Table 1

Aims and success criteria for AIM programme and protocols

ProtocolNature of protocolDurationSuccess criteria
AIM01Initial high BP reading (hypertension, not yet confirmed)*1 week50% of patients who commit at start do at least 5 days of texting in BP readings in a 1 week period
100% patients confirmed as either having hypertension or not
AIM02Hypertension (poor control or newly diagnosed)*2 months50% of patients who commit at start do at least 20 days of texting in BP readings over a 2 months period
75% of patients with unstable hypertension become controlled within 2 months
AIM03Hypertension (stable)*3 months50% of patients who commit at start do at least 15 texted responses over a 3 months period
80% of patients maintain stable BP control at the end of protocol use
AIM04Inhaler reminder for adults and teenagers (asthma and COPD)3 months50% of participants feel more confident in managing their breathing control
50% feel that Florence helps them to use their inhaler regularly
AIM05Inhaler reminder for parent of child with asthma3 months50% of participants feel more confident in managing their child's breathing control
50% feel that Florence helps them to use their child's inhaler regularly
AIM06Smoking cessation (within first 4 weeks of supported stop smoking service provision)3 months30% of patients who committed at start to text smoking status over 3 days each fortnight do so on at least two occasions in 2 months
50% of participants report maintaining quit status 2–3 months after recruitment to stop smoking service
AIM07Smoking cessation (smokers who have quit, end of 3 months quit smoking service)9 months50% of patients who sign up to Florence remain on the programme, receiving and sending texts for at least 3 months
50% of patients report that they remain non-smokers 9 months later
AIM08Smoking cessation (contemplating quitting, but have not yet decided to do so)3 months25% of patients who sign up to Florence decide to quit smoking
AIM09Medication reminder (could be pain management)3 months50% of participants report taking their tablets or medicine (eg, analgesia) as prescribed in the previous week
AIM10Hypertension (poor control or newly diagnosed for patients with CKD or diabetes and/or ACR≥70 mg/mmol)†3 months50% of patients who commit at start do at least 20 days of texting BP readings in over a 3 months period
80% of patients maintain stable BP control at the end of protocol use
Programme aims and success criteria
Enhance patient experience of shared management of their long-term condition(s) via Florence60% (30% for smoking protocols) of patients sent evaluative texts will respond
80% (40% for smoking cessation protocols) of responding patients would recommend the service to their friends and family
Introduce CCGs and front-line practitioners in general practice to the everyday use of telehealth through the Florence systemPositive response to online clinician survey
  • Controlled=80% readings BP within target in last 2 weeks of texted readings.

  • *Based on NICE hypertension guidelines.10

  • †Based on NICE CKD guidelines.11

  • AIM, Advice & Interactive Messaging; ACR, albumin:creatinine ratio; BP, blood pressure; CCG, Clinical Commissioning Group; CKD, chronic kidney disease; COPD, chronic obstructive pulmonary disease; NICE, National Institute for Health and Care Excellence.