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Key publications in paediatrics: Picket
Targeted interventions improve bronchiolitis care and reduce unnecessary therapies
  1. Aoife Ryan1,
  2. Craig Swinburne2
  1. 1 General Paediatrics, NHS Greater Glasgow and Clyde, Glasgow, UK
  2. 2 Department of General Paediatrics, Royal Hospital for Children, Glasgow, UK
  1. Correspondence to Dr Aoife Ryan, General Paediatrics, NHS Greater Glasgow and Clyde, Glasgow G51 4TF, UK; aoife.ryan{at}nhs.scot

https://doi.org/10.1136/archdischild-2021-323384

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    Review of: Haskell L, Tavender EJ, Wilson CL, et al. Effectiveness of targeted interventions on treatment of infants with bronchiolitis: a randomized clinical trial. JAMA Pediatr 2021;175:797806.

    Study design: Multicentre cluster randomised clinical trial.

    Setting: 26 hospitals in Australia (n=20) and New Zealand (n=6). 13 hospitals were randomised to the intervention group and 13 to control in the 2017 bronchiolitis season (with representation of secondary and tertiary hospitals from each country within both groups following stratification). Retrospective data from three bronchiolitis seasons prior to the trial (2014–2016) were additionally collected.

    Interventions: Targeted interventions were developed based on behaviour change theories (specifically the ‘Theoretical Domains Framework’), following a qualitative study which identified local barriers and enablers to evidence-based bronchiolitis care.1 Interventions included: appointment of medical …

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    Footnotes

    • Contributors The abstract and commentary were written by AR and edited by CS.

    • Provenance and peer review Commissioned; internally peer reviewed.