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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Hypertension

Hypertension and Flo in General Practice; exploring evidence supporting sustainable scale-up of services

Since the early days of our Community of Practice, hypertension has proved to be the most successfully evaluated pathway with Florence.

COPD

Supporting respiratory care in Powys: A Patient Success Story

Jo Allen is the Respiratory Specialist Nurse Team Leader at Welshpool Hospital.

Mental health

Supporting Cancer Patients with Mindfulness-Based CBT

The Clinical Psychology Cancer Service at Sherwood Forest Hospital Foundation Trust published a proof-of-concept evaluation of using Florence to support cancer patients undertaking mindfulness-based CBT. The pathways were designed to reduce drop-out, encourage engagement between sessions, and help prevent relapse.

CKD

Hypertension

Kidney Unit at the Royal Stoke University Hospital Embrace Florence

University Hospitals of North Midlands NHS Trust The Kidney Unit at the Royal Stoke University Hospital have embraced the opportunity to integrate Flo into their hypertension clinic pathway.

Gastro

IBS

Supporting Self-Management: Florence Changes the way Dieticians Interact with their Patients – 75% of IBS patients agree

Self-Management: The Florence Low FODMAP Diet was developed to provide additional support and symptom tracking to IBS patients following the Low FODMAP diet.

Heart Failure

Heart Failure: Readmissions down 66%

University Hospitals of North Midlands (UHNM) using Florence by Generated Health demonstrates a 45% reduction in hospital readmissions and a whopping 66% reduction in emergency care readmissions.

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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