Atreja 2018.

Study characteristics
Methods	Randomised trial, USA.
Participants	320 patients with irritable bowel syndrome. 47% female.
Interventions	Intervention patients update their information and receive a disease summary of quality of care metrics and IBD‐specific quality of life trends.   Atreja 2018 Intervention features Multiple complex feedback (multiple PROMs at multiple times)  PROM(s) used as intervention: HealthPROMISE app measuring quality of care and quality of life Constructs measured: Health related Quality of Life, Symptoms, Functioning Instrument categories/domains: Generic, Domain/Disease specific (IBD)   Administration features Where PROMs administered: Non‐clinical setting How administered: Self‐administered Format of PROMs questionnaire(s): Electronic   Feedback features Format of PROMs feedback: Electronic How often information fed back: Whenever HealthPROMISE patients updated their information  Who information fed back to: Clinicians Information fed back: Scores
Outcomes	Primary outcome was change in quality of care. Secondary outcomes were disparities in IBD‐related emergency room visits and hospitalisations, change in quality of life score from baseline, and proportion of patients reporting controlled disease status.
Notes	Funding information not provided. The study period is not reported. Conflicts of interest are not reported.
Risk of bias
Bias	Authors' judgement	Support for judgement
Random sequence generation (selection bias)	Unclear risk	Abstract only.
Allocation concealment (selection bias)	Unclear risk	Abstract only.
Blinding of participants and personnel (performance bias) All outcomes	Unclear risk	Abstract only.
Blinding of outcome assessment (detection bias) All outcomes	Unclear risk	Abstract only.
Baseline outcome measurements similar	Unclear risk	Abstract only.
Baseline characteristics similar	Unclear risk	Abstract only.
Incomplete outcome data (attrition bias) All outcomes	Unclear risk	Abstract only.
Was study protected against contamination	Unclear risk	Abstract only.
Selective reporting (reporting bias)	Unclear risk	Abstract only.