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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Heart Failure

Weight Management

Heart Failure; Bossy Flossie helps patient Agnes to better health (Heart Failure Daily Weight Monitoring)

After a diagnosis of cardiomyopathy and advanced heart failure, Agnes uses Florence to text daily blood pressure and weight readings to the heart failure team in Stornoway. She describes Florence as bossy, but important to keeping her well at home.

COPD

Pulmonary Rehabilitation

Early pulmonary rehabilitation – Sheffield Teaching Hospitals NHS Foundation Trust increase adherence and safety for patients

A poster on early pulmonary rehabilitation following an acute exacerbation of COPD was presented at the UK Making Change Happen 2017 conference in Stoke-on-Trent. It describes work at Sheffield Teaching Hospitals NHS Foundation Trust to increase adherence and safety for patients.

Urinary Continence

Urinary Continence; dramatically better outcomes with Florence within 2 months

Iain Trayner, TEC Project Manager Urinary Continence: Using Florence to improve the lives of local people The NHS Western Isles Continence service provides advice and support to people living with the condition in these islands.

Intermittent Claudication

Intermittent Claudication with Flo motivates patients and immediately increases clinic capacity

NHS Highland uses Florence to motivate people with intermittent claudication to keep exercising and to gather information about their condition at home. The approach is intended to support patients across a large rural area and create clinic capacity for those who need a face-to-face review.

Learning Disabilities

Mental health

Significant reduction in clinical contacts as patient’s Mental Health is successfully stabilized with Flo

South Tyneside's Learning Disabilities Service used Florence to help a patient with mild learning disabilities take his medication more regularly. His mental health stabilized, reducing the need for continuing home visits and consultant psychiatrist appointments.

Diabetes

Podiatry

Podiatry team prevent deterioration and exacerbations with Flo

Oldham's podiatry team uses Florence to prompt people with diabetes to check their feet between clinic visits. The aim is to help patients notice problems sooner and seek specialist care before a wound deteriorates.

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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