Table 3.

Positive experiences and points of improvement mentioned by parents (N = 17) in the focus groups (ranked from most often to fewest times mentioned)

Themes	Positive experiences	Points of improvement
Content of PROMs	‘The questions are easy to understand for children’	‘The questions are sometimes not relevant and confronting for children’
	‘All important topics are covered in the questionnaires’	‘It is annoying that every time the same questions are asked’
		‘There is no attention for brothers, sisters and the family situation’
		‘The questions are difficult to understand for young children. I would suggest to make the questions more visual’
Ease of use	‘KLIK is easy to use and it is nice that you can complete questionnaires online’	‘KLIK should be connected with the EHRs, so appointments are automatically linked’
	‘I like the reminder e-mails that are sent by KLIK’	‘I would like KLIK to be available as an app’
Insight patients’ functioning	‘It is nice that parents have insight into the functioning of their child over time’
	‘With KLIK the clinician knows what is going on and can follow the child over time’
Discussion by clinician	‘The clinician takes KLIK seriously and always discusses the answers’	‘The KLIK questionnaires are often not discussed by the clinician’
		‘Especially questionnaires about the functioning of parents are not discussed’
Conversation content	‘KLIK is a conversation tool and provides structure and more depth to the conversation’	‘Our consultation has already a fixed structure, so KLIK does not help with that’
	‘It is nice that with KLIK psychosocial functioning is also taken into account’
Preparation of consultation	‘KLIK helps to start a conversation with your child or partner about the situation before the consultation’
	‘KLIK helps to think about how it is going and to prepare questions before the consultation’
Layout	‘The KLIK website is attractive and looks nice for children’	‘It would be good if smileys were used to make KLIK more attractive’
	‘The layout of KLIK is clear and understandable’
Completion time PROMs	‘The completion time is manageable and not too long’	‘Too many questions have to be completed’
		‘Before I start completing the questionnaires I would like to see how much time it will take’
Detecting problems	‘With KLIK problems are detected early and your child can be referred for help’
Value and goal	‘I like that with KLIK there is the possibility to report difficulties’	‘Completing KLIK questionnaires feels not useful when it is going well’
		‘It is not totally clear what is done with your answers and if they can be used against you by the government’

All quotes were translated into English