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Evidence
Clinical evidence behind Florence
Explore real-world case studies, clinical outcomes, and published research demonstrating how Florence supports patients and care teams.
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Chronic Disease Management
Transforming patient engagement in Virginia
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Real-world results
Case Studies and Posters
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Diabetes
Blood Glucose (BG) remote monitoring results in no further hospital admissions or ambulance call outs
The patient lived in a residential care home, and their diabetes was difficult to control, with blood glucose (BG) readings anywhere between 2mmol and 30mmol being recorded.
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Appointment Reminders
Better prescribing, improved safety, less visits and reduced risk of complications for incompliant patients in General Practice – 3 case studies
Better prescribing: Figures have suggested that more than twelve million GP appointments are missed each year in the UK, costing in excess of £162 million per year.
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Asthma
COPD
Focus on COPD: Improving quality of life in the Highlands
NHS Highland's COPD pathway uses Florence to help patients take responsibility for their condition, including remote monitoring based on CHSS COPD traffic lights. Patients who interacted with Florence reported feeling supported and an improved quality of life through better self-management.
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Asthma
Sharing Experiences and Knowledge: Supporting Asthma Care with Flo in a Rural setting
A respiratory network call featured Corinne Clark of NHS Highland on using Florence for patients with poorly controlled asthma. She described how text support can increase engagement across a large rural area where a clinic visit may mean a long journey.
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COPD
54 Year old musician’s life kept in harmony thanks to innovative text system
Innovative text system Lanarkshire’s answer to Johnny Cash has revealed how the power of text has kept his life in harmony during ill health.
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Asthma
Asthma – “Very positive results”
Corinne Clark Respiratory Specialist Nurse Many of Corinne’s patients suffer from severe asthma, which requires careful management to avoid asthma attacks that, in the most serious instances, can be life-threatening.
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Clinical evidence
Research and publications
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High risk patients benefit most from the SMS-based intervention: PP.20.272
Journal of Hypertension:doi: 10.1097/01.hjh.0000379198.08164.51, Wizner, B; Gaciong, Z; Narkiewicz, K; Szykula, D; Grodzicki, T
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Hypertension
Mobile phone-based interventions for smoking cessation.
Cochrane Database of Systematic Reviews 2012, Issue 11. Art. No. CD006611. DOI: 10.1002/14651858.CD006611.pub3 Whittaker R, McRobbie H, Bullen C, Borland R, Rodgers A, Gu Y.
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Smoking Cessation
Effectiveness of telemonitoring integrated into existing clinical services on hospital admission for exacerbation of chronic obstructive pulmonary disease: researcher blind, multicentre, randomised controlled trial
BMJ 2013;347:f6070 Hilary Pinnock, Janet Hanley, Lucy McCloughan, Allison Todd, Ashma Krishan, Stephanie Lewis, Andrew Stoddart, Marjon van der Pol, William MacNee, Aziz Sheikh, Claudia Pagliari, Brian McKinstry
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COPD
Using mobile phones and short message service to deliver self-management interventions for chronic conditions: a meta-review.
PubMed; Worldviews Evid Based Nurs. 2014 Apr;11(2):81-8. doi: 10.1111/wvn.12030. Epub 2014 Mar 5; Jones KR, Lekhak N, Kaewluang N
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Polychronic
Use of mobile phone text message reminders in health care services: a narrative literature review.
PubMed; J Med Internet Res. 2014 Oct 17;16(10):e222. doi: 10.2196/jmir.3442; Kannisto KA, Koivunen MH, Välimäki MA
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UK study finds evidence for the effectiveness of text messaging on adherence to cardiovascular preventative treatment
NICE Medicines Evidence Commentary
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Cardiovascular
Improving treatment adherence for blood pressure lowering via mobile phone SMS-messages in South Africa: a qualitative evaluation of the SMS-text Adherence SuppoRt (StAR) trial
BMC Family Practice 2015, 16:80 doi:10.1186/s12875-015-0289-7, Natalie Leon, Rebecca Surender, Kirsty Bobrow, Jocelyn Muller, Andrew Farmer
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Hypertension
Helping Patients Take Charge of Their Chronic Illnesses - The best thing you can do for your patients with chronic diseases is to let them run with the ball.
Fam Pract Manag. 2000 Mar 7(3):47-51. Martha M. Funnell, MS, RN
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Polychronic
Mobile Telephone Text Messaging for Medication Adherence in Chronic Disease A Meta-analysis
JAMA Intern Med. doi:10.1001/jamainternmed.2015.7667, Jay Thakkar; Rahul Kurup; Tracey-Lea Laba; Karla Santo; Aravinda Thiagalingam; Anthony Rodgers; Mark Woodward; Julie Redfern; Clara K. Chow
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Appointment Reminders
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