texas, 77030, United States
Texas Children's Hosptial - West Campus
Houston, Texas, 77094, United States
Covenant Children's Hospital
Lubbock, Texas, 79410, United States
Texas Children's Hospital The Woodlands
The Woodlands, Texas, 77384, United States
Primary Children's Hospital - Lehi Campus
Lehi, Utah, 84043, United States
Primary Children's Hospital
Salt Lake City, Utah, 84113, United States
Seattle Children's Hospital
Seattle, Washington, 98105, United States
WVU Children's Hospital
Morgantown, West Virginia, 26506, United States
Children's Wisconsin
Milwaukee, Wisconsin, 53226, United States
Children's Wisconsin - Fox Valley
Neenah, Wisconsin, 54956, United States
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of Pediatrics
Study Record Dates
First Submitted
September 29, 2025
First Posted
November 24, 2025
Study Start
November 1, 2025
Primary Completion (Estimated)
May 1, 2029
Study Completion (Estimated)
December 1, 2029
Last Updated
February 4, 2026
Record last verified: 2025-11
Data Sharing
- IPD Sharing
- Will share
Upon completion of the trial and after all planned analyses have been finalized, the research team will develop a de-identified public-use dataset. This dataset will include key variables necessary to replicate the primary analyses, along with accompanying documentation, such as data dictionaries and coding manuals. All personally identifiable information and protected health information will be removed prior to dataset release.