Diaz 2019.

Study characteristics
Methods	Cluster RCT
Participants	Primary care settings, Delaware Valley and FL, USA (Nemours Children’s Health System) 1051 patients, 13 physicians
Interventions	Guided physicians on how to screen for adolescent idiopathic scoliosis
Outcomes	Process adherence (documentation)
Co‐Interventions	Educational: Single educational session for providers in both control and intervention groups Beyond Clinician Education: Audit and feedback in both control and intervention groups
CDSS Features ‐ Acknowledgement of CDSS Required	Yes ‐ required acknowledgement of the CDSS and documentation of action taken
CDSS Features ‐ Other	Decision support was complex, interruptive, makes care recommendation, possible to execute desired action, 'push' mode of delivery, targeted underuse, user workflow considered in design
Notes
Risk of bias
Bias	Authors' judgement	Support for judgement
Allocation concealment (selection bias)	Low risk
Incomplete outcome data (attrition bias) All outcomes	Low risk
Baseline characteristics similar?	Unclear risk	N/A
Unit of analysis error	High risk