Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/58490
Title: Implementing evidence-based practices in the care of infants with bronchiolitis in Australasian acute care settings: study protocol for a cluster randomised controlled study
Contributor(s): Haskell, Libby (author); Tavender, Emma J (author); Wilson, Catherine (author); O’Brien, Sharon (author); Babl, Franz E (author); Borland, Meredith L (author); Cotterell, Liz  (author)orcid ; Schuster, Tibor (author); Orsini, Francesca (author); Sheridan, Nicolette (author); Johnson, David (author); Oakley, Ed (author); Dalziel, Stuart R (author)
Publication Date: 2018-07-06
Open Access: Yes
DOI: 10.1186/s12887-018-1187-7
Handle Link: https://hdl.handle.net/1959.11/58490
Abstract: 

Background: Bronchiolitis is the most common reason for admission to hospital for infants less than one year of age. Although management is well defined, there is substantial variation in practice, with infants receiving ineffective therapies or management. This study will test the effectiveness of tailored, theory informed knowledge translation (KT) interventions to decrease the use of five clinical therapies or management processes known to be of no benefit, compared to usual dissemination practices in infants with bronchiolitis. The primary objective is to establish whether the KT interventions are effective in increasing compliance to five evidence based recommendations in the first 24 h following presentation to hospital. The five recommendations are that infants do not receive; salbutamol, antibiotics, glucocorticoids, adrenaline, or a chest x-ray.

Methods/design: This study is designed as a cluster randomised controlled trial. We will recruit 24 hospitals in Australia and New Zealand, stratified by country and provision of tertiary or secondary paediatric care. Hospitals will be randomised to either control or intervention groups. Control hospitals will receive a copy of the recent Australasian Bronchiolitis Guideline. Intervention hospitals will receive KT interventions informed by a qualitative analysis of factors influencing clinician care of infants with bronchiolitis. Key interventions include, local stakeholder meetings, identifying medical and nursing clinical leads in both emergency departments and paediatric inpatient areas who will attend a single education train-the-trainer day to then deliver standardised staff education with the training materials provided and coordinate audit and feedback reports locally over the study period. Data will be extracted retrospectively for three years prior to the study intervention year, and for seven months of the study intervention year bronchiolitis season following intervention delivery to determine compliance with the five evidence-based recommendations. Data will be collected to assess fidelity to the implementation strategies and to facilitate an economic evaluation.

Publication Type: Journal Article
Grant Details: NHMRC/GNT1058560
Source of Publication: BMC pediatrics, v.18, p. 1-10
Publisher: BioMed Central Ltd
Place of Publication: United Kingdom
ISSN: 1471-2431
Fields of Research (FoR) 2020: 4203 Health services and systems
420312 Implementation science and evaluation
Socio-Economic Objective (SEO) 2020: 200506 Neonatal and child health
200304 Inpatient hospital care
200311 Urgent and critical care, and emergency medicine
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Appears in Collections:Journal Article
School of Rural Medicine

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