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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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Service Evaluation of Three Telehealth Services for Monitoring Patients with Asthma, COPD, and Heart Failure
NHS Highland (Scotland) 2019, Telehealth for Asthma, COPD, and Heart Failure, Dr Maria Wolters, University of Edinburgh.
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Asthma
Heart Failure
Preventing relapse with personalized smart-messaging after cognitive behavioural therapy: A proof-of-concept evaluation
British Journal of Clinical Psychology 2020, https://doi.org/10.1111/bjc.12244 Sam Malins, Sanchia Biswas, Shireen Patel, Jo Levene, Nima Moghaddam, Richard Morriss
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Mental health
Veterans' Response to an Automated Text Messaging Protocol During the COVID-19 Pandemic
Journal of the American Medical Informatics Association, 2020, ocaa122, https://doi.org/10.1093/jamia/ocaa122, Jason J Saleem, Jacob M Read, Boyd M Loehr, Kathleen L Frisbee, Nancy R Wilck, John J Murphy, Brian M Vetter, Jennifer Herout
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Telemonitoring at scale for hypertension in primary care: An implementation study
PLOS Medicine, 2020, doi.org/10.1371/journal.pmed.1003124, Vicky Hammersley, Richard Parker, Mary Paterson, Janet Hanley, Hilary Pinnock, Paul Padfield, Andrew Stoddart, Hyeon Gyeong Park, Aziz Sheikh, Brian McKinstry
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Hypertension
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