Evidence map›Paper›PMID 41184625›Full record

ArticlePediatric research2026

Co-design and evaluation of a regional and rural translation bronchiolitis platform: study protocol.

Louise Shaw, Catherine Wilson, Meredith Borland, Elizabeth Cotterell, John Craven, Janet Curran, Stuart Dalziel, Tahnee Dunlop, Donna Franklin, Libby Haskell and 7 more

Abstract read
In one paragraph

Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Louise ShawEmergency Research, Murdoch Children's Research Institute, Melbourne, VIC, Australia. louise.shaw@mcri.edu.au.
Catherine WilsonEmergency Research, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Meredith BorlandEmergency Department, Perth Children's Hospital, Nedlands, WA, Australia.
Elizabeth CotterellDepartment of Paediatrics, Armidale Rural Referral Hospital, Armidale, NSW, Australia.
John CravenEmergency Department, Mount Barker District Soldiers Memorial Hospital, Mount Barker, SA, Australia.
Janet CurranSchool of Nursing, Dalhousie University, Halifax, NS, Canada.
Stuart DalzielDepartments of Surgery and Paediatrics, The University of Auckland, Auckland Central, New Zealand.
Tahnee DunlopCentre for Rural Emergency Medicine, Deakin University, Warrnambool, VIC, Australia.
Donna FranklinChildren's Emergency and Critical Care Research, Gold Coast University Hospital, Southport, QLD, Australia.
Libby HaskellEmergency Medicine Research, Children's Emergency Department, Starship Children's Hospital, Auckland, New Zealand.
Anna LithgowPaediatric Department, The Royal Darwin Hospital, Tiwi, NT, Australia.
Sandy MiddletonNursing Research Institute, St Vincent's Health Network, Darlinghurst, NSW, Australia.
Sharon O'BrienEmergency Department, Perth Children's Hospital, Nedlands, WA, Australia.
Annelise StaplesBendigo Health Emergency Department, Bendigo, VIC, Australia.
Viet TranTasmanian School of Medicine, University of Tasmania, Hobart, TAS, Australia.
Franz E BablEmergency Research, Murdoch Children's Research Institute, Melbourne, VIC, Australia.
Emma TavenderEmergency Research, Murdoch Children's Research Institute, Melbourne, VIC, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBronchiolitis is the leading cause of hospitalisation in infants under one year. While evidence-based guidelines exist, including the updated Australasian Bronchiolitis Guidelines (2025), variations in care persist. Improving care in regional and rural hospitals is challenging due to limited access to paediatric expertise and evidence-based resources, contributing to continued use of low-value interventions.

methodsThis mixed methods study will use a human-centred design approach to co-design and evaluate the usability of the Regional and Rural Translation Bronchiolitis (RART-Bronch) platform, an interactive online tool targeted at non-metropolitan settings. The platform will feature bronchiolitis educational resources, implementation support, a benchmarking and feedback tool, and family education materials. Participants will be regional and rural clinicians and parents of infants hospitalised with bronchiolitis in these settings. Data will be collected through co-design meetings, usability surveys, semi-structured interviews, and think aloud methods. Engagement with the co-design process will also be evaluated.

resultsWe will develop a user-friendly, evidence-based platform specific to regional and rural contexts that supports bronchiolitis guideline adherence and enhances clinical decision-making.

conclusionEffectiveness will be evaluated in a future cluster randomised controlled trial and may inform future implementation strategies for improving care, quality and equity across regional and rural healthcare. IMPACT: This study aims to reduce variation in bronchiolitis care by co-designing an interactive online platform, RART-Bronch, with clinicians and parents from regional and rural settings. The platform aims to support sustainable reductions in low-value care and improve outcomes for infants with bronchiolitis. It will deliver evidence-based guidance to clinicians working in regional and rural hospitals with limited paediatric expertise. Findings will inform future implementation of tailored education, audit and feedback strategies in acute care. This work aims to enhance paediatric care quality in under-resourced settings and contribute to scalable, equitable improvements in bronchiolitis management across Australia.

Indexed as

BronchiolitisRural Health ServicesAustraliaBenchmarkingGuideline AdherenceHospitalizationHospitals, RuralHumansInfantInfant, NewbornPractice Guidelines as TopicResearch DesignRural Population

Identifiers

PMID41184625
PMCPMC13485683

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.