I-DECIDE After Bronchiolitis Hospitalization (I-DECIDE)

February 2, 2026 updated by: Eric Coon, Seattle Children's Hospital

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

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.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

2700

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

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

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child

Accepts Healthy Volunteers

No

Description

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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Moderate-Resource Implementation Strategy
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.
Experimental: High-Resource Implementation Strategy
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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Adoption
Time Frame: Within 7 days of hospital discharge
Proportion of participants who are prescribed PRN follow-up
Within 7 days of hospital discharge

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Sustainment
Time Frame: Within 7 days of hospital discharge
Proportion of participants who attend a follow-up visit
Within 7 days of hospital discharge

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Seattle Children's Hospital

Collaborators

Patient-Centered Outcomes Research Institute
Children's Hospital of Philadelphia

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

November 1, 2025

Primary Completion (Estimated)

May 1, 2029

Study Completion (Estimated)

December 1, 2029

Study Registration Dates

First Submitted

September 29, 2025

First Submitted That Met QC Criteria

November 19, 2025

First Posted (Actual)

November 24, 2025

Study Record Updates

Last Update Posted (Actual)

February 4, 2026

Last Update Submitted That Met QC Criteria

February 2, 2026

Last Verified

November 1, 2025

More Information

Terms related to this study

Other Study ID Numbers

  • BPS-2024C1-35425

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

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.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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