Clinical Evidence
Effective outcomes as evidenced by 20 peer-reviewed journal articles and over 100 independent clinical studies
Flo is proven to help clinicians work smarter and have more fulfilling patient encounters
You can rely on Florence to deliver safe and effective outcomes as evidenced by 20 peer-reviewed journal articles and over 100 independent clinical studies. From the very beginning of Florence, patient safety and clinical efficacy has been our top priority.
By working with academic institutions and clinical researchers, we have robust clinical evidence not only from the UK but also from successful trails and implementations in the United States (for the Veterans Administration) and in Australia.
Journals & Guidance – Florence
Publication/Reference | Title |
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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 | Telemonitoring at scale for hypertension in primary care: An implementation study |
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 | Veterans’ Response to an Automated Text Messaging Protocol During the COVID-19 Pandemic |
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 | Preventing relapse with personalized smart‐messaging after cognitive behavioural therapy: A proof‐of‐concept evaluation |
NHS Highland (Scotland) 2019, Telehealth for Asthma, COPD, and Heart Failure, Dr Maria Wolters, University of Edinburgh. | Service Evaluation of Three Telehealth Services for Monitoring Patients with Asthma, COPD, and Heart Failure |
Journal of Psycho-Oncology 2019, https://doi.org/10.1002/pon.5256 Chloe Wells, Sam Malins, Simon Clarke, Iwona Skorodzien, Sanchia Biswas, Tim Sweeney, Nima Moghaddam, Jo Levene | Using smart‐messaging to enhance mindfulness‐based cognitive therapy for cancer patients: A mixed methods proof of concept evaluation |
British Journal of General Practice 2019; 69 (suppl 1): bjgp19X703529. Brian McKinstry, Vicky Hammersley, Richard Parker, Hilary Pinnock, Paul Padfield, Janet Hanley, Andrew Stoddart and Adam Steventon | Evaluating a large-scale roll out of blood pressure telemonitoring using routinely acquired data |
US National Library of Medicine National Institutes of Health 2019 Aug; 36(Suppl 5): S54–S57, PMCID: PMC6719802, Connie Jaenicke, FNP-BC, BMTCN, corresponding author Dan Greenwood, MS, RD, LD, CNSC, Kathleen Nelson, MS, CNS, ONS, Mark Klein, MD, Bev Foss, RN, Lara Carson, RN, BAN, Kim Smith, MS, PA-C, and Evan Mariash, MD | Use of Mobile Messaging System for Self-Management of Chemotherapy Symptoms in Patients with Advanced Cancer |
Journal of Nursing & Healthcare, 2016 Vol. 1 Issue 2; Parijat De , Susan Irwin, Jagjit Kaur, Karen Moore | Use of an Innovative Technology Enabled Care Service (Tecs) “Florence” To Empower Patients and Enhance Adherence to Treatments in Diabetes |
(RCNi) Primary Health Care, 2016, 26(7):24-30 http://dx.doi.org/10.7748/phc.2016.e1137 Caroline Poole, Janice Maslen, Lisa Joanne Taylor | Enabling Supported Self-Management of Wound Care in the Community Setting to Increase Quality and Efficiency of Service Delivery Primary Health Care |
British Journal of Healthcare Management 10.12968/bjhc.2016.22.1.23 Lisa Taylor, Jane Birch-Jones | Implementing a technology enabled care service |
Gastrointestinal Nursing – 10.12968/gasn.2014.12.Sup1 Mark Holmes, Sian Clark | TECHNOLOGY-ENABLED CARE SERVICES: NOVEL METHOD OF MANAGING LIVER DISEASE |
BMJ Open – 2015;5:e007270 Elizabeth Cottrell, Tracey Cox, Phil O’Connell, Ruth Chambers | Patient and professional user experiences of simple telehealth for hypertension, medication reminders and smoking cessation: a service evaluation |
Dove Press – 10.2147/NRR.S72791 Audrey Cund, Jayne L Birch-Jones, Martin Kay, Patricia Connolly | Self-management: keeping it simple with “Flo” |
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 | Telemonitoring based service redesign for the management of uncontrolled hypertension: multicentre randomised controlled trial |
BMJ Open 2013;3:e002671. doi: 10.1136/bmjopen-2013-002671 Janet Hanley, Jenny Ure, Claudia Pagliari, Aziz Sheikh, Brian McKinstry Author affiliations | Experiences of patients and professionals participating in the HITS home blood pressure telemonitoring trial: a qualitative study |
BMJ Open 2012;2:e001392 Elizabeth Cottrell, Kate McMillan, Ruth Chambers | A cross-sectional survey and service evaluation of simple telehealth in primary care: what do patients think? |
BMJ Open – 2012;2:e001391 Elizabeth Cottrell, Ruth Chambers, Phil O’Connell | Using simple telehealth in primary care to reduce blood pressure: a service evaluation |
Journals – Others of Interest
Publication/Reference | Title |
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US National Library of Medicine National Institutes of Health 2015 April; PMCID: PMC4406229, Amanda K. Hall, Heather Cole-Lewis, and Jay M. Bernhardt | Mobile Text Messaging for Health: A Systematic Review of Reviews |
Digital Health 2019, Volume 5: 1–21, Cigdem Sahin , Karen L Courtney, PJ Naylor and Ryan E Rhodes | Tailored mobile text messaging interventions targeting type 2 diabetes self-management: A systematic review and a meta-analysis |
BMJ 2018;361:k1959 Rosie Dobson, Robyn Whittaker, Yannan Jiang, Ralph Maddison, Matthew Shepherd, Catherine McNamara, Richard Cutfield, Manish Khanolkar, Rinki Murphy | Effectiveness of text message based, diabetes self management support programme (SMS4BG): two arm, parallel randomised controlled trial |
BMJ 2017;358:j3203 Iona Heath, former general practitioner | Commentary- Information without Wisdom |
BMJ 2016; 6(7): e010853. doi: 10.1136/bmjopen-2015-010853Claire Reidy, Anne Kennedy, Catherine Pope, Claire Ballinger, Ivo Vassilev, and Anne Rogers | Commissioning of self-management support for people with long-term conditions: an exploration of commissioning aspirations and processes |
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 | Mobile Telephone Text Messaging for Medication Adherence in Chronic Disease A Meta-analysis |
Fam Pract Manag. 2000 Mar 7(3):47-51. Martha M. Funnell, MS, RN | 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. |
BMC Family Practice 2015, 16:80 doi:10.1186/s12875-015-0289-7, Natalie Leon, Rebecca Surender, Kirsty Bobrow, Jocelyn Muller, Andrew Farmer | 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 |
NICE Medicines Evidence Commentary | UK study finds evidence for the effectiveness of text messaging on adherence to cardiovascular preventative treatment |
PubMed; J Med Internet Res. 2014 Oct 17;16(10):e222. doi: 10.2196/jmir.3442; Kannisto KA, Koivunen MH, Välimäki MA | Use of mobile phone text message reminders in health care services: a narrative literature 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 | Using mobile phones and short message service to deliver self-management interventions for chronic conditions: a meta-review. |
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 | ** Effectiveness of telemonitoring integrated into existing clinical services on hospital admission for exacerbation of chronic obstructive pulmonary disease: researcher blind, multicentre, randomised controlled trial |
Cochrane Database of Systematic Reviews 2012, Issue 11. Art. No. CD006611. DOI: 10.1002/14651858.CD006611.pub Whittaker R, McRobbie H, Bullen C, Borland R, Rodgers A, Gu Y. | Mobile phone-based interventions for smoking cessation. |
Journal of Hypertension:doi: 10.1097/01.hjh.0000379198.08164.51, Wizner, B; Gaciong, Z; Narkiewicz, K; Szykula, D; Grodzicki, T | HIGH RISK PATIENTS BENEFIT MOST FROM THE SMS-BASED INTERVENTION: PP.20.272 |
Clinical – Florence
About Florence
Cited
Others of Interest
Publication/Reference | Title |
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The Lancet 2018; https://doi.org/10.1016/S0140-6736(18)30309-X Prof Richard J McManus,PhD, Prof Jonathan Mant, MD, Marloes Franssen, PhD, Alecia Nickless, MSc, Claire Schwartz, PhD, James Hodgkinson, PhD, et al. | Efficacy of self-monitored blood pressure, with or without telemonitoring, for titration of antihypertensive medication (TASMINH4): an unmasked randomised controlled trial |
New York Times; Aaron E. Carroll | Wearable Fitness Devices Don’t Seem to Make You Fitter |
Dept of Veterans Affairs; Neil C. Evans, MD | Guiding principles of delivering health care in the digital age |
NHS England News | Service Spec; using social media, texts and Skype to keep young people engaged in treatment for their diabetes |
The Health Foundation; Chris Perry, Krishna Chhatralia, Dom Damesick, Sylvie Hobden, Leanora Volpe | Behavioural insights in health care; Nudging to reduce inefficiency and waste |
Oxford University – Professor Richard McManus | What will blood pressure management be like in 2020 |
e-ucare.eu; C. Varon, J. Minter, M. Stapleton, S. Thomson, S. Jaecques, S. Sanders-van Wijk, H. P. Brunner-La Rocca, S. Van Huffel | Telehealth for patients with heart failure: A comparison between telehealth systems |