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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
Weight Management
Patient successfully controls his Type 2 Diabetes and reaches weight loss goal with Florence – a new healthier future
Mick was diagnosed with type 2 diabetes 10 years ago.
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Maternity Breastfeeding
Breastfeeding Support in Dudley: Sharing learning and best practice across our Maternity Members Network – 12 months on
Dudley Metropolitan Borough Council's breastfeeding support team shared their learning about a year after recruiting Florence. They had been calling mothers after hospital discharge and wanted a sustainable approach that kept the personal contact families valued.
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Mental health
Mental Health: Beating the Blues (BtB) with Florence
NHS Highland uses Florence to support people taking the Beating the Blues online CBT course for low to moderate anxiety and depression. Data from the service indicates that people who opt into Florence are 30% more likely to complete the course.
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Mental health
Chronic Disease Management
Chronic Pain Management: 5 to 6 Month Target Plan
Chronic Pain Management: When I began to work with NHS Highland’s Chronic Pain Team, there was an existing Pain Management Group which ran for 6 weeks at a time for 3 hours every Wednesday.
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Smoking Cessation
Smoking Cessation: Improved Quit Rates with Flo
As reported by the Public Health Agency in Northern Ireland (NI) Smoking has been identified as the single greatest cause of preventable illness and premature death in Northern Ireland.
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Diabetes
Intermittent Claudication
Intermittent Claudication (IC) Patients feel less isolated and more motivated to improve IC with Flo’s help
Intermittent Claudication (IC) is a symptom of peripheral arterial disease (PAD) where pain is experienced in the main muscle groups of the leg when exercising and walking.
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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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