The U-FIX Study
Research type
Research Study
Full title
The unexplained bone fracture in infants using x-ray study
IRAS ID
353811
Contact name
Owen J Arthurs
Contact email
Sponsor organisation
Great Ormond Street Hospital for Children
Duration of Study in the UK
7 years, 3 months, 1 days
Research summary
Background
Healthcare professionals may need to investigate if a young child has been harmed. Since the child is too young to explain, radiographers take x-rays and scans to check for injuries. If safe, a caregiver can support the child during these tests.
Importance
The number of young children (under 2 years) undergoing these tests is rising. In 2022, over 200,000 children had x-rays and scans for suspected physical abuse. This process is extremely stressful for families, who often lack information and have negative experiences, leading to mistrust and reluctance to seek future healthcare. Radiographers also face stress, dealing with distressing injuries and potential court evidence, without mental health support.
Aims of the Research
The U-FIX (unexplained bone fractures in infants using x-rays) study aims to understand the experiences of radiographers and accompanying adults. By partnering with families and radiographers, the goal is to create resources for a more positive experience.
Resources
Caregiver Website: Hosted on the Society of Radiographers webpage, it will provide information about x-rays and scans, including animations, videos, and easy-to-read content in multiple languages. For those without internet access, this can be shown on hospital devices before appointments.
Radiographer Peer Support Framework: This written framework will offer guidance on supporting colleagues during these tests, available online via the Society of Radiographers.
Design and Methods
Interview at least 20 family members and 20 radiographers about their experiences (estimated sample size 30 to reach saturation)
Collaborate with them to create helpful resources.
Test resources in four hospitals, gather feedback and refine the resources.Patient and Public Involvement
The U-FIX advisory group, including 13 radiographers and family members, helped design this project to ensure it is relevant and useful.
Dissemination
Findings will be shared through conferences, journal articles, charities, and a Great Ormond Street Dissemination Event with families.
REC name
East of Scotland Research Ethics Service REC 1
REC reference
25/ES/0058
Date of REC Opinion
5 Sep 2025
REC opinion
Further Information Favourable Opinion