Trial Outcomes & Findings for The Bronchiolitis Follow-up Intervention Trial (NCT NCT03354325)

NCT ID: NCT03354325

Last Updated: 2020-05-19

Results Overview

Parental anxiety, as measured by the anxiety portion of the Hospital Anxiety and Depression Scale (HADS), a 0-28 point scale, with higher values representing higher anxiety.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

304 participants

Primary outcome timeframe

Measured at the first data collection phone call (5-9 days following discharge).

Results posted on

2020-05-19

Participant Flow

Participant milestones

Participant milestones
Measure
Scheduled PCP Follow-up
Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician (PCP) within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge. Scheduled PCP follow-up: Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge.
As Needed PCP Follow-up
At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician (PCP). Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise. As needed PCP follow-up: At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician. Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise.
Overall Study
STARTED
151
153
Overall Study
COMPLETED
131
138
Overall Study
NOT COMPLETED
20
15

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Bronchiolitis Follow-up Intervention Trial

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Scheduled PCP Follow-up
n=151 Participants
Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician (PCP) within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge. Scheduled PCP follow-up: Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge.
As Needed PCP Follow-up
n=153 Participants
At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician (PCP). Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise. As needed PCP follow-up: At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician. Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise.
Total
n=304 Participants
Total of all reporting groups
Age, Categorical
<=18 years
151 Participants
n=5 Participants
153 Participants
n=7 Participants
304 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
58 Participants
n=5 Participants
67 Participants
n=7 Participants
125 Participants
n=5 Participants
Sex: Female, Male
Male
93 Participants
n=5 Participants
86 Participants
n=7 Participants
179 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
34 Participants
n=5 Participants
56 Participants
n=7 Participants
90 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
117 Participants
n=5 Participants
97 Participants
n=7 Participants
214 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
Asian
11 Participants
n=5 Participants
12 Participants
n=7 Participants
23 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
14 Participants
n=5 Participants
12 Participants
n=7 Participants
26 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
White
113 Participants
n=5 Participants
116 Participants
n=7 Participants
229 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
7 Participants
n=5 Participants
9 Participants
n=7 Participants
16 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Measured at the first data collection phone call (5-9 days following discharge).

Parental anxiety, as measured by the anxiety portion of the Hospital Anxiety and Depression Scale (HADS), a 0-28 point scale, with higher values representing higher anxiety.

Outcome measures

Outcome measures
Measure
Scheduled PCP Follow-up
n=131 Participants
Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician (PCP) within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge. Scheduled PCP follow-up: Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge.
As Needed PCP Follow-up
n=138 Participants
At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician (PCP). Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise. As needed PCP follow-up: At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician. Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise.
Parental Anxiety
4.2 points on a scale
Standard Deviation 3.5
3.9 points on a scale
Standard Deviation 3.5

SECONDARY outcome

Timeframe: Measured by parent report via weekly research coordinator phone calls, until symptoms resolved or 50 days after discharge, whichever occurs first.

Outcome measures

Outcome measures
Measure
Scheduled PCP Follow-up
n=131 Participants
Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician (PCP) within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge. Scheduled PCP follow-up: Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge.
As Needed PCP Follow-up
n=138 Participants
At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician (PCP). Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise. As needed PCP follow-up: At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician. Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise.
Time From Hospital Discharge to Cough Resolution
9.8 days
Standard Deviation 8.2
9.2 days
Standard Deviation 6.7

SECONDARY outcome

Timeframe: Measured by parent report via weekly research coordinator phone calls, until symptoms resolved or 50 days after discharge, whichever occurs first.

Outcome measures

Outcome measures
Measure
Scheduled PCP Follow-up
n=131 Participants
Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician (PCP) within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge. Scheduled PCP follow-up: Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge.
As Needed PCP Follow-up
n=138 Participants
At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician (PCP). Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise. As needed PCP follow-up: At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician. Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise.
Time From Hospital Discharge to Child Reported Back to Normal
9.6 days
Standard Deviation 8.7
8.8 days
Standard Deviation 6.8

SECONDARY outcome

Timeframe: Measured by parent report via weekly research coordinator phone calls, until symptoms resolved or 50 days after discharge, whichever occurs first.

Outcome measures

Outcome measures
Measure
Scheduled PCP Follow-up
n=131 Participants
Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician (PCP) within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge. Scheduled PCP follow-up: Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge.
As Needed PCP Follow-up
n=138 Participants
At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician (PCP). Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise. As needed PCP follow-up: At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician. Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise.
Number of Clinic Visits Prior to Symptom Resolution
1.1 visits
Standard Deviation 0.7
0.5 visits
Standard Deviation 0.7

SECONDARY outcome

Timeframe: Measured by parent report via weekly research coordinator phone calls, until symptoms resolved or 50 days after discharge, whichever occurs first.

Outcome measures

Outcome measures
Measure
Scheduled PCP Follow-up
n=131 Participants
Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician (PCP) within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge. Scheduled PCP follow-up: Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge.
As Needed PCP Follow-up
n=138 Participants
At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician (PCP). Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise. As needed PCP follow-up: At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician. Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise.
Any Hospital Re-admission Prior to Symptom Resolution
3.8 percent
Standard Deviation 1.9
2.2 percent
Standard Deviation 1.4

SECONDARY outcome

Timeframe: Measured by parent report via weekly research coordinator phone calls, until symptoms resolved or 50 days after discharge, whichever occurs first.

Outcome measures

Outcome measures
Measure
Scheduled PCP Follow-up
n=131 Participants
Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician (PCP) within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge. Scheduled PCP follow-up: Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge.
As Needed PCP Follow-up
n=138 Participants
At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician (PCP). Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise. As needed PCP follow-up: At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician. Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise.
Any ED Visit Prior to Symptom Resolution
3.8 percent
Standard Deviation 1.9
5.8 percent
Standard Deviation 2.3

SECONDARY outcome

Timeframe: Measured by parent report via weekly research coordinator phone calls, until symptoms resolved or 50 days after discharge, whichever occurs first.

Outcome measures

Outcome measures
Measure
Scheduled PCP Follow-up
n=131 Participants
Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician (PCP) within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge. Scheduled PCP follow-up: Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge.
As Needed PCP Follow-up
n=138 Participants
At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician (PCP). Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise. As needed PCP follow-up: At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician. Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise.
Number of Missed Work Days
2.1 days
Standard Deviation 4.1
1.6 days
Standard Deviation 3.2

SECONDARY outcome

Timeframe: Measured by parent report via weekly research coordinator phone calls, until symptoms resolved or 50 days after discharge, whichever occurs first.

Outcome measures

Outcome measures
Measure
Scheduled PCP Follow-up
n=131 Participants
Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician (PCP) within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge. Scheduled PCP follow-up: Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge.
As Needed PCP Follow-up
n=138 Participants
At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician (PCP). Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise. As needed PCP follow-up: At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician. Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise.
Missed Daycare
1.2 days
Standard Deviation 3.5
0.8 days
Standard Deviation 2.9

SECONDARY outcome

Timeframe: Measured by parent report via weekly research coordinator phone calls, until symptoms resolved or 50 days after discharge, whichever occurs first.

Outcome measures

Outcome measures
Measure
Scheduled PCP Follow-up
n=131 Participants
Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician (PCP) within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge. Scheduled PCP follow-up: Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge.
As Needed PCP Follow-up
n=138 Participants
At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician (PCP). Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise. As needed PCP follow-up: At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician. Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise.
Ambulatory Prescriptions (Albuterol, Antibiotics, Steroids)
16.0 percent
Standard Deviation 3.7
9.4 percent
Standard Deviation 2.9

SECONDARY outcome

Timeframe: Measured by parent report, at the first data collection phone call (5-9 days following discharge).

Outcome measures

Outcome measures
Measure
Scheduled PCP Follow-up
n=131 Participants
Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician (PCP) within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge. Scheduled PCP follow-up: Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge.
As Needed PCP Follow-up
n=138 Participants
At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician (PCP). Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise. As needed PCP follow-up: At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician. Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise.
Ambulatory Testing (i.e. Pulse Oximetry, Chest X-ray)
67 percent
Standard Deviation 47
22 percent
Standard Deviation 42

SECONDARY outcome

Timeframe: Measured by parent report via research coordinator phone call at 1 month from discharge.

Measured by the Patient-Doctor Depth-of-Relationship Scale, 0-32 points, with higher scores indicating a stronger relationship with PCP.

Outcome measures

Outcome measures
Measure
Scheduled PCP Follow-up
n=131 Participants
Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician (PCP) within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge. Scheduled PCP follow-up: Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge.
As Needed PCP Follow-up
n=138 Participants
At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician (PCP). Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise. As needed PCP follow-up: At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician. Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise.
Relationship With PCP
26.0 points on a scale
Standard Deviation 6.3
26.5 points on a scale
Standard Deviation 6.4

SECONDARY outcome

Timeframe: Measured by parent report via research coordinator phone call at 1 month from discharge.

Measured by a question from the Patient Satisfaction Questionnaire Short Form (PSQ-18), those who indicate agree or strongly agree

Outcome measures

Outcome measures
Measure
Scheduled PCP Follow-up
n=116 Participants
Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician (PCP) within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge. Scheduled PCP follow-up: Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge.
As Needed PCP Follow-up
n=128 Participants
At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician (PCP). Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise. As needed PCP follow-up: At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician. Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise.
Report That Care Was Perfect 1 Month After Discharge
99.2 percent
Standard Deviation 9.3
97.6 percent
Standard Deviation 15.2

SECONDARY outcome

Timeframe: Measured by parent report via research coordinator phone call at 1 month from discharge.

Outcome measures

Outcome measures
Measure
Scheduled PCP Follow-up
n=116 Participants
Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician (PCP) within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge. Scheduled PCP follow-up: Parents of children randomized to scheduled follow up will be instructed to follow up with their primary care physician within 4 days of discharge regardless of improvement and/or symptom resolution. Research coordinators will verify that the child has a scheduled follow up appointment prior to discharge.
As Needed PCP Follow-up
n=128 Participants
At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician (PCP). Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise. As needed PCP follow-up: At the time of hospital discharge, parents will be instructed that the child does not need to automatically follow up with his/her primary care physician. Rather, the child should follow up on an as needed basis: if the child does not improve or if new concerns arise.
Immunizations Received 1 Month After Discharge
36.2 percent
Standard Deviation 48.3
32.8 percent
Standard Deviation 47.1

Adverse Events

Scheduled PCP Follow-up

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

As Needed PCP Follow-up

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Eric Coon

University of Utah

Phone: 801-662-3645

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place