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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Transforming patient engagement in Virginia

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.

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.

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.

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.

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.

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.

Clinical evidence

Research and publications

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Commissioning of self-management support for people with long-term conditions: an exploration of commissioning aspirations and processes

BMJ 2016; 6(7): e010853. doi: 10.1136/bmjopen-2015-010853Claire Reidy, Anne Kennedy, Catherine Pope, Claire Ballinger, Ivo Vassilev, and Anne Rogers

No items found.

Commentary- Information without Wisdom

BMJ 2017;358:j3203 Iona Heath, former general practitioner

No items found.

Effectiveness of text message based, diabetes self management support programme (SMS4BG): two arm, parallel randomised controlled trial

BMJ 2018;361:k1959 Rosie Dobson, Robyn Whittaker, Yannan Jiang, Ralph Maddison, Matthew Shepherd, Catherine McNamara, Richard Cutfield, Manish Khanolkar, Rinki Murphy

Diabetes

Tailored mobile text messaging interventions targeting type 2 diabetes self-management: A systematic review and a meta-analysis

Digital Health 2019, Volume 5: 1–21, Cigdem Sahin , Karen L Courtney, PJ Naylor and Ryan E Rhodes

Diabetes

Mobile Text Messaging for Health: A Systematic Review of Reviews

US National Library of Medicine National Institutes of Health 2015 April; PMCID: PMC4406229, Amanda K. Hall, Heather Cole-Lewis, and Jay M. Bernhardt

No items found.

Using simple telehealth in primary care to reduce blood pressure: a service evaluation

BMJ Open – 2012;2:e001391 Elizabeth Cottrell, Ruth Chambers, Phil O’Connell

Hypertension

A cross-sectional survey and service evaluation of simple telehealth in primary care: what do patients think?

BMJ Open 2012;2:e001392 Elizabeth Cottrell, Kate McMillan, Ruth Chambers

No items found.

Experiences of patients and professionals participating in the HITS home blood pressure telemonitoring trial: a qualitative study

BMJ Open 2013;3:e002671. doi: 10.1136/bmjopen-2013-002671 Janet Hanley, Jenny Ure, Claudia Pagliari, Aziz Sheikh, Brian McKinstry Author affiliations

Hypertension

Telemonitoring based service redesign for the management of uncontrolled hypertension: multicentre randomised controlled trial

BMJ 2013; 346 doi: https://doi.org/10.1136/bmj.f3030 Brian McKinstry, professor of primary care ehealth, Janet Hanley, principal research fellow, Sarah Wild, professor of epidemiology, Claudia Pagliari, senior lecturer, Mary Paterson, research fellow, Steff Lewis, statistician, Aziz Sheikh, professor of primary care research, Ashma Krishan, statistician, Andrew Stoddart, health economist, Paul Padfield, professor of hypertension

Hypertension

The Guardian

Gastrointestinal Nursing

PubMed

CQC

NICE

GOV.UK

HSJ

GP Online

BMC

Dove Press

The BMJ

The Health Foundation

U.S. Department of Veterans Affairs

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