In some implementations, a system includes a database comprising program data for each of a plurality of programs that involve monitoring using remote devices. The system includes a server system configured to selectively distribute the configuration data for the respective programs to remote devices over a communication network and monitor incoming data received from the remote devices over the communication network to determine changes to programs active for the remote devices. The server system can be configured to collect, from the respective remote devices, monitoring data that is generated by the programs active for the remote devices and is provided over the communication network. The server system can compare the collected monitoring data with reference levels, select one or more program changes, and distribute, to various remote devices, data indicating appropriate program changes for the remote devices.
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