Richardson 2019.

Study characteristics
Methods	Randomised trial.
Participants	300 paediatric primary care patients.
Interventions	Electronic screening and clinician feedback versus. usual care.    Intervention features Multiple simple feedback (one PROM at multiple times) PROM(s) used as intervention: HEADSS (home, education, activities, depression, sexual activity, safety, and substance use) framework Constructs measured: Functioning, Other (emotional wellbeing) Instrument categories/domains: Generic   Administration features Where PROMs administered: Clinical setting (e.g. waiting room, office, etc)  How administered: Self‐administered Format of PROMs questionnaire(s): Electronic   Feedback features Format of PROMs feedback: Electronic How often information fed back: On day 1 and 3 months Who information fed back to: Clinicians Information fed back: Scores
Outcomes	Main outcome: self‐report of counselling and risk behaviours
Notes	Study was funded by Health Resources and Services Administration of the US Department of Health and Human Services. The study was conducted between 13th March 2015 and 8th August 2016. Conflicts were reported as: Drs Richardson and McCarty reported receiving grants from Health Resources and Services Administration Maternal Child Health Bureau during the conduct of the study. Drs Richardson and McCarty reported having a license agreement with Tickit Health Inc as inventors of the Check Yourself Tool whereby they will receive royalties from the future sale of the tool to other health care companies; Seattle Children’s Hospital has a management plan in place to oversee their interests with Tickit Health Inc. No other disclosures were reported.
Risk of bias
Bias	Authors' judgement	Support for judgement
Random sequence generation (selection bias)	Low risk	Computer‐generated list.
Allocation concealment (selection bias)	Unclear risk	Not reported.
Blinding of participants and personnel (performance bias) All outcomes	High risk	Unblinded by nature of intervention.
Blinding of outcome assessment (detection bias) All outcomes	Unclear risk	Not reported.
Baseline outcome measurements similar	Low risk	Baseline outcome measurements the same.
Baseline characteristics similar	Low risk	Baseline characteristics similar.
Incomplete outcome data (attrition bias) All outcomes	Low risk	Intention‐t0‐treat analysis.
Was study protected against contamination	High risk	Non‐cluster design.
Selective reporting (reporting bias)	Low risk	Reporting as per protocol.