The development of Xploro has been informed by research and evidence-based practices across many clinical domains.  We also support research, quality improvement, and process improvement projects that our customers and partners wish to conduct to document the clinical and operational benefits of Xploro.  This section showcases some key academic contributions.

Research describing the benefits of Xploro

The Acceptability and Impact of the Xploro Digital Therapeutic Platform to Inform and Prepare Children for Planned Procedures in a Hospital: Before and After Evaluation Study.

Bray et al, 2020

Children who used Xploro demonstrated a statistically significant reduction in anxiety and statistically significant increases in patient satisfaction and knowledge about procedures, compared to children who received the standard information provision in a study conducted at the UK’s largest children’s hospital.

View study in full (opens in new window)

Acceptability and feasibility of an app to prepare children for a blood test: An exploratory cohort study

Bray et al, 2024

Xploro was reported as being a useful and engaging self-directed child-friendly information app for children having a planned blood test which helped children know what was going to happen and improved their experiences of having a blood test.

View study in full (opens in new window)

Research describing the need for Xploro

The information needs of children having clinical procedures in hospital: Will it hurt? Will I feel scared? What can I do to stay calm?

Bray et al, 2019

Explores what information is important for children to know before undergoing a planned hospital procedure

View study in full (opens in new window)

‘We should have been told what would happen’: Children’s and parents’ procedural knowledge levels and information-seeking behaviours when coming to hospital for a planned procedure

Bray et al, 2021

Reveals a disconnect between how procedural information is currently delivered and the expectation of children and parents that health professionals will directly provide them with this information.

View study in full (opens in new window)

Management of distressing procedures in children and young people: time to adhere to the guidelines

Duff et al, 2012

Discusses how healthcare procedures can be very stressful for children, and describes how this experience can be improved through effective preparation of the child and observance of other practice guidelines.

View study in full (opens in new window)

Preparing children and families for surgery: Mount Sinai's multidisciplinary perspective

Justus et al, 2006

Describes how children experience anger, guilt, fear and sadness when learning they must have surgery, and how they recover more quickly and have fewer emotional problems when they are adequately prepared and supported.

View study in full (opens in new window)

Adolescent cancer: Coping with treatment-related pain

Weekes & Savedra, 1988

Reports on how children with long-term conditions, who require frequent interactions with health care services and professionals to effectively manage their condition, state that clinical procedures and interventions are the worst part of their illness.

View study in full (opens in new window)

Preoperative Anxiety, Postoperative Pain, and Behavioral Recovery in Young Children Undergoing Surgery

Kain et al, 2006

Suggests that preoperative anxiety in young children scheduled for surgery is linked to a more uncomfortable postoperative healing process and an increased likelihood of experiencing sleep disturbances and other issues.

View study in full (opens in new window)

Providing Children With Information About Forthcoming Medical Procedures: A Review and Synthesis

Jaaniste et al, 2007

Offers a summary of fundamental theories that serve as the foundation for delivering information to assist in preparing children for medical procedures.

View study in full (opens in new window)

Relationship between anxiety level and radiological investigation. Comparison among different diagnostic imaging exams in a prospective single-center study

Lo Re et al, 2016

Describes how 91% of patients receiving diagnostic imaging services report high levels of anxiety when undergoing an imaging procedure.

View study in full (opens in new window)

Toward Quantifying the Prevalence, Severity, and Cost Associated With Patient Motion During Clinical MR Examinations

Andre et al, 2015

Documents how patient motion results in sequences needing to be repeated in 20% of MRI procedures, translating to $592 per hour in lost revenue, or approximately $115,000 per scanner per year

View study in full (opens in new window)

Distress in the radiology waiting room

Flory & Lang, 2011

Explains how distress creates a substantial burden through effects such as appointment cancellations, patient non-compliance, longer room occupancy, heightened medication usage, extended recovery times, and difficulties in completing imaging procedures.

View study in full (opens in new window)

Contextualizing an expanded definition of health literacy among adolescents in the health care setting

Massey et al, 2012

Offers an enhanced definition of health literacy, with a focus on the adolescent demographic, in light of current trends emphasizing preventative health care and wellness services.

View study in full (opens in new window)

Early adolescents perceptions of health and health literacy

Brown et al, 2007

Describes how addressing health literacy in the early adolescent population could have a positive impact on the motivation to practice health-enhancing behaviors.

View study in full (opens in new window)

How we engage and inform children and young people about health deserves much greater attention than it currently receives. We have to work with children and young people to develop these resources. I’m excited by Xploro and look forward to offering ongoing support and to championing the work as it develops.

Kath Evans
Experience of Care Lead — Children & Young People, NHS England