Clinical trial Recruiting at 62 sites Interventional Ages 0 Months to 24 Months

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 typeInterventional
Ages0 Months to 24 Months
SexAll
Enrollment2700 (estimated)
SponsorSeattle Children's Hospital
Academic / other
Locations62 sites (Birmingham, Alabama and 61 other locations)
StatusRecruiting
StartedNovember 1, 2025
Main results expectedMay 2029
Study endsDecember 2029
Registry record updatedSeptember 10, 2026
Trial IDNCT07243652 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

  • 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
  • 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

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.