Kapa3 at the 13th Panhellenic Oncology Nursing Symposium: From Knowledge to Practice, with People at the Centre of Care

Three scientific contributions highlighting healthcare professionals’ educational needs, the financial burden of cancer, and the importance of patient navigation in comprehensive oncology care.

30 October – 1 November 2026 | Montana Hotel, Karpenisi, Greece

Kapa3 – Cancer Guidance Centre will participate in the 13th Panhellenic Oncology Nursing Symposium, organised by the Oncology Nursing Sector of the Hellenic Nurses Association (ESNE), taking place from 30 October to 1 November 2026 in Karpenisi, Greece.

Under the central theme “Driving Change, Creating Hope,” this year’s Symposium will provide an important opportunity for scientific exchange, interdisciplinary collaboration and discussion on the future of oncology nursing and comprehensive cancer care.

Kapa3’s participation will include three confirmed scientific contributions, bringing together healthcare professional education, the socioeconomic consequences of cancer and the role of structured patient navigation in improving access to care.

Although these topics address different dimensions of oncology, they share a common objective: to explore how scientific knowledge can be translated into meaningful, accessible and measurable improvements in the care provided to people affected by cancer.

1. Educational Needs of Healthcare Professionals: From Knowledge Acquisition to Meaningful Change

Saturday, 31 October 2026 | 17:30–19:00

Open Scientific Discussion

“Educational Needs of Healthcare Professionals: A Critical Issue for Contemporary Oncology Care”

Moderator: Evangeli Bista, PhD(c), MBA, MSc, BSc, Co-founder of Kapa3 – Cancer Guidance Centre.

Modern oncology care is evolving rapidly. New therapeutic approaches, personalised care, increasing psychosocial needs, digital transformation and the integration of Artificial Intelligence are fundamentally changing the knowledge and competencies required of healthcare professionals.

However, participation in educational activities does not automatically translate into improvements in professional practice.

This scientific discussion will address a central challenge in continuing professional education: how to move beyond the delivery of scientific information towards the effective assimilation, application and evaluation of knowledge.

The discussion will follow a structured pathway:

Identifying Needs → Education → Knowledge Acquisition → Assimilation → Application → Evaluation → Improved Care

Particular attention will be given to absorptive capacity, knowledge translation, organisational learning, interdisciplinary collaboration and the development of professional and digital competencies.

An important dimension of the discussion concerns the organisational environment in which healthcare professionals are expected to apply their knowledge.

Leadership, trust, organisational culture, staffing, mentoring, access to information and opportunities for continuous learning can either facilitate or hinder the translation of scientific knowledge into everyday clinical practice.

The discussion will bring together the following participants:

Ourania Govina
Theocharis Konstantinidis
Giorgos Kapetanakis
Theodora Kappou
Maria Lavdaniti
Aikaterini Manousou
Aikaterini Papadimitriou
Dimitrios Papageorgiou

Drawing on different academic, clinical, professional, managerial and patient-centred perspectives, the discussion aims to identify shared priorities for continuing education in contemporary oncology care.

The central question is:

How can we move from delivering knowledge to ensuring its meaningful assimilation and practical application, while developing healthcare professionals and organisations capable of continuous learning and measurable improvement?

2. Accessibility in Cancer Care: The Intersection of Health, Society and Economy

Scientific Roundtable

“Access to Healthcare Services for Patients with Malignant Neoplastic Disease: A Health–Society–Economy Perspective”

Session Chairs: Ioanna Tsatsou and Maria Lavdaniti.

As part of this roundtable, Evangeli Bista will deliver a presentation entitled:

“The Financial Burden of Cancer on Patients and Their Families”

A cancer diagnosis is not solely a medical event. It frequently brings substantial social and financial consequences that affect both patients and their families.

Loss or reduction of income, frequent travel for treatment, additional healthcare-related expenses, caregiving responsibilities and difficulties maintaining employment can significantly affect quality of life and access to appropriate care.

The concept of financial toxicity describes the economic hardship and distress associated with cancer and its treatment.

Financial toxicity may contribute to psychological distress, financial insecurity, reduced social participation and inequalities in access to healthcare and supportive resources.

Drawing on Kapa3’s experience in social guidance, patient navigation and support for people affected by cancer, the presentation will explore financial burden as an essential dimension of person-centred oncology care.

The roundtable will also include:

Georgios Manomenidis: “Social Determinants of Access to Oncology Care”
Maria Lavdaniti: “The Role of Nurses and the Interdisciplinary Team in Reducing Barriers to Access”

Together, these contributions will examine accessibility from complementary perspectives, highlighting the complex relationship between health services, socioeconomic conditions and interdisciplinary collaboration.

Equitable access to care depends not only on the availability of healthcare services, but also on people’s actual ability to access and use them.

3. The Role of Patient Navigation in Oncology Care: A Systematic Review

Oral Scientific Presentation

“The Role of Patient Navigation in Oncology Care: A Systematic Review”

Authors:

Maria-Garyfallia Barka
Psychology student, Panteion University of Social and Political Sciences; Volunteer, Kapa3 – Cancer Guidance Centre.

Evangeli Bista
Social Scientist, PhD(c), MBA, MSc, BSc; Co-founder, Kapa3 – Cancer Guidance Centre.

This scientific contribution falls within the field of psychosocial oncology care and examines the role of structured patient navigation in improving continuity, coordination and accessibility throughout the cancer journey.

Cancer diagnosis and treatment are associated with multiple needs extending beyond clinical management.

Patients and their families often require assistance in understanding medical and administrative information, navigating healthcare services, accessing social rights and benefits, managing practical difficulties and obtaining psychosocial support.

The systematic review examines international scientific literature published between 2015 and 2026, drawing on searches conducted in PubMed and Embase.

The review focuses on patient navigation, psychosocial support, counselling and care coordination, exploring their contribution to comprehensive oncology care.

In addition, practice-based data collected through Kapa3’s activities are considered in order to connect international evidence with the needs of patients and caregivers in the Greek healthcare and social support context.

The findings highlight the importance of organised, interdisciplinary navigation models involving healthcare professionals, social workers, psychologists and other relevant professionals.

Patient navigation is not simply the provision of information.

It is a structured process of identifying needs, supporting decision-making, facilitating access to appropriate services and helping patients navigate the multiple challenges arising throughout their cancer journey.

The presentation reinforces the importance of developing coordinated and person-centred support pathways that address medical, psychological, social and practical needs.

From Scientific Research to Kapa3’s Everyday Practice

Kapa3’s three scientific contributions reflect the organisation’s commitment to connecting research, professional education and social support with the lived experiences of people affected by cancer.

The education of healthcare professionals, the recognition of cancer-related financial hardship and the implementation of structured patient navigation are not isolated priorities.

They represent interconnected dimensions of a broader approach to oncology care.

Effective professional education can strengthen the ability to identify patient needs. Recognition of socioeconomic barriers can improve the relevance of supportive services. Structured navigation can help connect patients with appropriate professionals, resources and care pathways.

Together, these elements contribute to a model of healthcare that is more coordinated, equitable and responsive to people’s real needs.

This approach is also reflected in the development of MYRTO – Kapa3’s AI-Supported Digital Social Navigator, an innovative initiative designed to improve access to evidence-informed information about social rights, benefits, administrative procedures and available support services.

MYRTO is developed in collaboration with SimasiaAI, with the valuable support of the TIMA Charitable Foundation.

The initiative demonstrates Kapa3’s commitment to combining digital innovation with human-centred guidance, health literacy, social inclusion and responsible use of Artificial Intelligence.

Driving Change, Creating Hope

For Kapa3, participating in the 13th Panhellenic Oncology Nursing Symposium represents another opportunity to strengthen scientific dialogue, share knowledge and develop collaborations between healthcare professionals, academic institutions and civil society organisations.

Patients’ lived experiences provide valuable insights into the challenges that healthcare systems must address.

When these experiences are systematically documented, examined through scientific research and incorporated into professional education and service development, they can become a powerful source of meaningful change.

Scientific progress creates real value when it translates into better everyday experiences, fewer barriers and more effective support for people living with cancer.

At Kapa3, we remain committed to advancing a model of oncology care that recognises the full complexity of patients’ needs and supports people throughout every stage of their cancer journey.

Because care does not end with treatment. It embraces the whole of life.

Symposium Information

13th Panhellenic Oncology Nursing Symposium
“Driving Change, Creating Hope”

Dates: 30 October – 1 November 2026
Venue: Montana Hotel, Karpenisi, Greece

Organiser: Hellenic Nurses Association (ESNE) – Oncology Nursing Sector

Official event website:
https://oncologynursingcongress.esne.gr/

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

Explore MYRTO – Digital Social Navigator
https://kapa3-cag-rag-hybrid-deploy.onrender.com/

MYRTO evolves: from information to meaningful navigation

The new version of MYRTO, Kapa3’s digital assistant for people affected by cancer and their caregivers, is now live.

This update is more than a technical upgrade. It represents another step towards a different model of digital support: moving from simply providing information to supporting understanding, guidance and navigation.

For people facing cancer, the challenge is not always a lack of information. Very often, the real difficulty is understanding which information applies to them and what they need to do next.

From information to the next step

The cancer journey involves much more than diagnosis and treatment. Patients and families may also need to navigate social rights and benefits, disability assessment, transportation, employment issues, psychosocial support and communication with multiple health and public services.

Information may be available, but it is often fragmented, complex or difficult to turn into action.

This is where navigation becomes essential.

It means supporting people to access, understand, evaluate and use the information they need.

MYRTO was developed with this principle in mind: transforming complex and fragmented information into guidance that is easier to understand and act upon.

What is new in MYRTO

The renewed version offers a more direct and accessible user experience.

Users can interact by text or voice, listen to responses, choose between Greek and English, and adjust text size. Suggested topics also help people who may not know how to begin or how to formulate their question.

Particular attention is given to the sources behind the information. MYRTO follows a source-grounded and human-supervised AI approach: Artificial Intelligence supports the retrieval and organisation of information, while reliability, transparency and human oversight remain central to its design.

Technology does not replace people

MYRTO is not a doctor and does not provide personalised medical advice. It does not replace social workers, psychologists, nurses or other healthcare professionals.

Its role is to reduce complexity, support orientation and help people move closer to the appropriate information, service or human support.

The same approach applies to caregivers, who often become care coordinators, information managers and navigators of rights and services. MYRTO is also designed with their needs in mind, recognising caregivers as an essential part of the cancer journey.

Accessibility, trust and data protection

At Kapa3, we believe that digital innovation is meaningful only when it remains accessible and inclusive.

For this reason, the renewed MYRTO places emphasis on plain language, voice interaction and features that can support people with different levels of digital and health literacy.

Users are also informed about the processing of their data and the use of Artificial Intelligence, with separate consent choices and the possibility to request data deletion.

Trust in a digital health tool is not only about the answers it provides. It is also about how it works, which sources it relies on and how it respects the people who use it.

“What do I need to do next?”

Perhaps this single question best captures the philosophy behind MYRTO:

“What do I need to do next?”

A person facing cancer should not have to know in advance which organisation is responsible, where the right information is located or which administrative process needs to be followed.

They should be able to express their need and receive guidance that is reliable, understandable, accessible and human-supported.

This is the direction of the renewed MYRTO.

From information to understanding.
From understanding to navigation.
And from navigation to the next step.

Find more :

https://kapa3-cag-rag-hybrid-deploy.onrender.com

MYRTO: From Real-World Needs to European Scientific Engagement

MYRTO, the digital Social Rights Navigator developed by Kapa3, is taking an important step from real-world experience to the European scientific community, with two studies accepted for presentation at EONS and ESMO events in 2026.

The first study, “MYRTO as an AI-Supported Navigation Model for Equitable Access to Cancer Care: Real-World Needs from 1,083 Beneficiaries”, will be presented as a poster at EONS19 at ESMO 2026 in Madrid, 24–26 October 2026.

The study draws on the real-world needs of 1,083 Kapa3 beneficiaries, identifying eight key navigation areas: rights and benefits, disability certification and administrative procedures, access to health and social services, transportation and geographical barriers, employment and social protection, health and digital literacy, caregiver support, and referral to human professionals when needed.

The findings highlight that equitable access to cancer care is not only about clinical information. It also depends on people’s ability to find, understand and use reliable information during an exceptionally demanding period of their lives.

From real-world needs to technology evaluation

The second study, “Source-Based Artificial Intelligence (AI) Navigation for Fragmented Nonclinical Cancer-Support Information: Pilot Evaluation of a Human-Supervised System”, has been accepted as an e-Poster at the ESMO AI & Digital Oncology Congress 2026, taking place on 16–18 November 2026.

This study focuses on the operation and evaluation of MYRTO as a source-grounded, human-supervised AI system.

The pilot evaluation drew on 448 authoritative documents and 29,148 indexed excerpts and assessed 100 predefined questions. For all 84 answerable questions, source-supported and actionable responses were generated without modifications following Kapa3 expert review. The system also applied clarification, abstention or redirection mechanisms when evidence was insufficient or when questions involved medical advice or fell outside its intended scope.

Two studies, one shared philosophy

The two studies reflect complementary dimensions of MYRTO: the real-world needs that led to its development and the way technology is being designed to respond to those needs through evidence, clear boundaries and human supervision.

For Kapa3, Artificial Intelligence is not intended to replace human support. Its role is to contribute to more accessible, understandable and trustworthy navigation, while keeping people at the centre.

MYRTO’s presence at two major European scientific events represents another step in bringing Kapa3’s field experience into the European dialogue on equitable access, digital health and the responsible use of Artificial Intelligence.

The MYRTO project is funded by the TIMA Charitable Foundation.

Find more about MYRTO https://kapa3-cag-rag-hybrid-deploy.onrender.com

Kapa3 at HDHC: Bringing the Patient Perspective to Digital Health

Networking, knowledge exchange and new opportunities for collaboration

The monthly meeting of the Hellenic Digital Health Cluster (HDHC) provided another valuable opportunity for networking, knowledge exchange and the exploration of new collaborations within the rapidly evolving digital health ecosystem.

During the meeting, representatives of three new members — Kapa3 – Cancer Guidance Center, Reformer Business Optimization, and ERGOBYTE — introduced their work, expertise and capabilities to the wider HDHC community.

Kapa3: From real patient needs to the design of solutions

Kapa3 was represented by Aristea Archontidou, who presented the organisation’s work and the experience gained through its daily support of people affected by cancer and their caregivers.

A central focus of the presentation was one of the most significant challenges people face following a cancer diagnosis: fragmented information.

Alongside their treatment journey, patients and their families are often required to navigate a complex range of social, insurance, employment and administrative issues. Finding the right information across multiple systems and public sources can become an additional burden during an already demanding period.

This challenge is particularly important for people diagnosed with cancer while still of working age. Support therefore extends beyond treatment itself and includes helping people understand and exercise their rights, maintain their social and professional lives, and access the services and benefits available to them.

The numbers reflect a real need

Kapa3’s daily experience demonstrates the scale and diversity of these needs.

Between January and July 2026, Kapa3:

handled 1,251 telephone contacts,

sent 497 emails to beneficiaries,

managed 306 requests from 241 individuals,

covering 52 different categories of need, including disability certification, social benefits and employment rights.

Behind every number is a person seeking timely, understandable and reliable guidance.

These data reinforce the need for services and tools that do not simply provide more information, but help people find, understand and use the information that is relevant to their individual situation.

MYRTO AI: Technology supporting social navigation

A key part of the presentation was dedicated to MYRTO AI, the digital Social Rights Navigator being developed by Kapa3 for people affected by cancer and their caregivers.

MYRTO is designed to provide access to information and guidance 24 hours a day, seven days a week, in Greek and English, while also supporting voice interaction.

Developed with the support of the TIMA Charitable Foundation, MYRTO builds on Kapa3’s field experience and on the real questions and needs identified through the organisation’s direct work with patients and caregivers.

Its purpose is not to replace human support. Instead, technology is being developed as an additional tool for timely, reliable and more accessible navigation, helping people understand available options and identify the appropriate pathways for further support.

From field experience to digital innovation

This is where Kapa3’s participation in HDHC becomes particularly relevant.

Digital health is not only about developing new technologies. It is also about ensuring that these technologies respond to the real needs of the people who are expected to use them.

Through its daily interaction with patients and caregivers, Kapa3 can bring the end-user perspective into the digital health ecosystem and contribute to assessing the usability, accessibility, comprehensibility and real-world value of emerging digital tools.

In this way, experience from the field can become an integral part of the innovation and design process.

European engagement and new synergies

The presentation also highlighted Kapa3’s growing European activity through its participation in projects and initiatives such as e.Health4Cancer, MELODIC, MOVE-ON and PERIFORMANCE, alongside its continued efforts to develop new partnerships through European programmes and networks.

Participation in HDHC creates another meeting point between civil society, research, technology and entrepreneurship, opening new possibilities for collaboration focused on digital health and people-centred innovation.

HDHC: Building bridges for digital health collaboration

The monthly meeting once again demonstrated the value of connecting organisations, research bodies and companies that bring different areas of expertise to a shared digital health ecosystem.

For Kapa3, participation in such a network is not only an opportunity for networking and knowledge exchange. It also provides a platform for advancing a principle that lies at the heart of our work:

digital innovation creates real value when it starts with people’s needs and returns to them in the form of meaningful, accessible and trustworthy support.

Co-creation in health research: from participation to meaningful influence

A new scientific study proposes a framework for understanding who participates in research, when they participate, how they contribute — and how much influence they actually have

Co-creation is becoming increasingly important across public health, research, social innovation and the design of healthcare services. Patients, caregivers, citizens, healthcare professionals, researchers and communities are more frequently being invited to contribute to the development of interventions, services and solutions.

Yet an important question remains:

What does “participation” actually mean?

The presence of a patient or community representative in a meeting does not necessarily mean that they can influence the design, decisions or outcomes of a research project. Similarly, being asked to complete a survey is fundamentally different from helping to design an intervention, interpret findings or determine how results are shared.

A new open-access study, published on 19 August 2026 in the Journal of Public Health, addresses this challenge. Katrina Messiha, Mai J. M. Chinapaw, Johannes C. F. Ket, Renée I. Wink and Teatske M. Altenburg developed the Co-creation Roles Framework, an operational framework designed to systematically describe and classify the roles of different stakeholders in co-creation research.

Moving beyond “who was involved?”

One of the study’s most valuable contributions is its shift away from simply recording whether stakeholders participated towards examining the nature, depth and quality of that participation.

The framework captures eight key dimensions:

the research stage at which participation occurs,
the target group or stakeholder involved,
the aim of involvement,
how stakeholder knowledge is used,
the level of engagement and influence,
the form of co-creation,
the platform through which engagement takes place,
and the duration of engagement.

The relevant question therefore becomes much more precise than “Were patients or citizens involved?”

Instead, researchers can ask:

When were they involved? What were they asked to contribute? How was their knowledge used? And how much influence did they actually have over decisions?

What did the study find?

To demonstrate the practical application of the framework, the researchers conducted a systematic review following PRISMA guidance.

They analysed 39 scientific articles representing 19 youth-focused public health projects based on co-creation, Youth Participatory Action Research or Community-Based Participatory Research approaches.

The analysis revealed substantial variation in the ways stakeholders were engaged.

One particularly striking finding was that, under the strict definition used in the framework, none of the 19 projects reached the highest level of engagement — “empowerment”, where stakeholders hold genuine decision-making authority.

During the implementation stage, consultation and involvement were the most frequent levels of engagement, while consultation was also the most common approach during evaluation.

This finding matters.

It demonstrates that describing a project as “co-created” does not automatically mean that the people for whom an intervention is being developed have meaningful power to shape it.

Participation should not end when the research ends

Another important finding concerned dissemination and reporting.

Only 4 of the 19 projects included a reporting stage extending beyond conventional academic publication.

In some cases, young stakeholders were involved in presenting findings, communicating results within their communities, or developing dissemination materials and practical tools. Overall, however, stakeholder involvement in the final stages of the research process remained limited.

This is highly relevant to health research.

People who contribute their lived experience, time and knowledge to a study should not be considered merely a source of data. They can also play an important role in interpreting findings, shaping key messages and helping return knowledge to the communities from which it originated.

From patient participant to patient co-creator

This discussion has particular relevance for cancer research and cancer care.

Patients and caregivers hold a form of knowledge that clinical evidence alone cannot provide: the lived experience of illness and care.

They understand what treatment means in everyday life; where administrative, social or practical barriers interfere with care; whether a digital health service is genuinely understandable and accessible; which questions remain unanswered; and which outcomes actually matter to the people living with cancer.

Using this knowledge is not simply a matter of representation.

It is a matter of research quality.

For a patient-support organisation such as Kapa3, co-creation therefore means more than inviting patients into an existing process. It requires creating the conditions in which lived experience can become knowledge, knowledge can shape design, and design can ultimately lead to more relevant, accessible and person-centred services.

A framework for planning future research

The authors emphasise that the Co-creation Roles Framework may be valuable not only for describing completed research, but also for planning and evaluating future projects.

Research teams may use it prospectively to clarify stakeholder roles from the beginning, while funders, ethics committees and scientific journals could potentially use such structured approaches to assess how clearly and meaningfully stakeholder participation has been planned and reported.

At the same time, the framework should not yet be regarded as a definitive standard.

The authors explicitly call for external validation across diverse co-creation settings. They also recognise an important limitation: non-academic stakeholders were not directly involved in developing the framework itself, which may limit its sensitivity to some experiential and contextual understandings of stakeholder roles.

Recognising these limitations is itself an important part of advancing more rigorous participatory research.

The next challenge: not simply more participation, but more meaningful participation

Co-creation should not become another box to tick in a research proposal.

The more important challenge is to be able to demonstrate:

who had a voice, when that voice was heard, how it influenced decisions and what ultimately changed because of that contribution.

As healthcare moves towards more participatory, person-centred and digitally supported models of care, the shift from research about patients to research with patients, and ultimately towards research shaped together with patients, may become one of the defining requirements for research that is both scientifically robust and genuinely relevant to people’s lives.

Scientific source

Messiha K, Chinapaw MJM, Ket JCF, Wink RI, Altenburg TM. Development and application of a framework for classifying stakeholder roles in co-creation research: a Health CASCADE study. Journal of Public Health. Published 19 August 2026. DOI: 10.1007/s10389-026-02881-2.

Messiha_et_al-2026-Journal_of_Public_Health

Κapa3 at IEEE CBMS 2026 | AI for Equitable Oncology Information

Kapa3 at IEEE CBMS 2026: Artificial Intelligence in Support of Equitable Patient Information in Oncology Care

New scientific publication in the Proceedings of the 39th IEEE International Symposium on Computer-Based Medical Systems

The voice and lived experience of patients must remain at the centre of the emerging era of Artificial Intelligence in healthcare.

Kapa3 – Cancer Guidance Centre contributes to a new scientific publication presented in the Proceedings of the 2026 IEEE 39th International Symposium on Computer-Based Medical Systems (CBMS), focusing on how Artificial Intelligence and Retrieval-Augmented Generation can support more equitable, reliable and patient-centred access to information in oncology.

The paper, entitled:

“Informed, Empowered, and Heard: AI and Retrieval-Augmented Generation as Tools for Equitable Patient Information in Oncology”

is authored by Lars Münter, Evangeli Bista, Maria Lavdaniti and Christos Frantzidis, with Evangeli Bista representing Kapa3 as Co-founder.

From access to information to meaningful patient empowerment

A cancer diagnosis creates an immediate need for information that is reliable, understandable and relevant to the individual patient.

At the same time, patients and their families are often expected to understand complex medical terminology, treatment options, prognosis discussions and administrative procedures at a moment of intense psychological and emotional pressure.

The paper highlights that acute stress associated with a serious diagnosis can affect working memory, attention and the ability to process new information. This means that patient information cannot be designed for an ideal, fully attentive reader; it must respond to the real cognitive and emotional conditions experienced by people facing cancer.

The key question is therefore not simply:

“How much information do we provide?”

but rather:

“Are we providing the right information, at the right time, in a form that people can understand and act upon?”

AI and Retrieval-Augmented Generation: towards trustworthy and evidence-grounded information

The publication places particular emphasis on Retrieval-Augmented Generation (RAG).

RAG architectures combine the generative capabilities of large language models with the retrieval of information from curated and verified knowledge sources. In a healthcare setting, this can include clinical guidelines, validated patient information resources, regulatory documents and peer-reviewed literature.

This approach offers an important advantage over purely generative AI systems: responses can be grounded in identifiable sources, supporting greater transparency and enabling patients and healthcare professionals to verify where information comes from.

In oncology, this is especially important.

A patient does not simply need a quick answer. They need information that is:

accurate, current, understandable, accessible and appropriate to their individual situation.

Artificial Intelligence as a tool for equity

One of the central themes of the paper is inequality in access to high-quality oncology information.

Geography, language, socioeconomic circumstances, health literacy, digital literacy and access to specialised healthcare services can significantly influence a person’s ability to understand their diagnosis, treatment options and rights.

The publication pays particular attention to the Greek context, where patients living in large urban centres may experience a very different information environment from those living in rural, remote or island communities.

When equity is treated as a core design principle, AI-RAG systems can potentially support:

multilingual access to health information,
different levels of language and information complexity,
voice-based interfaces,
shorter and more manageable units of information,
low-bandwidth or offline-capable solutions,
and opportunities for patients to return to information when they are ready to process it.

Technology alone, however, does not create equity.

The way technology is designed determines whether it reduces existing inequalities or reproduces them.

Designed with patients, for patient needs

The paper calls for an important shift in the way digital health systems are developed.

Many traditional health information systems are designed primarily around institutional or clinical workflows, with patient-facing communication added later.

For patient-centred AI, this logic must be reversed.

Systems should be designed with patients and around patient needs, with patients and informal carers actively involved in shaping the knowledge base, the questions the system is expected to answer and the ways information is presented.

This also means moving beyond systems that simply respond to individual questions.

A meaningful AI-supported information environment could help patients prepare for clinical consultations, organise their questions, understand the next steps in their care and become more aware of their rights.

The paper highlights applications such as consultation preparation guides, question prompts before appointments and post-consultation summaries as examples of how technology can support patients before, during and after important healthcare interactions.

AI should strengthen, not replace, human relationships

Perhaps the most important message of the publication is that the transformative potential of AI in oncology is not primarily technical. It is relational.

Artificial Intelligence should not create distance between patients and healthcare professionals.

It should help strengthen their communication.

A better-informed patient can arrive at a clinical consultation more prepared, identify questions and concerns more clearly, participate more actively in shared decision-making and communicate more effectively with the healthcare team.

The same applies to informal carers, who often carry a significant part of the informational and emotional burden of cancer care.

For this reason, the paper argues that AI-RAG systems should be designed to strengthen the relationship between patients, carers and healthcare professionals, rather than to replace any part of this human network of care.

For healthcare professionals, trustworthy information systems may also reduce the time required for basic information provision, allowing more of the clinical encounter to focus on nuanced discussions, decision-making and the human aspects of care that technology cannot replicate.

From information to trust

This scientific contribution adds to an increasingly important discussion about the future of healthcare:

How can Artificial Intelligence be developed and used in ways that genuinely respond to human needs?

The answer does not lie only in more powerful AI models or larger volumes of data.

It also lies in evidence, transparency, accessibility, co-design, equity and respect for patient rights.

As the paper concludes, people affected by cancer in Greece and across Europe deserve access to information that is accurate, personalised, accessible and respectful of their rights, regardless of where they live, the language they speak or the socioeconomic resources available to them.

For Kapa3, participating in this scientific discussion also reflects a broader commitment: ensuring that real patient needs, lived experience and equitable access are represented in the design and evaluation of the next generation of digital health and AI-supported tools.

Publication details

Title: Informed, Empowered, and Heard: AI and Retrieval-Augmented Generation as Tools for Equitable Patient Information in Oncology

Authors: Lars Münter, Evangeli Bista, Maria Lavdaniti, Christos Frantzidis

Published in: 2026 IEEE 39th International Symposium on Computer-Based Medical Systems (CBMS)

DOI: 10.1109/CBMS69103.2026.00302

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Kapa3 joins PERIFORMANCE: From Information to Trust in Cancer Care

Kapa3 – Cancer Guidance Centre is pleased to announce that its proposal, “From Information to Trust: MYRTO Patient & Citizen Lab for Equal Access in Cancer Care,” has been selected for funding under the PERIFORMANCE Open Call for Bottom-Up Stakeholder Engagement Initiatives in Cancer Research & Care.

The initiative places patients, caregivers, healthcare and social care professionals, civil society organisations and local communities at the heart of the process, creating a participatory framework for the ethical, trustworthy and inclusive use of AI-enabled cancer navigation.

Putting patients and citizens at the centre

The project is closely linked to MYRTO, Kapa3’s AI-enabled digital social assistant designed to support people affected by cancer in navigating health, social care, administrative procedures and rights-related information.

PERIFORMANCE funding will not support the core technical development of MYRTO. Instead, the project will focus on building the participatory, educational and ethical layer around the tool, ensuring that its future development is shaped by the real needs, experiences and expectations of the people who will use it.

This approach reflects a key principle for Kapa3: technology should not replace human care. When designed responsibly, however, it can become a powerful tool for improving access, empowerment and equality.

From local communities to a national dialogue

The engagement pathway will include regional listening activities, a thematic focus on vulnerable and underrepresented groups, and a central MYRTO Patient & Citizen Lab in Athens.

Particular attention will be given to caregivers, older patients, migrants, people with disabilities, people with low health or digital literacy, socially vulnerable groups and people living far from specialised oncology services.

The Athens Lab will be integrated into Kapa3’s national conference “Equality in Access”, creating a space for synthesising regional experiences, identifying trust criteria and collecting patient and caregiver perspectives on AI-supported navigation.

What does trust in AI-supported cancer navigation mean?

At the heart of the project lies a fundamental question:

What does a person need in order to trust a digital tool during one of the most sensitive periods of their life?

Through co-creation and stakeholder engagement, the initiative will explore issues such as:

reliability and clarity of information,
data protection and privacy,
accessibility and digital inclusion,
responsible use of Artificial Intelligence,
prevention of bias and exclusion,
human oversight,
and clear referral pathways to appropriate professionals when human support is needed.

Bringing together science, civil society and lived experience

Kapa3 will coordinate the initiative and lead its design, implementation, facilitation, patient and community outreach, dissemination and reporting.

The project will be supported by a multidisciplinary academic and scientific collaboration network involving the International Hellenic University – Department of Nursing, University of West Attica – Department of Occupational Therapy, Democritus University of Thrace – Department of Social Work, and University of the Peloponnese – Department of Nursing. simasiaAI will provide technical support for MYRTO-related digital materials and the AI navigation environment.

The project is expected to produce practical resources including a Patient Guidance Toolkit, a Trust & Human Escalation Checklist, a Training and Dissemination Package, and an Engagement & Trust Report.

From information to trust

For Kapa3, participation in PERIFORMANCE marks another step towards ensuring that the patient voice is present not only when new services and technologies are evaluated, but from the very beginning of their design.

With MYRTO, the question is no longer simply:

“How can we provide more information?”

It is increasingly:

“How can we turn information into understanding, trust, safety and real access?”

Because responsible digital health innovation begins with people.

“Myrto” under Scientific Evaluation: Transparency, Evidence and Human Oversight in Social Navigation for Oncology Patients

The first closed scientific testing workshop of the Digital Health and Social Rights Navigator has been completed

Athens, 6 July 2026

The first closed scientific testing and evaluation workshop of “Myrto”, the Digital Health and Social Rights Navigator developed by the Cancer Patient Guidance Centre – Kapa3, was successfully completed.

The workshop was organised by the Cancer Patient Guidance Centre – Kapa3, with the support of René Descartes – Cnam College and the participation of SimasiaAI. It functioned as a dynamic scientific co-design workshop, bringing together specialised professionals from the fields of healthcare, social care, information technology and personal data protection.

The process was closed and strictly experimental in nature and did not constitute a public presentation of a completed product. Its purpose was to evaluate the behaviour of the application through hypothetical and fully anonymised scenarios, to record correct responses and areas requiring improvement, and to use expert feedback for the next phase of development.

The project “Myrto – Health and Social Rights Navigator” is being developed as a knowledge-based digital social navigation system, guided by the principles of explainable, transparent and human-centred Artificial Intelligence.

Its aim is to transform complex legal, administrative and social information into clear, evidence-based and practically useful guidance for oncology patients, caregivers and citizens.

“Myrto” does not replace professional social, legal, medical or clinical judgement. It operates as a supportive information and navigation tool, with clearly defined functional boundaries, human oversight and the possibility of referral to the competent services and professionals of Kapa3.

The programme is implemented with the support of the TIMA Charitable Foundation.

From Information to Understandable Knowledge

During the workshop, the need that led to the creation of “Myrto” was presented, along with the real barriers faced by patients and caregivers when seeking information on social rights, benefits and administrative procedures.

Particular emphasis was placed on addressing digital and informational exclusion. “Myrto” is designed to transform fragmented and often difficult-to-understand information into simple, structured and comprehensible guidance.

A Thematically Specialised and Curated Knowledge Base

The project’s technical partner, SimasiaAI, presented the operation of the application and the architecture used for information retrieval and synthesis.

“Myrto” uses a hybrid search mechanism that combines text retrieval and semantic search techniques, with the aim of identifying the information most relevant to the user’s question. The application operates on a thematically specialised and curated knowledge base.

A central element of its design is the traceability of information, namely the ability to link an answer to the source on which it is based. The use of validated sources reduces the risk of unsupported responses and enables the identification, review and correction of issues through a process of continuous maintenance, regular updating and adaptation to evolving guidelines and regulatory requirements.

Explainability and Human-Understandable Answers

The evaluation did not focus only on whether “Myrto” retrieves the correct information, but also on whether it can present that information in a clear, understandable and conceptually coherent way.

This approach strengthens trust, responsible use of the tool and the meaningful empowerment of citizens through a response-generation system that supports a transparent, evidence-based and human-supervised knowledge ecosystem, in which every piece of information is understandable, verifiable and connected to its source.

Data Protection and Compliance by Design

Personal data protection and regulatory compliance are embedded from the design stage of the application, in accordance with the principles of data protection by default and by design.

During the workshop, only hypothetical or fully anonymised cases were used. Particular emphasis was placed on the principles of data minimisation, anonymisation and secure processing. These principles are directly linked to contemporary requirements for the responsible development of Artificial Intelligence systems, the protection of special categories of data and compliance with the European regulatory framework.

Live Testing of Hypothetical Scenarios

The professionals who participated in the workshop tested the application individually and in small groups, using only hypothetical and fully anonymised cases. The testing was based on an approach that evaluated the behaviour of the system, examining not only whether the final answer was correct, but also whether the overall operation of the application was safe, understandable and appropriate for the specific request.

Disability Certification through KEPA

In one of the key scenarios, “Myrto” was asked to guide a hypothetical patient who did not know how to start the disability certification procedure through KEPA. The system retrieved the main steps of the process, organised the information in an understandable format and provided relevant references to the sources.

Participants evaluated:

the accuracy of the information,
the completeness of the steps,
the clarity of the language,
and the practical usefulness of the answer.

Travel from the Region for Treatment

In a second scenario, the case of an oncology patient who needed to travel from the region to another location for treatment was examined. The application identified relevant categories of socioeconomic support and benefits and presented possible next steps to the user.

The test allowed participants to assess:

the correct identification of the request,
the connection between different rights and benefits,
the completeness of the sources,
and the possibility of referral to the appropriate services.

At the same time, cases were also examined in which:

the question was unclear or incomplete,
the user did not know which right or benefit to look for,
clarifying questions were required,
medical or personalised legal advice was requested,
or immediate human intervention was necessary.

A Continuous Cycle of Scientific Feedback

The meeting concluded with a discussion of the testing results, a review of the technical logs and the presentation of key usage statistics for the application.

The participants’ observations are not treated as isolated comments, but as structured scientific feedback for improvement. In this way, a closed cycle of learning and feedback is created, in which technology, scientific knowledge and the experience of professionals interact continuously.

The continuous involvement of experts and the integration of structured feedback are considered critical for strengthening transparency, reliability and trust in Artificial Intelligence systems used in sensitive fields.

The Interdisciplinary Project Team

The development, scientific documentation and regulatory compliance of “Myrto” are supported by an interdisciplinary team from the fields of health services administration, information technology, personal data protection, language technology and software development. The workshop was attended by:

Evangeli Bista, Co-founder of Kapa3 and Head of Strategic Partnerships; Aristea Archontidou, Industrial Informatics Engineer with postgraduate specialisation in Health Policy and Health Services Planning; Anastasia Vlachopoulou, lawyer and member of the Thessaloniki Bar Association, specialised in personal data protection; Dimitris Papadakis, Co-founder and Sales Manager at SimasiaAI and Project Manager of the “Myrto” project; and Giannis Barous, Co-founder and CTO of SimasiaAI, PhD candidate in Computer Science based in San Francisco, who has undertaken the technical component of the project: how the system identifies the right information, how it connects it with reliable sources and how it provides answers that are evidence-based, useful and safe.

About Kapa3

The Cancer Patient Guidance Centre – Kapa3 is a social support, information and navigation organisation for oncology patients, survivors, caregivers and their families. Its aim is to contribute to equal access to oncology care, social protection and the rights associated with the cancer experience.

Every day, Kapa3 supports people who face not only the disease itself, but also a range of practical, administrative, social and psychosocial challenges. Through personalised social guidance, the organisation helps patients and caregivers learn about their rights, understand available benefits and services, navigate administrative procedures and connect with appropriate support structures.

The main pillars of Kapa3’s work include information on social and insurance rights, support in accessing health and social care services, guidance on benefits and procedures, empowerment of patients and caregivers, and connection with professionals, organisations and communities.

As part of its digital strategy, Kapa3 develops digital empowerment and social navigation tools, such as “Myrto”, the Digital Health and Social Rights Navigator. “Myrto” is designed to transform complex legal, administrative and social information into clear and evidence-based guidance for oncology patients, caregivers and citizens, always with human oversight, transparency and respect for the limits of technology.

Kapa3’s philosophy is based on the principle that care is not limited to medical treatment. It includes access to information, social protection, psychosocial support, dignity, empowerment and the ability of every person to know and claim their rights.

Through collaborations with health and social care professionals, academic and research institutions, civil society organisations, public structures, volunteers and communities, Kapa3 seeks to build bridges between the patient, information, services and real access.

Kapa3 Report for the First Half of 2026

As the first half of 2026 draws to a close, the Cancer Patient Guidance Center (Kapa3) continues to systematically expand its reach, thereby strengthening the system of care and information for both cancer patients and their caregivers.

During the first half of the year, the organization implemented a series of high-level initiatives and forged partnerships at both the national and European levels, thereby solidifying its position.

The organization’s activities got off to a strong start in January with the welcome of its European partners in the MELODIC Consortium project at a productive two-day workshop (January 19–20), hosted by the School of Public Health at the University of West Attica.

In early February, on the occasion of World Cancer Day, Kapa3 played an active role as a partner of René Descartes College in the webinar “Cancer, Patient Navigation & Health Management: From Prevention to Life Coordination.”

At the same time, significant initiatives were carried out in the local community, such as the “Knowledge Workshop in Megara—From Prevention to Life Coordination,” held on February 8 in collaboration with the Municipality of Megara.

In the area of scientific programs, the Cancer Patient Guidance Center, in collaboration with the Laboratory of Basic Health Sciences (EBEY) of the Department of Nursing at the University of the Peloponnese (PA.PEL), launched a series of online meetings running from February through June, focusing on mental health and nutrition.

The month concluded with the organization’s participation in the international conference “Mapping the Unknown in Oncology – From Hospitals to Homes, Mapping the Future of Oncology Care,” held on February 27 and 28.

March marked a strengthening of Kapa3’s “digital presence” with its official membership in the Hellenic Digital Health Cluster (HDHC), a strategic move aimed at linking healthcare with technological advancements. As an extension of this collaboration, the organization participated in a closed-door members’ meeting as part of Athens Digital Health Week 2026.

On March 11, representatives of the organization attended the diaNEOsis event “Facing the Challenge of Artificial Intelligence” at the Lighthouse of the Stavros Niarchos Foundation Cultural Center, while in the middle of the month, Kapa 3 played a prominent role in the scientific conference “Cancer in 2026: Challenges and Disruptions.” Furthermore, on March 19–20, the organization was represented at the 6th Western Macedonia Nursing Conference on the theme “Innovation and Empathy: Balancing Technology with Human Contact in Nursing.”

In parallel, the organization’s co-founder, Ms. Evangelia Bista, gave an interview on the show “All About Health” on Dion TV—which covered a variety of topics related to health, nutrition, autoimmune diseases, and more—the implementation of the free, 8-week Melodic pilot educational program began.

Kapa3’s scientific credibility was reaffirmed by the publication of the research paper “Person-First or Disease-First? Language Choices in Cancer Communication” in the journal *Nursing Reports*, as well as by Kapa3’s participation in the European project associated with Melodic, titled: “Educational Needs Regarding Mental Health of Professionals Working with Young Adults with Cancer: A European Survey,” which was also published; the organization also participated in the MELODIC Online Symposium 2026 on April 24, contributing to the dissemination of results in Greece.

May was marked by a strong outward focus and new collaborations, as the organization joined the European program Service Learning 2: 0:CoLab, was selected as one of six nonprofit organizations to receive financial support from the Alpha Bank-Match For Good initiative, and began its collaboration with the USTEP INSTITUTE.

At the same time, an awareness campaign was held in Soufli to highlight Kapa3’s activities; Ms. Bista gave an interview to iatronet.gr, and representatives of the organization participated in an international conference at the Medical School of the University of Coimbra in Portugal

Within the organization, the new Psychological Support team was established with great enthusiasm, while on the social media front, the Kapa3 team won six medals at the 4th Vouliagmeni Summer Swim.

As the semester came to a close, June began with the signing of an official cooperation agreement with the Department of Occupational Therapy at the University of West Attica, while partnerships were solidified with the non-profit organization “Karkinaki” and the PRAXI Network of the Foundation for Research and Technology – Hellas (FORTH) to strengthen international networking and access to modern funding tools.

Having completed five years of uninterrupted service in supporting cancer patients through digital guidance, Kapa 3 is entering a new era with the development of the innovative “Myrto” project. This is a pioneering Social Artificial Intelligence (Social AI) initiative in the field of care for cancer patients in Greece. “Myrto” will function as an advanced digital health and rights navigator (Patient Empowerment e-Navigator) for patients, caregivers, and healthcare professionals—a project for which the strategic partnership with SimasiaAi for its co-development was crucial. Finally, the first closed workshop of the MYRTO Al Health Innovation Lab was held for the “Myrto” application, with the support of René Descartes College.

The results of this first half-year clearly demonstrate that Kapa 3 serves as a link connecting innovation, scientific research, and the digital age in the field of oncology care. By combining academic knowledge, European partnerships, and technological development, Kappa 3 transforms every challenge into sustainable, people-centered solutions. Partnerships with leading organizations, investors, and partners who share the same values of social responsibility are also essential to realizing this vision, ensuring that every patient has immediate, reliable, and equitable access to healthcare and their rights.

The KAPA3 team stands steadfastly by patients and caregivers to provide guidance and safeguard their rights. For any information or support, please feel free to contact us.

You can contact the KAPA3 team

13 Kostis Palamas Street, 3rd floor (Hours: 9:00 a.m. – 5:00 p.m.).

Phone Numbers: 210 5221424 & 6906265170.

Email: info@kapa3.gr

Memorandum of Understanding between the University of West Attica—specifically the Department of Occupational Therapy—and the NGO KAPA3.

On Tuesday, June 9, a meeting was held to sign a Memorandum of Understanding between the University of West Attica—specifically the Department of Occupational Therapy—and the NGO KAPA3.

The meeting was attended by the Rector of the University of West Attica, Panagiotis Kaldis Penelope Vlotinou, Assistant Professor in the Department of Occupational Therapy Evangelia Bista, co-founder of the organization, as well as representatives from both organizations, including the interdisciplinary team of KAPA3: Despoina Chrysostomou, Psychologist Katerina Georgiopoulou, Social Worker Yiannis Kontogiorgis, Psychologist, and Eleftheria-Irini Polyzoti, an intern from the Department of Social and Educational Policy, as well as students from the Occupational Therapy Department.

During the meeting, a constructive discussion took place regarding the prospects for cooperation between the two organizations, with the aim of developing joint actions and initiatives that will contribute to strengthening education, research, social contribution, and the connection between the academic community and society.

In this context, it was decided in April to jointly organize a major scientific conference, which will focus on an interdisciplinary and holistic approach to health, on combating social inequalities in healthcare, as well as on the management of chronic disease. The aim of this initiative is to raise community awareness, facilitate the exchange of expertise among professionals and scientific bodies, and disseminate scientific knowledge and information to the general public.

Special mention was made of the innovative work of KAPA3, the digital Health Navigator “Myrto,” a modern artificial intelligence tool currently under development and designed to support cancer patients, their families, and their caregivers. “Myrto” will function as a digital assistant (Chatbot) and Health and Rights Navigator, providing immediate, reliable, and personalized information on health, social welfare, rights, benefits, and available support services. The project aims to empower patients, improve their access to information, and reduce inequalities in health and social care through the use of digital technologies and artificial intelligence applications. The development of “Myrtos” represents a pioneering application of social artificial intelligence in the field of oncology care in Greece and is part of KAPA3’s strategy to promote innovation, accessibility, and the active participation of patients in managing their own health.

The meeting concluded in a particularly positive atmosphere of mutual appreciation and recognition. In this context, the Department of Occupational Therapy at the University of West Attica made a symbolic gesture toward the representative of KAPA3, Evangelia Bista, presenting her with a commemorative gift as a token of appreciation for her many years of valuable social contribution in the field of support for cancer patients. At the same time, as a gesture of hospitality and appreciation, the team was offered a specially produced wine, which is an original creation of the University of West Attica.