Randomization, allocation, and study phases
PCP
Eligibility screening will be conducted by trained research personnel using automated daily electronic health record (EHR) reporting tools that identify eligible children with a scheduled routine clinical visit in the SCC within the next 14 days. Following review of eligibility criteria, research personnel will contact the caregiver to introduce the study, invite the caregiver (and assenting adolescents) to participate, and obtain written consent.Following consent, research personnel will work with study participants to complete baseline and 90-day assessments using EHR functionality. Baseline assessment will include patient and parent demographics, assessment of health literacy, assessment of parent attitudes towards deprescribing, and parental assessment of symptom burden (Table Participants will then be randomized 1:1 in permuted blocks of 4 patients to pMTM intervention or usual care (2 patients to each arm), with the pMTM intervention occurring ≤ 3 days before a scheduled well child visit or routine follow-up medical encounter (Fig. Study Flow Diagram. Protocolized study flow is depicted. Following enrollment and consent, participants will be randomized 1:1 to pMTM intervention or usual care, with the pMTM intervention occurring ≤ 3 days before a scheduled well child visit or routine follow-up medical encounter. Both groups will then be seen for their scheduled PCP visit as occurring within usual care. Applicable outcomes will be re-assessed at 90-day follow-upAssessments and outcomes supporting pMTM effectiveness aims