I-DECIDE After Bronchiolitis Hospitalization

Part of paid clinical trials in Birmingham, Alabama.

Sponsor: Seattle Children's Hospital
Study ID: NCT07243652
Status: Recruiting

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Conditions

Bronchiolitis Acute

Eligibility Criteria

Sex: ALL
Age: 0 Months - 24 Months
Healthy Volunteers: Not accepted

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.

Study Details

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.

Key Dates

Start date: Nov 1, 2025
Status verified: Nov 2025
Primary completion: May 31, 2029
Completion: Dec 31, 2029

Study Design

Enrollment: 2,700 participants (estimated)
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Arms

Active Comparator: Moderate-Resource Implementation Strategy
Experimental: High-Resource Implementation Strategy

Primary Outcome Measure

Adoption [ Time Frame: Within 7 days of hospital discharge ]

Central Contacts

Eric Coon, MD, MS
206-884-1223
[email protected]
Chris Bonafide, MD, MSCE
[email protected]

Locations (56)

Facility	City	State	ZIP	Site coordinators
Children's of Alabama	Birmingham	Alabama	35233	Samantha Hanna, MD
Phoenix Children's Hospital - Arrowhead Campus	Glendale	Arizona	85308	Jared Kusma, MD
Phoenix Children's Hospital	Phoenix	Arizona	85016	Jared Kusma, MD
Adventist Health Lodi Memorial	Lodi	California	95240	Julia Marlow, MD
Children's Hospital Los Angeles	Los Angeles	California	90027	Vivian Lee, MD
Valley Children's Hospital	Madera	California	93636	Kerrilynn Rice, MD
Children's Hospital Orange County (CHOC)	Orange	California	92868	Amanda Schafenacker, MD
University of California Davis Children's Hospital	Sacramento	California	95817	Michelle Hamline, MD
Children's Hospital Colorado	Aurora	Colorado	80045	Michael Tchou, MD
Connecticut Children's Medical Center	Hartford	Connecticut	06106	Alexander Hogan, MD
Yale-New Haven Children's Hospital	New Haven	Connecticut	06511	Lyubina Yankova, MD
Children's National Medical Center	Washington D.C.	District of Columbia	20010	Kristen Johnson, MD
Johns Hopkins All Children's Hospital	St. Petersburg	Florida	33701	John Morrison, MD
Ann & Robert H. Lurie Children's Hospital of Chicago	Chicago	Illinois	60611	Shira Toister, MD
OSF Children's Hospital of Illinois	Peoria	Illinois	61637	Shaista Shaik, MD
Riley Hospital for Children	Indianapolis	Indiana	46202	Melanie Butz, MD
Northern Light Eastern Maine Medical Center	Bangor	Maine	04401	Julia Millikan, MD
Johns Hopkins Children's Center	Baltimore	Maryland	21287	Rachel Cane, MD
Boston Children's Hospital	Boston	Massachusetts	02115	Patty Stoeck, MD
Baystate Children's Hospital	Springfield	Massachusetts	01199	David Fish, MD
Children's Mercy Kansas City	Kansas City	Missouri	64108	Jessica Markham, MD
Cox Medical Center South	Springfield	Missouri	65807	Kayce Morton, MD
Bryan Medical Center - Children's Nebraska Community site	Lincoln	Nebraska	68506	Magi Dickinson, MD
Children's Nebraska	Omaha	Nebraska	68114	Magi Dickinson, MD
Children's Hospital at Dartmouth-Hitchcock	Manchester	New Hampshire	03104	Kristin Reese, MD
JM Sanzari Children's Hospital, Hackensack Meridian Children's Health	Hackensack	New Jersey	07601	Alyssa Silver, MD
CHOP Pediatric Care at Penn Medicine/Princeton Health	Plainsboro	New Jersey	08536	Alicia Brennan, MD
Albany Medical Center	Albany	New York	12208	Philip Cook, MD
Oishei Children's Hospital	Buffalo	New York	14203	Sheri Wagner, MD
Hassenfeld Children's Hospital at NYU Langone	New York	New York	10016	Liliana Cruz, MD
University of Rochester Golisano Children's Hospital	Rochester	New York	14642	Desiree Mohney, MD
Children's Hospital at Montefiore	The Bronx	New York	10467	Elissa Gross, MD
Wake Forest Baptist Medical Center	Winston-Salem	North Carolina	27103	Melissa Baranay, MD
Akron Children's Hospital	Akron	Ohio	44308	Prabi Rajbhandari, MD
Cincinnati Children's Hospital Medical Center	Cincinnati	Ohio	45229	Danni Liang, MD
Cleveland Clinic Children's	Cleveland	Ohio	44195	Andrew Kern-Goldberger, MD
University Hospitals Rainbow Babies and Children's Hospital	Cleveland	Ohio	44106	Grace Kim, MD
Nationwide Children's Hospital	Columbus	Ohio	43205	Maria Widmann, MD
Dayton Children's Hospital	Dayton	Ohio	45404	Roshani Agarwal, MD
Children's Hospital of Oklahoma	Oklahoma City	Oklahoma	73104	Matthew Le, MD
Children's Hospital of Philadelphia	Philadelphia	Pennsylvania	19104	Christopher Bonafide
UPMC Children's Hospital of Pittsburgh	Pittsburgh	Pennsylvania	15224	Tiffany Yang, MD
Hasbro Children's Hospital	Providence	Rhode Island	02903	Hareem Park, MD
Texas Children's Hospital - North Campus	Austin	Texas	78717	Julio Ortiz, MD
Baylor Scott and White Mclane Children's	Belton	Texas	76513	Swetha Vanja, MD
Children's Memorial Hermann	Houston	Texas	77030	Wan-Hsuan Chen, MD
Texas Children's Hospital - Main	Houston	Texas	77030	Raymond Parlar-Chun, MD
Texas Children's Hosptial - West Campus	Houston	Texas	77094	Rabbia Naeem, MD
Covenant Children's Hospital	Lubbock	Texas	79410	Audra Bowman, MD
Texas Children's Hospital The Woodlands	The Woodlands	Texas	77384	Stephen Edwards, MD
Primary Children's Hospital - Lehi Campus	Lehi	Utah	84043	Kristina McKinley, MD
Primary Children's Hospital	Salt Lake City	Utah	84113	Kristina McKinley, MD
Seattle Children's Hospital	Seattle	Washington	98105	Eric Coon [email protected] 206-884-1223
WVU Children's Hospital	Morgantown	West Virginia	26506	Kamakshya Patra, MD
Children's Wisconsin	Milwaukee	Wisconsin	53226	Kaitlyn McQuistion, MD
Children's Wisconsin - Fox Valley	Neenah	Wisconsin	54956	Casandra ZumMallen, MD

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