Implementation Strategies for Bronchiolitis Follow-Up
(I-DECIDE Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine how different strategies can assist doctors and families in deciding if follow-up visits are necessary after a child has been hospitalized for bronchiolitis, a common lung infection. The trial will compare two approaches: the High-Resource Implementation Strategy, which uses more resources, and the Moderate-Resource Implementation Strategy, which uses fewer resources, to encourage follow-up only when truly necessary. It seeks children who were hospitalized for bronchiolitis and discharged from a regular hospital ward, excluding those from intensive care or emergency units. This research could make follow-up care more efficient and less burdensome for families. As an unphased trial, it offers families the opportunity to contribute to research that could simplify and improve follow-up care for children.
Do I need to stop my current medications to join the trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that these implementation strategies are safe for children hospitalized with bronchiolitis?
Research has shown that the strategies tested for bronchiolitis follow-up care aim to improve how doctors and families manage these visits. Both the High-Resource and Moderate-Resource Strategies ensure follow-up visits occur only when necessary.
These strategies do not involve medications or physical treatments, so typical safety concerns like side effects do not arise. Instead, they focus on changing how care is organized and delivered. The goal is to reduce unnecessary follow-ups, saving time for families and adhering to expert guidelines.
Overall, studies have found no safety concerns for participants. The strategies support better care without any risk of harm.12345Why are researchers excited about this trial?
Researchers are excited about this trial because it explores two innovative strategies for improving follow-up care in bronchiolitis, a common lung infection in young children. Unlike typical treatments that focus solely on immediate medical intervention, this trial examines how different levels of resource allocation in follow-up care might affect patient outcomes. The High-Resource Implementation Strategy involves a more intensive use of healthcare resources, potentially offering a more comprehensive follow-up plan, while the Moderate-Resource Implementation Strategy seeks to optimize outcomes with fewer resources. This approach could lead to more efficient and effective management of bronchiolitis, providing valuable insights into how healthcare systems can best allocate resources for pediatric care.
What evidence suggests that this trial's implementation strategies could be effective for bronchiolitis follow-up?
Research has shown that many follow-up visits after hospital stays for bronchiolitis aren't needed. Studies have found that a "when needed" (PRN) approach can reduce these unnecessary visits. In this trial, the High-Resource Implementation Strategy encourages doctors to recommend PRN follow-ups more often, potentially increasing family satisfaction by reducing unnecessary trips. Meanwhile, the Moderate-Resource Implementation Strategy also promotes PRN follow-ups but uses fewer resources. Both strategies aim to make follow-up care more efficient by scheduling visits only when truly necessary, following established guidelines.12367
Are You a Good Fit for This Trial?
The I-DECIDE trial is for children who have been hospitalized due to bronchiolitis. It aims to assess the effectiveness of as-needed follow-up care, which is currently underused despite support from pediatric authorities and evidence suggesting that automatic follow-ups may not be necessary.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Implementation Strategy
Comparison of moderate vs high resource implementation strategies to increase PRN follow-up prescribing and decrease unnecessary follow-up visits
Follow-up
Participants are monitored for follow-up visit attendance and PRN follow-up prescribing
What Are the Treatments Tested in This Trial?
Interventions
- High-Resource Implementation Strategy
- Moderate-Resource Implementation Strategy
Find a Clinic Near You
Who Is Running the Clinical Trial?
Seattle Children's Hospital
Lead Sponsor
Patient-Centered Outcomes Research Institute
Collaborator
Children's Hospital of Philadelphia
Collaborator