Daily Self Research Articles

Evaluating MediBetter: A Mobile Application for Health Monitoring and Medication Management.

This study introduces MediBetter, a mobile application designed to empower patients undergoing routine medication in health monitoring and medication adherence. It is a mobile application designed to serve as a supportive health technology for patients to monitor their health status and manage their routine medication. It offers three main features: text-based daily self health report, AI-based summarization of the health report, and medication taking reminder. To evaluate the quality of generated summaries generated by both the user and AI (ChatGPT), we conducted human expert evaluation process. Furthermore, we also evaluated the usefulness of existing features in the app. The experiment results show that ChatGPT-generated summaries outperformed user-generated ones, demonstrating superior informativeness, coherence, fluency, consistency, and contradiction handling. Participants found the app's features highly useful for health monitoring and medication adherence, with strong agreement on their utility.

ПРИМЕНЕНИЕ РЕКУРРЕНТНЫХ НЕЙРОННЫХ СЕТЕЙ ДЛЯ ПРОГНОСТИЧЕСКОЙ ОЦЕНКИ ДАННЫХ МЕДИЦИНСКОГО КОНТРОЛЯ УЧАСТНИКОВ ИЗОЛЯЦИОННОГО ЭКСПЕРИМЕНТА SIRIUS-21

The paper deals with analysis of the possibility to apply artificial neural networks for health evaluation in the series of isolation studies launched at IBMP in 2017 (SIRIUS project). Indeed, recurrent neural networks (RNNs) with an original architecture increased precision of forecasting health dynamics. Daily self check-ups by spacecrew members with the use of RNNs may help detect negative trends in organism and undertake preventive actions.

First evaluation of an app to optimize and organize the processes and assessments in dental clinical courses

BackgroundDigital teaching and learning tools, such as computer/mobile apps, are becoming an important factor in modern university education. The objective of our study was to introduce, analyze, and assess an organization and dual assessment app for clinical courses in dental medicine.MethodsThis was a survey-based study of dental students from the clinical study phase (4th/5th year; 8th/10th semester) of a department of prosthetic dentistry at a German university hospital about the benefits of a novel web-based and mobile app for organization and dual assessment of dental clinical courses. A total of eight questions were answered in an anonymous online survey. Data were analyzed using the Kolmogorov-Smirnov test, followed by an exploratory data analysis (α < 0.05).ResultsThe app was given an average grade of 2.4, whereby 56.9% of the respondents rated the app with a grade of 2 (2 = good). In all, 94.6% of the study participants had not experienced any technical problems when using the app. Concerning the assessment, teaching doctor assessment (51.5 [IQR: 44.0]) was rated significantly better (p = 0.002) than self-assessment (39.5 [IQR: 32.8]).ConclusionsThis investigation evaluated a newly introduced app to optimize dental clinical course workflows and assessment. The organizational feature was rated as good, while the daily self- and teaching doctor assessments were evaluated as less important. The results outline how the use of app technologies can provide an infrastructure for managing organization and daily assessments in dental education.

Abstract 13020: A Pilot Randomized Controlled Trial on a Technology-Based Family-Centered Empowerment Transitional Program Among Heart Failure Patients

Introduction: Heart failure is the most common cause of hospital readmission. While the increased acceptance of mobile health, a novel virtual platform, titled Technology-based Family-centered Empowerment (T-FAME) Program was developed to enhance post-discharge outcomes of HF patients. Hypothesis: The T-FAME was more effective than usual care to enhance self-care, perceived control, HRQoL, and family function of post-discharge HF patients . Methods: From Aug2021 to Jan2022, a pilot RCT randomized 60 post-discharge HF patients (mean age=66.4, SD=2.1; NYHA Grade II/III: 70/30%) to T-FAME or usual care. The 12-week nurse-delivered T-FAME comprises an interactive mobile Apps, which allows i) daily self symptom and clinical monitoring with tailored autonomous nurses' feedback , ii) family-centered goal-setting and attainment plan on self-care , iii) personalized drug education, iv) real-time live chat with nurse, v) video-based HF compass for information navigation. The nurse visited the family for three times and conducted the Calgary family assessment and counseling. Outcome evaluation was done by Self-care Heart Failure Index, Self-care Self-efficacy Scale, Control Attitude Scale, Family Functioning Device, and Minnesota Living with Heart Failure Questionnaire at baseline and post-test. The patients and primary caregivers were interviewed for engagement experience in T-FAME. Results: Two-way analysis of covariance showed significant greater improvement of T-FAME group on self-care maintenance (F=4.762,p=0.033, ƞp2=0.08), management (F=18.223,p&lt;0.001,ƞp2=0.249) and symptom perception (F=9.33,p=0.003, ƞp2=0.145). They reported non-significant greater improvement in self-care self-efficacy, perceived control and HRQL with ƞp2=0.048-0.05, indicating almost medium effect in pilot trial. More families receiving T-FAME reported non-problematic family function (50%) than the control group (16.7%) (p=0.013). The qualitative findings indicated T-FAME is highly acceptable to enable proactive person-centered disease monitoring and management. Conclusions: The preliminary health benefits of T-FAME supports its stringent cost-benefit evaluation in full-scale RCT.

CAPACITY BUILDING OF STATE ELEMENTARY SCHOOL 206 TEACHER GROUPS IN IMPLEMENTING THE BANDUNG MASAGI PILAR LOVE FOR THE ENVIRONMENT PROGRAM IN THE CITY OF BANDUNG

The existence of partners who will be selected by the implementing team are teachers who teach at STATE ELEMENTARY SCHOOL (SDN) 206 Putraco Indah Bandung. Partners were chosen because they have not fully implemented the Bandung city government program, namely "Bandung Masagi Pillar of Love for the Environment" as an effort to reforest and organize the environment in every school in the city. The problem faced by partners is that there are no funds to carry out the program and the environmental arrangement is not yet complete, especially the back of the school, then teachers have difficulty finding methods to educate students because almost 75% of the students are Children with Special Needs to thoroughly instill knowledge about Environmental Education ( PLH). The students not only memorize theories, but also implement their knowledge in daily behavior and self character. So that the solution that will be carried out is by providing guidance on making preparation plans for environmental thematic learning then school greening practices which include improving hygiene facilities such as toilets, sinks, and empowering teacher-students in maintaining gardens, composters and waste banks as well as environmental stewardship that is representative. The training providers are a combination of experts from BPLH and PGSD UNPAS. The activities that will be carried out are providing training in making environmental thematic lesson plans, then carrying out school greening and cleaning school facilities. The results of monitoring can be scientific publications in ISSN journals/Proceedings and publications in print/online/repocitory mass media. From this assistance, it is hoped that the teacher's ability to develop PLH RPP for elementary school students will increase so that it is more attractive and becomes good behavior for aspects of environmental protection. In addition, teachers are expected to be able to make modules for learning PLH that are interesting and increase the attractiveness of the environment to students' daily lives. In addition to these two elementary schools, they also have problems with environmental hygiene and sanitation facilities that do not meet health standards. This PKM will provide solutions by improving cleaning facilities such as toilets, sinks, improving the environment, and empowering teachers and students in maintaining gardens, composters and waste banks. The activity of making lesson plans (RPP) for Elementary School (SD) teachers must be thematic. So that the arrangement of the school environment can create a beautiful, cool, clean, healthy atmosphere and can support the process of implementing KBM. A conducive school environment is needed in producing a comfortable learning process. A conducive school environment will contribute to the realization of a quality lifestyle which is currently very much needed in increasing educational productivity.

Hubungan Fungsi Kognitif dengan Perawatan Diri: Aktivitas Sehari-hari pada Lansia Hipertensi di UPT PSTW Jember

Hypertension among elderly can decrease the status of cognitive function, that affected for self care activity: daimly activities for the long term. The aimed of this study was to analyzed the relationship between cognitive function and self-care: daily activities in elderly hypertension in UPT PSTW Jember. A cross-sectional study was used among 61 elderlies using total sampling. A self–administred questionnaire was used to identify sociodemography of elderlies, while Mini Mental State Examination (MMSE) was used to measure cognitive function and the Index Katz was used to measure elderly daily self care. The relationship between cognitive function and self-care: daily activities in elderly hypertension using Chi-square test. The results showed that most of the elderly were a normal cognitive function status (37.7%) and independence doing daily activities (47.5%). There were significant relationship between cognitive function and self-care: daily activities in elderly hypertension (p value 0.018, X 2 8.005). The conclusion of this study that cognitive function is related to self-care: daily activities in elderly hypertension. Therefore elderly should maintain good cognitive function in order to be independent in performing self-care: daily activities. Keywords: cognitive function, elderly, hypertension, daily activities

Daily Responsiveness, Expectations, and Self–disclosure: How the Average Levels and Within–person Variability of Three Relationship Components Mediate Personality–Relationship Transactions in Romantic Couples

The associations between couple members’ personality and their relationship satisfaction can be conceptualized as reciprocal transactions. To better understand these transactions, we focused on both partners’ interpersonal vulnerabilities (i.e. neuroticism, low self–esteem, and insecure attachment); daily emotional, cognitive, and behavioural relationship components (i.e. perceived responsiveness, positive expectations, and self–disclosure); and relationship satisfaction. Specifically, we examined whether the average levels and within–person variability of the relationship components mediated the transactions between interpersonal vulnerabilities and relationship satisfaction. Data came from 689 female–male couples aged 18 to 81 years who participated in three measurement occasions across 12 months, including a 14–day diary phase. We used mediated dyadic bivariate latent change score models to test the level–change and change–change transactions and mediations. The findings partly supported our hypotheses: Couple members with interpersonal vulnerabilities had lower average levels (but not higher within–person variability) of the relationship components, and less satisfied couple members had lower average levels and higher within–person variability of these components. The lower average levels but not the variability mediated between a lower level of relationship satisfaction and an increase in avoidant attachment. No other mediations were observed. We discuss the importance of studying daily relationship components for better understanding reciprocal transactions in couples. © 2020 European Association of Personality Psychology

Characteristics of diabetes diagnosis and control in toddlers and preschoolers from families with limited resources: A single center experience

AimTo describe the characteristics of diabetes diagnosis, insulin therapy regarding type, dose and frequency also the degree of glycemic control achieved in toddlers and preschoolers coming from families with limited resources. MethodsOver one year, 69 toddlers and preschoolers clinically diagnosed as type 1 diabetes were included. Data related to presentation at diagnosis, insulin therapy and glycemic control was reviewed from patients' care givers and medical records. ResultsDiabetic ketoacidosis (DKA) was recorded in 71% of the children at initial diagnosis. The mean time since diabetes diagnosis was 2 ± 1 years. Most of children (65/69, 94%) were on basal-bolus regimen while four (6%) were on basal insulin only. NPH and long acting analogues were used as basal insulin in (74%) and (26%). Regular insulin and rapid acting analogues were used as bolus insulin (27%) and (73%).The mean frequency of daily self monitoring of blood glucose was (2.9 ± 1). The arithmetic mean of HbA1c done over past 6 months to one year before inclusion in the study was 8.2 ± 1.5% (66 ± 12 mmol/mol) with 65% having HbA1c ≥ 7.5% (≥58 mmol/mol). ConclusionToddlers and preschoolers with diabetes coming from families with limited resources frequently present with DKA at diagnosis and have suboptimal self-monitoring of blood glucose and glycemic control. NPH is more commonly used in this age group, combined with postprandial rapid analogues and less commonly preprandial regular insulin and that yields more favorable HbA1c but with a greater risk of hypoglycemia. The most common cause of hospital readmission was ketoacidosis and uncontrolled hyperglycemia.

Empathic Love Therapy untuk Menurunkan Pikiran dan Perilaku Self Injury

Self injury is the act of deliberately inflicting harm on ones own body without suicidal intent.Prevalence of people with self injury is constantly increased each year especially in teenager and young adults. Empathic love therapy (ELT) is a method of love in psychosynthesis to reconcile every aspect in self, to change the destructive self pattern, and to find one’s true Self that in line with God’s will. The purpose of this study is to test the effectiveness of ELT in reducing self injury. There are 3 participants aged 20-30 years old which shows symptoms of self injury in the past year. This study use a single case design study. The measuring instrument are Daily Self Assessment (Diary) and Assessment of Empathic Love Therapy Sheets. Data analysis was performed by visual inspection and qualitative analysis. The finding of this study shows that ELT perform effectively in reducing self injury.

Assessment of compliance to self monitoring of blood glucose in type 2 diabetic patients and level of implementation of Polish Diabetes Association Recommendation for general practitioners

Introduction. Self monitoring of blood glucose is one of basic elements of effective diabetes treatment. Due to proper self monitoring of blood glucose adequate modification of diabetes treatment — fulfilling criteria of good glycemic control — is possible. Effective treatment enables prevention of late diabetic complications — a cause of disability or death in diabetic population. Material and methods. 765 type 2 diabetic patients (above 18 yrs) treated with both oral hypoglycaemic drugs or insulin in different schemes were observed (mean age: 64.5 ± 10.9 yrs). Therapy was in line with general standards of treatment, medication choice was based on indications and previous independent physician decision. Patients were given glucometer ContourPlus and were taught how to use it and how often measurement had to be taken (on the basis of Polish Diabetes Association Recommendation for 2016). After 3 months (± 2 weeks) assessment of compliance to self monitoring of blood glucose was performed. Additionally, level of implementation of Polish Diabetes Association Recommendation for general practitioners, functionality of glucometer and usefulness of “second chance” measurement were evaluated. Results. 440 participants completely fulfilled recommendations (65.1%) of general practitioner (investigator) regarding self monitoring documentation (type of documentation provided: glucometer, glucose monitoring diary). In investigators opinion, 315 patients (below 50%) were conscientiously compliant to self monitoring of blood glucose based on Polish Diabetes Association Recommendations. In general practice for about 68.0% of patients (n = 506) Polish Diabetes Association Recommendations for self blood glucose monitoring were implemented. Based on investigators opinion the most important features of glucometers which determine effectiveness of self monitoring of glucose are: simplicity, high capacity memory, accuracy and precision of measurement, evaluation of mean glucose in general and mean pre-/after meal. 67.7% patients (n = 451) regarded possibility of “second chance” measurement in glucometer ContourPlus as useful in daily self monitoring of blood glucose. Conclusions. Discrepancy between Polish Diabetes Association Recommendations of self blood glucose monitoring and its realization by type 2 diabetic patients, carried out by general practitioners, was observed. Effective glucose monitoring is dependent on tight cooperation between doctor and patient.

A study to explore the relationship between Gratitude in Daily Life and Self Esteem among young adults

A study to explore the relationship between Gratitude in Daily Life and Self Esteem among young adults

TETRAPLEGIC SPINAL CORD INJURED PATIENT;

Spinal cord injury is a very disabling condition that significantly impairs the abilityof a person to perform his activities of daily living on his own. This not only increases burden onfamily but on the community as well. Among spinal cord injured patients, tetraplegics are mostobvious ones to suffer due to marked disability. Subject of current case report is C6 incompletetetraplegic who showed marked impairments in activities of daily living thus compromisingfunctional independence. Task specific training for 50 minutes per day for 3 days per weekwas provided for 3 month. After which patient was given home exercise plan and was again reevaluated after 6 months. Marked improvements were noted in her all activities of daily livingincluding self care, mobility and respiratory and sphincter management.

Abstract 17022: The Gap Between Indicated and Prescribed Stroke Prevention Therapies in A High-risk Geriatric Population in Ontario

Introduction: Atrial fibrillation (AF) is the most common cardiac dysrhythmia, with estimated risk of about 25% by 80 years of age. The use of oral anticoagulation (OAC) in the elderly population treated in long term care (LTC) facilities is inconsistent and poorly studied. Hypothesis: We performed a retrospective analysis to assess the magnitude and sources of the gap between indicated and prescribed use of OAC in the elderly with AF along with the prevalence of different therapies. Methods: We retrospectively scanned 25 LTC facilities in Ontario, Canada. The diagnosis of AF was drawn from electronic medical records. This was merged with a pharmacy database, which was the sole provider of all medications for each resident. Attributable risk factors for possible failure to prescribe use of OAC were: Advanced directives for no hospitalization, Do-Not-Resuscitate order, Dementia, Cognitive Performance Scale, Activities of Daily Living Self Performance Hierarchy scale and Changes in Health, End-Stage Disease, Signs, and Symptoms Scale. Results: In total 3378 active residents were examined in 25 LTC facilities. All patients were ≥ 65 years old with mean age 85 ± 8 years and 2449 (72%) were female. We identified 433 (13%) AF patients with mean age 87 ± 7 years and mean CHADS2 score 3 ± 1; all qualify for OAC therapy. Out of all AF patients, 273 (63%) patients were on OAC therapy. Patients were mostly treated with Vitamin K antagonists (N= 114 (42%)), rivaroxaban (N= 71 (26%)) or apixaban (N= 62 (23%)) followed by dabigatran (N= 26 (10%)). Antiplatelet drugs as the only stroke prevention therapy were used in 88 (20%) patients and 28 (6%) patients were on dual therapy (anticoagulation and antiplatelet drugs). Seventy-two (17%) patients were not on any antiplatelet or antithrombotic therapy. None of the attributable risks identified consistently correlated with the failure to prescribe indicated therapy. Conclusions: This real world data set suggests that 37% of eligible elderly LTC patients fail to receive recommended stroke prevention therapies. Vitamin K antagonists are the most common OAC therapy used in elderly patients in LTC facilities. Lack of use of indicated therapy appears to be idiosyncratic.

Application effects of extended care on hepatitis C anti-virus therapy

Objective To explore the application of extended care on hepatitis C anti-virus therapy, so as to improve patient′s quality of life and treatment compliance. Methods A total of 120 hepatitis C patients, who hospitalized our department for anti-viral therapy from April to September 2014, were divided into experimental group (extended care based on routine care) and control group (routine care) on average. After 6 months interventions, SF-36 and daily behavior self management comprehensive evaluation questionnaire were used to compare quality of life and treatment compliance between two groups. Results After 6 months interventions, each dimensions of quality of care in the experimental group were higher than that of the control group (t=3.647, 2.658, 9.512, 2.392, 4.246, 4.587, 2.332, 4.437; P<0.05); the treatment compliance presented the same trend as above (t=8.940, 8.710, 10.803, 11.529, 9.415, 9.780, 7.619; P<0.01). Conclusions The extended care for patients with hepatitis C anti-viral therapy can improve their quality of life and treatment compliance, so as to reach a preferable treatment effects. Key words: Hepatitis C; Quality of life; Compliance; Extended care; Anti-viral therapy

The Effect of Oral Health Care Interventions on Oral Self Care Practices of the Institutionalized Older Adults

One of the major criteria of successful aging is maintaining a natural, healthy, functional dentition throughout life. However, the oral health of older adults is far from the optimal. Treatment needs are high due to edentulism, caries and periodontal diseases resulting in impaired oral functions. The etiology of many dental diseases is influenced by oral self care practices and lifestyle factors. Therefore; professionally organized oral health self-care practices are very important for institutionalized older adults. Objective: Determine the effect of oral health care interventions on oral health self care practices of ‎institutionalized older adults. Settings: Dar El-Amal in Mansoura city, Ras El bar elderly ‎home in Ras El bar city, Dar El-Walaa in meet khamr ‎city and Dar El saada in Tanta city. Subjects: 70 institutionalized older adults aged 60 years and above have no artificial teeth, have normal cognitive and have no depression. Tools: Five tools were used: Older Adults Socio Demographic and Clinical Data Structured Interview Schedule, the Mini Mental State Examination (MMSE) Scale, the Geriatric Depression Scale (GDS) Short Form, Older Adults' Knowledge Related to Oral Health Structured Interview Schedule, and Older Adult's Oral Self Care Practices. Results: positive improvement in the level of oral self care practices of subjects in the study group after implementation of the study intervention with a statistically significant difference between the two groups. A higher mean score of oral self care practices of subjects in the study group was found in males than females, in those with higher education than those with lower education and in those with higher monthly income than those with lower monthly income. Conclusion: Improved oral health knowledge and oral self care practices among the majority of subjects in the study group. A higher mean score of oral self care practices was found in males than in females, in those with higher education and in those with higher monthly income. A positive direct relationship was found between the oral health knowledge of subjects in the study group and their oral self-care practices. Recommendations: All institutionalized older adults should be follow periodic dental examination regularly with daily oral self care practices.

248 “muko.fit” – a comprehensive health-care approach for patients with CF with critical causes and/or psycho-social challenges. First results regarding the initial 12 months within the project

Median survival with CF increased considerably to presently 40 y for German patients. This improvement may not affect patients with high psycho-social burden, as these patients frequently reveal a rapid decline of lung function and/or of nutritional status. This fringe group frequently report strong social challenges. Objective muko.fit is a comprehensive health-care approach launched by the German CF association. It offers, for a minimum of one year, enhanced support to patients with CF with critical causes with the aim of accompanying the patients with individual strategies to help themselves. These include the individual's physical and social situation. Methods Between the attending physicians, patients and external specialists an individualized action plan for 12 month is established. This plan is supported by telephone contact with the external social worker and sports coach. Results To date, 49 patients from 39 CF-centres have joined the program. The first results presented are from 41 patients (mean age 19.1 y; 21f; 22 >18 y). FEV1 was maintained or improved in 68% of cases. In total, 180 measures were applied. These were made of: local sports/physical therapy 25%, compliance/transition 25%, social problems 18%, and other activities 32%. Patients were interviewed after the 12 month period. 68% rated the support as above average to outstanding, with 60% stating it had improved their life on a daily basis. Conclusion The initial results of this project in accompanying this fringe group are promising. It has shown an increase of attendance at the CF-centres as well as their daily self medication. Structuring their daily life seems to stabilize patients' health.

Daily spiritual experiences, mindfulness and self esteem among undergraduate students

Spirituality is the aspect of human existence that gives it it ‘humanness’. Spirituality is considered by many psychologists to be an inherent property of the human being ((Helminiak, 1996; Newberg, D'Aquili, and Rause, 2001). From this viewpoint, human spirituality is an attempt to understand and connect to the unknowns of the universe or search for meaningfulness in one's life (Adler, 1932/1980; Frankl, 1959). On the other hand Self Esteem is the state of mind. It is the way you think and feel about yourself. Whereas mindfulness means paying attention in a particular way; on purpose, in the present moment, and non-judgmentally. Rationale of doing this research was to see that the people who are high on daily spiritual experiences and mindfulness are they also high on Self Esteem? What is the correlation between Daily Spiritual Experience, Mindfulness and Self Esteem? Sample of 149 University going undergraduate students from Haryana State was collected. Pearson Correlation was applied to see the correlation between all three variables. Results accepted the hypothesis that there is positive significant correlation between daily spiritual experience, mindfulness and self-esteem.

Mindfully Increasing Quality of Life: A Promising Curriculum for MSW Students

MSW students may experience considerable stress during graduate school due to multiple life demands and the challenges of social work curricula, which often involves exposure to distressing client situations. Students' quality of life may be negatively impacted without sufficient tools to manage these stressful experiences. This paper presents evaluative findings of a course/module designed to enable MSW students in a university in the Southwestern United States to increase their quality of life and build stress coping abilities by incorporating mindfulness into their daily self care routines. Findings reveal that after completing the course/module, students reported increased quality of life even though perceived stress levels did not improve. Accordingly, mindfulness holds significant promise for bolstering students' ability to cope with the challenges of graduate school and preparing for professional practice.

Sådan fortæller man, at man får et barn. Diskursive onlinekonstruktioner

HOW TO TELL THAT YOU ARE PREGNANT | The focus of this article is mediated exposure of life before life based on fetal images, including textual updates uploaded to individual Facebook profiles. The article analyses how pictures of embryos have become part of daily digital self presentation and the narrative about expecting a child. We follow a pregnant’s Facebook profile from the moment she uploads the first fetal image around the twelfth week, till the moment she updates with the news about the delivery documented by a picture of her newborn baby. The mediated exposure also involves the coming father, as the pregnant woman tags the pictures with his name to underline the family ties. Many relations (mostly women) contribute with comments that can be categorised into three groups: serious, humoristic-ironic and analysing questioning. The Facebook update can be seen as a side stage or middle region (Meyrowitz) position, a constantly more muddy space between public and private self presentation. This new praxis confirms Jean Baudrillard’s thoughts about the subject’s exaggerated presentation of self. The online audience is more comprehensive and less controllable than offline. The pregnant exposes her pregnancy, motherhood and her product (the foetus)through updates, pictures and tagging. The Facebook update is a new way to interpellate family relations and to celebrate the coming new member with the comprehensive network in three levels.

The European InCASA telecare-telehealth electronic platform (ICT-FP7) for the daily assessment of symptoms, weight, and activity in cancer patients on chronotherapy at home.

TPS9154 Background: Self-rated symptoms contribute to the Quality of Life (QoL) of cancer patients (pts) and impact on prognosis. Behavioural functions are controlled by the circadian timing system (CTS), through a network of molecular clocks that time cellular proliferation and drug metabolism (Lévi et al. ARPT 2010). Chronotherapy aims at the reduction of treatment-related symptoms through the adjustment of chemotherapy delivery to the CTS. Cancer chronotherapy is delivered at home using programmable pumps, and avoids familial and social disruption. Telemedicine tools can provide continuous information on symptoms, behavior, QoL and CTS from non hospitalized pts. Methods: The inCASA platform enables telemonitoring of multiple functions in order to help physicians to detect early warning signals in pt condition at home, and prompt adequate and timely interventions. Our pilot site investigates the clinical relevance of daily teletransmitted self assessed symptoms, body weight and rest-activity circadian rhythm in cancer pts. This system was first well understood and accepted by 14 pts (9 male, 5 female, 43-77 years) at the outpt clinic, then used by 5 pts (4 male, 1 female, 61±13 years) at home daily for 6+ weeks, while receiving chronotherapy. The pilot phase will accrue 30 pts receiving chronotherapy at home from 03/01/2012. Pts will fill in the M.D. Anderson Symptom Inventory scale on a touch-screen device, measure their body weight using a Bluetooth scale and record their circadian rest-activity rhythm using an infrared wrist-watch accelerometer over 6-weeks. The data are transmitted to the platform, then to a web portal with secured access to be daily inspected by the oncology nursing and medical team. The modelling of these continuous records will define alert thresholds for nurse-controlled graded intervention decisions. Conclusion: The assessment criteria set forth for the inCASA solution will address the issues of pt autonomy, CTS entrainment in the pt usual environment, safety of chronotherapy delivery at home and treatment costs. Its use should induce important organisational changes and perception in healthcare professionals.