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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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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
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Commentary- Information without Wisdom
BMJ 2017;358:j3203 Iona Heath, former general practitioner
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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
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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
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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
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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
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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
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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
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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
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Hypertension
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