I-DECIDE: follow-up options after a child’s bronchiolitis hospitalization
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
Run by Seattle Children's Hospital · NCT07243652 · Data updated 2026-11-12
This trial tests two ways hospitals can encourage doctors to prescribe on‑as‑needed (PRN) follow-up instead of routine automatic visits for children hospitalized with bronchiolitis to see if families attend fewer unnecessary clinic visits.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 0 Months to 24 Months |
| Sex | All |
| Enrollment | 2700 (estimated) |
| Sponsor | Seattle Children's Hospital Academic / other |
| Locations | 62 sites (Birmingham, Alabama and 61 other locations) |
| Status | Recruiting |
| Started | November 1, 2025 |
| Main results expected | May 2029 |
| Study ends | December 2029 |
| Registry record updated | September 10, 2026 |
| Trial ID | NCT07243652 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Children hospitalized for acute bronchiolitis who are being discharged from a general inpatient pediatric service (not ICU, ED, or step‑down) and who do not have major chronic or high‑risk conditions are ideal candidates.
✕Probably not a fit
Children with gestational age under 28 weeks, chronic lung disease, complex or hemodynamically significant heart disease, immunodeficiency, neuromuscular disease, or those discharged on home oxygen are excluded and unlikely to benefit from this PRN follow-up approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
I-DECIDE is an interventional comparison of two multi-component implementation strategies (moderate-resource vs high-resource) delivered to hospital teams to increase PRN follow-up prescribing by hospitalists and reduce unnecessary post-discharge clinic visits. The strategies are implemented at participating pediatric hospitals and target discharge practices for children hospitalized on general inpatient units (not ICU, ED, or step-down). Key outcomes include the rate of PRN follow-up prescriptions given at discharge and the frequency of families attending routine follow-up visits after bronchiolitis hospitalization. Children with significant prematurity, chronic lung disease, major congenital heart disease, immunodeficiency, neuromuscular disease, or those discharged on home oxygen are excluded from the trial.
Why it matters
Potential benefit: If successful, this could reduce unneeded clinic visits for families while preserving safe care and save time and resources for families and health systems.
How similar studies have gone: Guidelines and prior research support PRN follow-up and show many routine visits are unnecessary, but rigorous implementation trials comparing bundled strategies to increase PRN prescribing have been limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
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
Where it's running
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Children's of Alabama
Birmingham, Alabama, United States Recruiting -
Phoenix Children's Hospital - Arrowhead Campus
Glendale, Arizona, United States Recruiting -
Phoenix Children's Hospital
Phoenix, Arizona, United States Recruiting -
Adventist Health Lodi Memorial
Lodi, California, United States Recruiting -
Children's Hospital Los Angeles
Los Angeles, California, United States Recruiting -
UCLA Mattel Children's Hospital
Los Angeles, California, United States Recruiting
Show 44 more locations
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Valley Children's Hospital
Madera, California, United States Recruiting -
Children's Hospital Orange County (CHOC)
Orange, California, United States Recruiting -
University of California Davis Children's Hospital
Sacramento, California, United States Recruiting -
Children's Hospital Colorado
Aurora, Colorado, United States Recruiting -
Connecticut Children's Medical Center
Hartford, Connecticut, United States Recruiting -
Yale-New Haven Children's Hospital
New Haven, Connecticut, United States Recruiting -
Children's National Medical Center
Washington D.C., District of Columbia, United States Recruiting -
Johns Hopkins All Children's Hospital
St. Petersburg, Florida, United States Recruiting -
Ann & Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, United States Recruiting -
OSF Children's Hospital of Illinois
Peoria, Illinois, United States Recruiting -
Riley Hospital for Children
Indianapolis, Indiana, United States Recruiting -
Northern Light Eastern Maine Medical Center
Bangor, Maine, United States Recruiting -
Johns Hopkins Children's Center
Baltimore, Maryland, United States Recruiting -
Boston Children's Hospital
Boston, Massachusetts, United States Recruiting -
Baystate Children's Hospital
Springfield, Massachusetts, United States Recruiting -
Children's Mercy Kansas City
Kansas City, Missouri, United States Recruiting -
Cox Medical Center South
Springfield, Missouri, United States Recruiting -
Bryan Medical Center - Children's Nebraska Community site
Lincoln, Nebraska, United States Recruiting -
Children's Nebraska
Omaha, Nebraska, United States Recruiting -
Children's Hospital at Dartmouth-Hitchcock
Manchester, New Hampshire, United States Recruiting -
JM Sanzari Children's Hospital, Hackensack Meridian Children's Health
Hackensack, New Jersey, United States Recruiting -
K. Hovnanian Children's Hospital, Jersey Shore University Medical Center
Neptune City, New Jersey, United States Recruiting -
CHOP Pediatric Care at Penn Medicine/Princeton Health
Plainsboro, New Jersey, United States Recruiting -
Albany Medical Center
Albany, New York, United States Recruiting -
Oishei Children's Hospital
Buffalo, New York, United States Recruiting -
Hassenfeld Children's Hospital at NYU Langone
New York, New York, United States Recruiting -
University of Rochester Golisano Children's Hospital
Rochester, New York, United States Recruiting -
Children's Hospital at Montefiore
The Bronx, New York, United States Recruiting -
Wake Forest Baptist Medical Center
Winston-Salem, North Carolina, United States Recruiting -
Akron Children's Hospital
Akron, Ohio, United States Recruiting -
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States Recruiting -
University Hospitals Rainbow Babies and Children's Hospital
Cleveland, Ohio, United States Recruiting -
Cleveland Clinic Children's
Cleveland, Ohio, United States Recruiting -
Nationwide Children's Hospital
Columbus, Ohio, United States Recruiting -
Dayton Children's Hospital
Dayton, Ohio, United States Recruiting -
Children's Hospital of Oklahoma
Oklahoma City, Oklahoma, United States Recruiting -
Children's Hospital of Philadelphia - KOPH
King of Prussia, Pennsylvania, United States Recruiting -
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States Recruiting -
UPMC Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, United States Recruiting -
Hasbro Children's Hospital
Providence, Rhode Island, United States Recruiting -
Texas Children's Hospital - North Campus
Austin, Texas, United States Recruiting -
Baylor Scott and White Mclane Children's
Belton, Texas, United States Recruiting -
Children's Memorial Hermann
Houston, Texas, United States Recruiting -
Texas Children's Hospital - Main
Houston, Texas, United States Recruiting
+12 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Eric Coon, MD, MS
- Email: Eric.Coon@seattlechildrens.org
- Phone: 206-884-1223
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.