Cluster Randomized Trial of a Moderate vs High Resource Implementation Strategy to Increase As-needed Post-hospitalization Follow-up for Children With Bronchiolitis
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 2,700
- 试验地点
- 62
- 主要终点
- Adoption
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 0 Months 至 24 Months（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Primary diagnosis of bronchiolitis, discharged by a generalist inpatient service from a non-ICU, non-emergency department, non-step down unit
排除标准
- •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
研究组 & 干预措施
Moderate-Resource Implementation Strategy
干预措施: Moderate-Resource Implementation Strategy (Other)
High-Resource Implementation Strategy
干预措施: High-Resource Implementation Strategy (Other)
Concurrent controls
Concurrent control hospitals will collect data without any implementation strategy deployment.
结局指标
主要结局
Adoption
时间窗: Within 7 days of hospital discharge
Proportion of participants who are prescribed PRN follow-up
次要结局
- Sustainment(Within 7 days of hospital discharge)
研究者
Eric Coon
Professor of Pediatrics
Seattle Children's Hospital