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. 2021 Oct 12;2021(10):CD011589. doi: 10.1002/14651858.CD011589.pub2

Franco 2020.

Study characteristics
Methods Randomised trial. Italy.
Participants 222 patients with uncontrolled epileptic seizures. 
Interventions Assessment of adverse events using the Adverse Event Profile (AEP) and communication of patient scores to treating physicians. 
 
Intervention features
Multiple complex feedback (multiple PROMs at multiple times) 
PROM(s) used as intervention: 31‐item epilepsy‐specific Quality of Life Inventory ‐ Epilepsy–31 (QOLIE‐31), 19‐item AEP questionnaire, Beck Depression Inventory II (BDI), 5‐digit Clinical Global Impression (CGI) scale
Constructs measured: Health related Quality of Life, Symptoms, Functioning
Instrument categories/domains: Generic, Domain/Disease specific (epilepsy)
 
Administration features
Where PROMs administered: Clinical setting
How administered: Self‐administered
Format of PROMs questionnaire(s): Electronic
 
Feedback features
Format of PROMs feedback: Unclear
How often information fed back: 0 (enrolment), 6, 12, and 18 months
Who information fed back to: Clinicians
Information fed back: Scores
Outcomes Main outcome: adverse events measured by the AEP and quality of life measured by the Quality of Life Inventory for Epilepsy‐31 (QOLIE‐31).
Notes Funded by the Italian Medicines Agency (Agenzia Italiana del Farmaco [AIFA]) (FARM52K2WM_003) and the University Pavia. The study was conducted between 2006 and 2009. No conflicts of interest are reported. 
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated randomisation. 
Allocation concealment (selection bias) Low risk Secure online system delivered allocation. 
Blinding of participants and personnel (performance bias)
All outcomes High risk Nature of intervention. 
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Not reported. 
Baseline outcome measurements similar Low risk Measurements the same.
Baseline characteristics similar Low risk Characteristics similar. 
Incomplete outcome data (attrition bias)
All outcomes Unclear risk Not reported. 
Was study protected against contamination High risk Multi‐site no cluster design.
Selective reporting (reporting bias) Unclear risk No published protocol.