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Co-design and evaluation of a regional and rural translation bronchiolitis platform: study protocol
Louise Shaw1,2, Catherine Wilson3, Meredith Borland4,5
1Emergency Research, Murdoch Children's Research Institute, Melbourne, VIC, Australia. louise.shaw@mcri.edu.au.
Insights
A new online platform, RART-Bronch, is being co-designed with clinicians and parents to improve bronchiolitis care in rural Australia. This tool aims to reduce variations in treatment and enhance infant outcomes.
Area of Science:
- Pediatric infectious diseases
- Health services research
- Human-computer interaction
Background:
- Bronchiolitis is a leading cause of infant hospitalization, with persistent care variations.
- Regional and rural hospitals face challenges in accessing pediatric expertise and evidence-based resources.
- This can lead to the continued use of low-value interventions in bronchiolitis management.
Purpose of the Study:
- To co-design and evaluate the usability of an interactive online platform, the Regional and Rural Translation Bronchiolitis (RART-Bronch) platform.
- To support clinicians in regional and rural settings with evidence-based guidance for bronchiolitis care.
- To reduce variations in care and improve outcomes for infants hospitalized with bronchiolitis.
Main Methods:
- A mixed-methods study employing a human-centred design approach.
- Co-design workshops with regional/rural clinicians and parents of hospitalized infants.
- Usability evaluation through surveys, interviews, and think-aloud methods.
Main Results:
- Development of a user-friendly, evidence-based online platform tailored for regional and rural contexts.
- The RART-Bronch platform will feature educational resources, implementation support, and benchmarking tools.
- Enhanced clinical decision-making and improved adherence to bronchiolitis guidelines are anticipated.
Conclusions:
- The RART-Bronch platform aims to reduce low-value care and improve infant outcomes in bronchiolitis management.
- Findings will inform future implementation strategies, including tailored education and feedback.
- This initiative seeks to enhance pediatric care quality and promote equitable improvements in under-resourced settings.
Background:
Bronchiolitis 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.
Methods:
This 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.
Results:
We will develop a user-friendly, evidence-based platform specific to regional and rural contexts that supports bronchiolitis guideline adherence and enhances clinical decision-making.
Conclusion:
Effectiveness 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.
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