AzTrials
AzTrials

Bronchiolitis AcuteI-DECIDENCT07243652

I-DECIDE After Bronchiolitis Hospitalization

A study testing Moderate-Resource Implementation Strategy and High-Resource Implementation Strategy in people with Bronchiolitis Acute, run by Seattle Children's Hospital at 62 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record

Search all trials

Trial 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… Read more about this study

Who is it for?
Ages 0 to 24 months
Conditions the study is for
Bronchiolitis Acute
What is being tested?
Moderate-Resource Implementation Strategy and High-Resource Implementation Strategy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2,700 participants
Where
62 sitesin 2 countries
Study dates
1 Nov 2025to Dec 2029
Phase
Interventional

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 0 to 24 months
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Primary diagnosis of bronchiolitis, discharged by a generalist inpatient service from a non-ICU, non-emergency department, non-step down unit

Who cannot join

  • 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

Trial locations and contacts

62 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

Eric Coon, MD, MS contact

206-884-1223

Eric.Coon@seattlechildrens.org

Chris Bonafide, MD, MSCE contact

bonafide@chop.edu

62 sites in 2 countries

United States60 sites, 60 recruiting

  • Akron Children's Hospital

    Akron, Ohio, 44308

    Prabi Rajbhandari, MD

    Recruiting

  • Albany Medical Center

    Albany, New York, 12208

    Philip Cook, MD

    Recruiting

  • Children's Hospital Colorado

    Aurora, Colorado, 80045

    Michael Tchou, MD

    Recruiting

  • Texas Children's Hospital - North Campus

    Austin, Texas, 78717

    Julio Ortiz, MD

    Recruiting

  • Johns Hopkins Children's Center

    Baltimore, Maryland, 21287

    Rachel Cane, MD

    Recruiting

  • Northern Light Eastern Maine Medical Center

    Bangor, Maine, 04401

    Julia Millikan, MD

    Recruiting

  • Baylor Scott and White Mclane Children's

    Belton, Texas, 76513

    Swetha Vanja, MD

    Recruiting

  • Children's of Alabama

    Birmingham, Alabama, 35233

    Samantha Hanna, MD

    Recruiting

  • Boston Children's Hospital

    Boston, Massachusetts, 02115

    Patty Stoeck, MD

    Recruiting

  • Oishei Children's Hospital

    Buffalo, New York, 14203

    Sheri Wagner, MD

    Recruiting

  • Ann & Robert H. Lurie Children's Hospital of Chicago

    Chicago, Illinois, 60611

    Shira Toister, MD

    Recruiting

  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45229

    Danni Liang, MD

    Recruiting

  • University Hospitals Rainbow Babies and Children's Hospital

    Cleveland, Ohio, 44106

    Grace Kim, MD

    Recruiting

  • Cleveland Clinic Children's

    Cleveland, Ohio, 44195

    Andrew Kern-Goldberger, MD

    Recruiting

  • Nationwide Children's Hospital

    Columbus, Ohio, 43205

    Maria Widmann, MD

    Recruiting

  • Dayton Children's Hospital

    Dayton, Ohio, 45404

    Roshani Agarwal, MD

    Recruiting

  • Phoenix Children's Hospital - Arrowhead Campus

    Glendale, Arizona, 85308

    Jared Kusma, MD

    Recruiting

  • JM Sanzari Children's Hospital, Hackensack Meridian Children's Health

    Hackensack, New Jersey, 07601

    Alyssa Silver, MD

    Recruiting

  • Connecticut Children's Medical Center

    Hartford, Connecticut, 06106

    Alexander Hogan, MD

    Recruiting

  • Children's Memorial Hermann

    Houston, Texas, 77030

    Wan-Hsuan Chen, MD

    Recruiting

  • Texas Children's Hospital - Main

    Houston, Texas, 77030

    Raymond Parlar-Chun, MD

    Recruiting

  • Texas Children's Hosptial - West Campus

    Houston, Texas, 77094

    Rabbia Naeem, MD

    Recruiting

  • Riley Hospital for Children

    Indianapolis, Indiana, 46202

    Melanie Butz, MD

    Recruiting

  • Children's Mercy Kansas City

    Kansas City, Missouri, 64108

    Jessica Markham, MD

    Recruiting

  • Children's Hospital of Philadelphia - KOPH

    King of Prussia, Pennsylvania, 19406

    Chris Bonafide, MD

    Recruiting

  • Primary Children's Hospital - Lehi Campus

    Lehi, Utah, 84043

    Kristina McKinley, MD

    Recruiting

  • Bryan Medical Center - Children's Nebraska Community site

    Lincoln, Nebraska, 68506

    Magi Dickinson, MD

    Recruiting

  • Adventist Health Lodi Memorial

    Lodi, California, 95240

    Julia Marlow, MD

    Recruiting

  • Children's Hospital Los Angeles

    Los Angeles, California, 90027

    Vivian Lee, MD

    Recruiting

  • UCLA Mattel Children's Hospital

    Los Angeles, California, 90095

    Audrey Kamzan, MD

    Recruiting

  • Covenant Children's Hospital

    Lubbock, Texas, 79410

    Audra Bowman, MD

    Recruiting

  • Valley Children's Hospital

    Madera, California, 93636

    Kerrilynn Rice, MD

    Recruiting

  • American Family Children's Hospital

    Madison, Wisconsin, 53792

    Kristin Shadman, MD

    Recruiting

  • Children's Hospital at Dartmouth-Hitchcock

    Manchester, New Hampshire, 03104

    Kristin Reese, MD

    Recruiting

  • Children's Wisconsin

    Milwaukee, Wisconsin, 53226

    Kaitlyn McQuistion, MD

    Recruiting

  • WVU Children's Hospital

    Morgantown, West Virginia, 26506

    Kamakshya Patra, MD

    Recruiting

  • Children's Wisconsin - Fox Valley

    Neenah, Wisconsin, 54956

    Casandra ZumMallen, MD

    Recruiting

  • K. Hovnanian Children's Hospital, Jersey Shore University Medical Center

    Neptune City, New Jersey, 07753

    Jennifer Labib, MD

    Recruiting

  • Yale-New Haven Children's Hospital

    New Haven, Connecticut, 06511

    Lyubina Yankova, MD

    Recruiting

  • Hassenfeld Children's Hospital at NYU Langone

    New York, New York, 10016

    Liliana Cruz, MD

    Recruiting

  • Children's Hospital of Oklahoma

    Oklahoma City, Oklahoma, 73104

    Matthew Le, MD

    Recruiting

  • Children's Nebraska

    Omaha, Nebraska, 68114

    Magi Dickinson, MD

    Recruiting

  • Children's Hospital Orange County (CHOC)

    Orange, California, 92868

    Amanda Schafenacker, MD

    Recruiting

  • OSF Children's Hospital of Illinois

    Peoria, Illinois, 61637

    Shaista Shaik, MD

    Recruiting

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

    Christopher Bonafide

    Recruiting

  • Phoenix Children's Hospital

    Phoenix, Arizona, 85016

    Jared Kusma, MD

    Recruiting

  • UPMC Children's Hospital of Pittsburgh

    Pittsburgh, Pennsylvania, 15224

    Tiffany Yang, MD

    Recruiting

  • CHOP Pediatric Care at Penn Medicine/Princeton Health

    Plainsboro, New Jersey, 08536

    Alicia Brennan, MD

    Recruiting

  • Hasbro Children's Hospital

    Providence, Rhode Island, 02903

    Hareem Park, MD

    Recruiting

  • University of Rochester Golisano Children's Hospital

    Rochester, New York, 14642

    Desiree Mohney, MD

    Recruiting

  • University of California Davis Children's Hospital

    Sacramento, California, 95817

    Michelle Hamline, MD

    Recruiting

  • Primary Children's Hospital

    Salt Lake City, Utah, 84113

    Kristina McKinley, MD

    Recruiting

  • Seattle Children's Hospital

    Seattle, Washington, 98105

    Eric Coon, 206-884-1223, Eric.Coon@seattlechildrens.org

    Recruiting

  • Baystate Children's Hospital

    Springfield, Massachusetts, 01199

    David Fish, MD

    Recruiting

  • Cox Medical Center South

    Springfield, Missouri, 65807

    Kayce Morton, MD

    Recruiting

  • Johns Hopkins All Children's Hospital

    St. Petersburg, Florida, 33701

    John Morrison, MD

    Recruiting

  • Children's Hospital at Montefiore

    The Bronx, New York, 10467

    Elissa Gross, MD

    Recruiting

  • Texas Children's Hospital The Woodlands

    The Woodlands, Texas, 77384

    Stephen Edwards, MD

    Recruiting

  • Children's National Medical Center

    Washington D.C., District of Columbia, 20010

    Kristen Johnson, MD

    Recruiting

  • Wake Forest Baptist Medical Center

    Winston-Salem, North Carolina, 27103

    Melissa Baranay, MD

    Recruiting

Other trials in United States

Canada2 sites, 2 recruiting

  • Alberta Children's Hospital

    Calgary, Alberta, T3B 6A8

    Chris Novak, MD

    Recruiting

  • BC Children's Hospital

    Vancouver, British Columbia, V6H 3V4

    Thomas McLaughlin, MD

    Recruiting

Other trials in Canada

About this study

Official title: 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.

Being tested
Moderate-Resource Implementation Strategy, High-Resource Implementation Strategy

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Moderate-Resource Implementation StrategyOther

    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 StrategyOther

    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 groups in NCT07243652
Study groupRoleWhat they receive
Moderate-Resource Implementation StrategyActive comparatorNot described
Receives: Other: Moderate-Resource Implementation Strategy
High-Resource Implementation StrategyExperimentalNot described
Receives: Other: High-Resource Implementation Strategy
Concurrent controlsNo interventionConcurrent control hospitals will collect data without any implementation strategy deployment.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Adoption

    Proportion of participants who are prescribed PRN follow-up

    Measured: Within 7 days of hospital discharge

Secondary outcomes (1)

  1. Sustainment

    Proportion of participants who attend a follow-up visit

    Measured: Within 7 days of hospital discharge

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Nov 2025
  2. Study start1 Nov 2025
  3. Primary completionMay 2029 (estimated)
  4. Study completionDec 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
2,700 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07243652
Sponsor's protocol ID
BPS-2024C1-35425
Acronym
I-DECIDE
Status last verified
Sep 2026
First submitted
29 Sep 2025
Last updated
10 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: 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.

AzTrials uses cookies for analytics and advertising. You can accept or reject them; the site works either way. Privacy Policy.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in