Kapa3 at EUPATI Greece: From Knowledge to Meaningful Patient Involvement in Research

Empowering patient representatives through education, recognising the value of lived experience, and promoting co-creation in health research and policy.

21–23 September 2026 | EUPATI Greece Patient Academy

Kapa3 – Cancer Guidance Centre, represented by its associates Aristea Archontidou and Despina Chrysostomidou, participated in the three-day educational programme of the EUPATI Greece Patient Academy, organised by the Greek Patients’ Association from 21 to 23 September 2026.

This participation reflects Kapa3’s ongoing commitment to strengthening scientific knowledge, health literacy, and the skills of its associates and volunteers, with the aim of providing more meaningful support and representation for people living with cancer.

At a time when clinical research, the development of new treatments, and health technologies are continuously evolving, patient involvement is becoming increasingly important.

However, one critical question remains:

Are patients genuinely involved in shaping the decisions that affect them, or are they still too often limited to the role of passive recipients?

The EUPATI training highlighted the importance of moving beyond simply providing information towards active, informed, and meaningful patient involvement in research, the evaluation of therapeutic interventions, and the design of healthcare services.

EUPATI: Scientific Knowledge and the Empowerment of Patient Representatives

The European Patients’ Academy on Therapeutic Innovation (EUPATI) is a European initiative that promotes the education and empowerment of patients and their representatives, enabling them to participate more effectively and confidently in medicines research and development and discussions concerning innovation in healthcare.

The Greek educational programme included presentations, interactive workshops, and opportunities to exchange knowledge and experiences among healthcare professionals, researchers, and patient representatives.

Over the three days, participants explored several key topics, including:

  • Critical reading and understanding of clinical studies.
  • Interpretation of statistical data and research findings.
  • The regulatory framework governing clinical trials and medical devices.
  • Ethical considerations in research.
  • The organisation and design of clinical trials.
  • Patient representation in scientific advisory bodies and decision-making processes.

The practical approach was particularly valuable, as participants were encouraged to analyse scientific data, raise questions, and identify the challenges patients may face when trying to understand a clinical study or evaluate available treatment options.

The programme reinforced an essential principle: scientific knowledge should not remain the exclusive domain of specialists. It should be accessible and understandable to those who are expected to participate in decisions affecting their health and lives.

From Scientific Information to Critical Understanding

One of the main areas addressed during the programme was the critical appraisal of clinical studies and the interpretation of their findings.

Understanding a scientific publication requires more than reading its conclusions.

It involves examining the study design, the population included, the therapeutic interventions investigated, the comparison groups, and the outcomes assessed.

Concepts such as Overall Survival (OS), Progression-Free Survival (PFS), adverse events, quality of life, and statistical significance are particularly important when evaluating the actual benefits of a treatment.

A statistically significant difference does not necessarily translate into an equally meaningful clinical benefit for every patient.

Similarly, measures of treatment effectiveness need to be considered alongside safety data, their impact on everyday life, and individual patient preferences.

Developing these skills strengthens the ability of patient representatives to participate meaningfully in scientific discussions, critically evaluate information, and raise well-informed questions.

Patient Involvement Must Begin Before Research Starts

One of the most important issues highlighted during the educational discussions was the need for meaningful patient involvement from the earliest stages of clinical study design.

Patient and Public Involvement (PPI) is not the same as participating in a clinical trial as a research subject.

Rather, it recognises patients’ lived experiences as a valuable source of knowledge that can contribute to identifying research priorities and shaping the research process itself.

People with lived experience of a condition can provide important insights into which treatment outcomes matter most in everyday life, which research procedures may be excessively burdensome, and what barriers could limit participation in a study.

Moving from research conducted “for patients” to research developed “with patients” represents a fundamental shift in the philosophy of contemporary health research.

Patient Experience Data: When Lived Experience Becomes Part of Scientific Knowledge

Particular importance is attached to Patient Experience Data (PED).

These data capture the experiences, needs, preferences, and priorities of people living with a health condition.

In oncology care, the patient experience extends beyond the clinical response to treatment. It also includes the impact of cancer on employment, family relationships, financial security, daily functioning, and quality of life.

Using such data can contribute to a more comprehensive understanding of treatment needs and the benefit–risk balance.

Informed Consent: From Signing a Document to Genuine Understanding

Informed consent is a fundamental requirement for the ethical conduct of clinical research.

However, signing a document is not enough.

Participants need to understand the purpose of the study, its procedures, potential benefits and risks, available alternatives, and their right to withdraw in accordance with the applicable regulatory framework, without adverse consequences for their standard care.

The use of clear and understandable language, sufficient time to consider the information provided, and the opportunity to ask questions are essential conditions for genuinely informed decision-making.

Health literacy is not solely about what patients know. It is also about the ability of healthcare systems to provide information in ways that are understandable, accessible, and appropriate for informed decision-making.

From Formal Representation to Genuine Influence

The training discussions also highlighted the ongoing challenges surrounding meaningful patient representation.

Limited access to specialised knowledge, lack of time and resources, geographical and social inequalities, and the absence of systematic participation mechanisms can create significant barriers.

At the same time, transparency, independence, and the management of conflicts of interest are essential conditions for credible patient representation.

Strengthening patient involvement in hospitals, scientific advisory bodies, and established healthcare evaluation and decision-making processes is an important step towards a more transparent and inclusive system.

The real challenge is not simply to secure a seat for patients at the decision-making table, but to ensure that they can genuinely influence the decisions being made.

What EUPATI Participation Means for Kapa3

For Kapa3, investing in EUPATI education forms part of a broader effort to connect scientific evidence with the everyday experiences of people living with cancer.

Aristea Archontidou and Despina Chrysostomidou participated in the educational activities and workshops focusing on the critical appraisal of clinical studies and statistical analysis, exchanging knowledge and experiences with patient representatives and professionals from different fields.

The knowledge gained through this experience directly supports Kapa3’s core priorities:

  • Empowering patients and caregivers.
  • Strengthening health and digital literacy.
  • Improving access to reliable and understandable information.
  • Promoting patient involvement in research.
  • Encouraging interdisciplinary collaboration and the co-creation of services.
  • Training associates and volunteers to provide better navigation and support.

This approach is also reflected in the development of MYRTO – Kapa3’s Digital Social Navigator, which uses Artificial Intelligence to facilitate access to evidence-informed information on rights, benefits, and available support services.

Through research, European partnerships, education, and everyday social guidance, Kapa3 seeks to contribute to the development of a more structured and evaluable model of human-centred navigation in oncology care.

For Kapa3, participation in initiatives such as EUPATI represents an investment in the organisation’s collective knowledge and in continuously strengthening its scientific and social contribution.

From Participation to Co-Creation

Kapa3’s participation in the EUPATI Greece Patient Academy reinforces the importance of continuous education and meaningful collaboration between the scientific community and people with lived experience of illness.

Patient involvement should not be reduced to a formal process of representation.

It must be meaningful, evidence-informed, inclusive, and embedded from the earliest stages of research and healthcare service design.

Because patients are not merely recipients of scientific knowledge.

They can and should be active partners in creating it.

At Kapa3, we remain committed to investing in knowledge, education, collaboration, and co-creation.

Because better care is not only designed for people. It is designed with them.


Sources and Further Reading

EUPATI – European Patients’ Academy on Therapeutic Innovation
https://eupati.eu/

Greek Patients’ Association
https://greekpatient.gr/

University of Basel – Patient and Public Involvement: Why and How
https://dkf.unibas.ch/en/scientific-services/patient-and-public-involvement/patient-and-public-involvement-why-and-how/

European Medicines Agency – Patient Experience Data Reflection Paper
https://www.ema.europa.eu/en/scientific-guidelines/patient-experience-data-ped-reflection-paper

Bereczky, T. (2013). The Impatient Patient: A Discussion of Patient Involvement in Novel Forms of Knowledge Production – A Case Study of the European Community Advisory Board on HIV/AIDS.
Socio.hu.
https://socio.hu/uploads/files/english/bereczky.pdf

Kapa3 – Cancer Guidance Centre
https://www.kapa3.gr/

KAPA3 at the ESMO Congress: Inspiration and Confirmation That We Are Moving Towards the Future

From October 17 to 20, we attended the ESMO World Congress in Berlin. The event stood out for the active participation of the Greek medical community, which led presentations on clinical data, Real-World Evidence, and up-to-date education in collaboration with the global oncology community. At the same time, Greek teams received awards in various areas (medical, nursing, institutional), inspiring us all with hope for the ongoing developments in oncology care.

Our main goal as KAPA3 was to focus on research addressing the real needs of the population within the framework of the global community. Collaborating with healthcare professionals from around the world allowed us to gather valuable knowledge and experiences. The intensive sessions and discussions broadened our understanding and prompted reflection on the next steps.

Key challenges identified for the patient advocacy community were:

  1. Mandatory multidisciplinary assessment before starting treatment
    No patient should begin treatment without undergoing a multidisciplinary assessment, including an oncology nurse, social scientist, and psychologist. This should be considered the minimum standard for all cancer patients.
  2. Certification and quality of multidisciplinary teams
    It is our duty to ensure that these teams meet quality standards. Their certification is undoubtedly complex. However, for us at KAPA3, multidisciplinary care is a fundamental criterion for service provision and must be certified. Quality care can significantly improve patient outcomes, as shown by clinical studies and research presented at this year’s congress, with potential improvements in overall survival of up to 10% (Sweden).

We are deeply proud that our work is guided by these standards precisely. In an era of remarkable progress in medicine and new therapies, we continue to strengthen the institution of research and multidisciplinary care, ensuring accessibility and patient-centered approaches aimed at quality of life.

This is the third time we have presented our efforts at an ESMO congress, in collaboration with the International University and the Nursing Department, highlighting our presence at every level. Meanwhile, trainings for other healthcare professionals take place annually within our organization in collaboration with Greek universities.

For Greek patients and their environment, we have not yet reached a point where the quality of care is considered a key objective for the entire oncology community. Our aim is to align with efforts across Europe so that, in the future, multidisciplinary assessments from the first day of diagnosis become standard practice within therapeutic protocols.

At KAPA3, we understand that quality care, inherently multidisciplinary, requires collective effort and collaboration between organizations and professionals to determine the best possible standards.

October 17 – International Day for the Eradication of Poverty

October 17 has been established by the United Nations as the International Day for the Eradication of Poverty, a day dedicated to raising awareness and taking action against a phenomenon that continues to affect millions of people worldwide. The observance began in 1987, when thousands of citizens gathered in Paris to honor the victims of extreme poverty and advocate for a more just and equitable future for all.

Poverty is not only about lack of income—it affects access to education, healthcare, housing, employment, and mental well-being. For people living with serious or chronic illnesses, such as cancer, financial insecurity further complicates daily life, limiting access to treatments, medications, and supportive services.

According to the latest Hellenic Statistical Authority data (Income and Living Conditions Survey 2024), 26.9% of Greece’s population—approximately 2.74 million people—is at risk of poverty or social exclusion, an increase compared to the previous year. Greece ranks second in the EU after Bulgaria, highlighting the difficulty households face in coping with inflation, the energy crisis, and limited social protection.

Globally, according to the United Nations World Social Report 2025, over 690 million people live in extreme poverty (less than $2.15 per day), while 1.1 billion experience multidimensional poverty, lacking access to healthcare, education, and a decent standard of living. Social and economic crises, combined with climate change, disproportionately impact vulnerable households, increasing inequalities and reducing opportunities for stable recovery.

The International Day for the Eradication of Poverty also emphasizes the role of communities and decision-makers in creating inclusive systems. Addressing social determinants of health, ensuring access to essential services, and empowering vulnerable groups are critical to reducing inequalities and improving quality of life. By working together—health professionals, social organizations, and civil society—we can create a world where those facing illness are not further burdened by poverty.

At Kapa3, we firmly believe that access to quality healthcare and decent living conditions are fundamental human rights. Poverty and health are interconnected—the one can easily amplify or worsen the other. Through awareness, empowerment, and social support initiatives, we strive to contribute to a society where no one is deprived of the care they deserve, regardless of income. 

Read more: https://www.un.org/en/observances/day-for-eradicating-poverty

https://www.statistics.gr/documents/20181/3d7d2251-2302-9023-5280-a1d962c3a7a5

Shining the light on medical gaslighting and its impact on patient safety

This descriptive review, published in the Archives of Hellenic Medicine (Volume 42, Issue 5, Sept–Oct 2025), explores the concept of medical “gaslighting” and its potential impact on patient safety, such as missed, delayed, or inadequate diagnoses, delayed treatment, and suboptimal health outcomes, resulting from healthcare professionals’ failure to interact effectively with their patients.

“Gaslighting” is recognized as a form of emotional and psychological abuse that does not involve physical harm but can instill feelings of fear, isolation, or loss of control in the victim.

What is Medical Gaslighting

In medical gaslighting, persistent distortions, misunderstandings, manipulation of reality, treating patients as scapegoats, and coercion are key techniques used by “gaslighters,” creating confusion and distress in patients.

Medical gaslighting is a covert form of manipulation with serious consequences, where gaslighters often display narcissistic or antisocial personality traits to reinforce their authority.

Certain groups may be particularly vulnerable to this behavior, including individuals who are overweight, elderly, or living with mental or physical health conditions, women, LGBTQIA+ individuals, Black, Indigenous, or other people of color.

Profiles of Gaslighters and Gaslightees

Gaslighters use manipulation to assert and maintain power, often undermining the confidence of their victims.

Patients who experience medical gaslighting may face delayed diagnosis and treatment, as well as negative effects on both mental and physical health.

Signs of Medical Gaslighting

  • Ignoring or downplaying patients’ symptoms and concerns
  • Refusal to engage in meaningful dialogue or paying insufficient attention to the patient
  • Misleading the patient into believing that their symptoms are psychological (e.g., “it’s all in your head”)
  • Failing to provide referrals or necessary tests
  • Imposing a single treatment option, typically the one they recommend

How Patients Can Protect Themselves

Empowering patients and encouraging active participation in their care are central to avoiding gaslighting.

Strategies include:

  • Requesting sufficient time for discussion with the healthcare provider
  • Preparing questions before the appointment
  • Recording details and taking notes
  • Being accompanied by a trusted person
  • Open and honest communication

Awareness of medical gaslighting is crucial for preventing misdiagnosis and improving health outcomes. The more patients know about their rights and have self-care tools, the better they are equipped to handle instances of gaslighting.

You can read the review here 

Melodic, A New European Project Supporting the Mental Health of Young Adults with Cancer

At Kapa3, we know that healing goes far beyond the body. A cancer diagnosis in young
adulthood — just as life is beginning to unfold — often leaves deep emotional marks. That’s
why we’re proud to participate in MELODIC, a new European initiative dedicated to
supporting the mental health of young adults (18–30) living with or after cancer.

The project Melodic brings together 13 partners from 6 European countries, including patient organizations, universities, and healthcare experts. Coordinated by Turku University of Applied Sciences (Finland), MELODIC aims to co-design innovative digital tools, peer
support models, and educational workshops that reflect the actual needs and voices of
young people affected by cancer.

Kapa3 joined the project in 2024, and our role is to bring Greek patients’ perspectives to
the table while also ensuring that everything we co-create reaches the people who need it
most — especially here in Greece.

We believe that mental well-being is not a luxury, but a vital part of cancer care. Over the next two years, we’ll be working closely with survivors, caregivers, professionals, and youth groups to build safe spaces for expression, support, and growth.

Want to learn more? Visit our website and check out the new MELODIC subpage to see how
we’re working to make a difference — and how you can get involved.

Together, we can make mental health care more humane, inclusive, and empowering.
Because no one should face cancer — or life after it — alone.

Read more on Melodic project: Melodic Project Mental Health on YAC