Models Of Good Practice Research Articles

A Conceptual Model of Business Best Practices and Sustainability of MSMEs in Saudi Arabia

The objective of the present study is to ascertain the determinants accountable for attaining business sustainability. This research aims to enhance the development of a conceptual framework for business best practices that can assist micro, small and medium companies (MSMCs) in attaining sustainable business growth by improving their performance. This study enhances the existing body of literature on the Multi-Stage Model of Consumer Decision Making (MSMC) by offering a rigorous approach in terms of methodology, conceptual framework, and practical implications. The framework presented in this research comprehensively addresses the pertinent domains that might be instrumental in formulating a sustainable business trajectory for micro, small, and medium-sized enterprises (MSMEs). The research was conducted after systematically reviewing the existing literature on MSMCs. MSMCs and business practises have been the primary focus of the keyword combination. Following a thorough categorization of the research papers selected for the analysis according to their location, paper type, focus, and theoretical underpinnings, a thematic analysis was conducted. The document delineates the necessary guidelines for formulating sustainable business strategies for Micro, Small, and Medium-sized Companies (MSMCs), encompassing both macro and micro factors. Additionally, this study identifies many areas for future research, hence expanding potential possibilities for further investigation. In conclusion, the research identified several key sustainable business practices, including financial fragility, technological advancements and integration, entrepreneurial management and innovation, human resource management, and international trading. These practices play pivotal roles in enabling MSMCs to adapt to changing circumstances and enhance their resilience during crises. It underscores the significance of embracing innovation, leveraging technology, and fostering strong leadership to ensure long-term sustainability. Future research could be conducted to compare the business practises of multinational micro small and medium companies (MSMCs) in both emerging and developed economies.

THE INFLUENCE OF MENTORING AND INSTITUTIONAL PARTNERSHIPS ON GOOD PRACTICE MODELS AND PROFESSIONAL TRAINING IN SOCIAL WORK

The relationship with social institutions and the business environment is an essential component both in terms of the employability of graduates of the Social Work specialization and the adaptation of educational plans, of the contents taught to the existing changes in the economic and social environment by consulting employers and professional associations. Beyond the institutional, administrative, and legislative aspects regarding the training of professionals in the field of social assistance, the usefulness of mentors and models of good practice is considered. The practical research from the social assistance specialization of the "Alexandru Ioan Cuza" University of Iași regarding the importance and usefulness of students' practice in their professional training, had as its objectives the identification of difficulties in training professional skills for obtaining skills, the collaboration between professionals and practicing students, the importance practices for social assistance specialization, identifying the perception of professionals towards practicing students as well as identifying the professional's image as a mentor and model for them. The questionnaire was used for the practice coordinators, and for the undergraduate students from the social assistance specialization, reports of the practical activity, structured thematically, were used. The conclusions of the research highlighted their perceptions on the role and training of social workers through practice activity as well as the practical implications and benefits of inter-institutional collaboration in professional training.

Examination of Incidence of Sexually Transmitted Infections in the Ending the HIV Epidemic Priority Counties of the United States, 2005-2019.

The incidence of sexually transmitted infections (STIs) has been increasing in the United States, and this trend has continued alongside expanding/changing human immunodeficiency virus (HIV) prevention strategies, moving from reliance solely on behavioral interventions like condoms to biomedical methods like oral and injectable antiretroviral preexposure prophylaxis (PrEP). In 2019, the Ending the HIV Epidemic (EHE) initiative was released to prioritize resource allocation to the 50 jurisdictions in the United States with the highest HIV incidence, providing an opportunity to monitor STI incidence in a national group of discrete, geographic units and identify trends and differences across jurisdictions. Using existing data from the US CDC and Census Bureau, a retrospective analysis was conducted to examine the incidence of STIs in 49 of the 50 EHE priority counties between 2005 and 2019. This timeframe was divided into 2 periods representing a before and after entry into the biomedical era of HIV prevention: P1 (2005-2011) and P2 (2012-2019). A total of 49 EHE counties were included in this analysis, representing 27.4% of the total US population. Entry into the biomedical HIV prevention era was associated with an increase in STI incidence in 28 EHE counties and a decrease in 14 EHE counties. The greatest percent increase in total STI incidence was in the District of Columbia (+12.1%; incidence rate ratio = 1.121 [1.115, 1.127]; P < 0.001) and the greatest percent decrease was identified in Orleans Parish, LA (-8.7%; incidence rate ratio = 0.913 [0.908, 0.919]; P < 0.001). Rising STI rates in the biomedical era of HIV prevention represent missed opportunities for comprehensive sexual and preventive healthcare. County-level data provide actionable insight for reducing STI incidence. The EHE counties that have experienced decreases in STI incidence while being in the biomedical era may provide models of best practice, which may be scaled in other jurisdictions.

Una public history per la guerra d'Ucraina (e non solo): il fenomeno Parabellum

Within the Italian digital and social content landscape, a YouTube channel of historical communication has emerged in recent years that seems to be able to outline an interesting model of public history best practice. This article aims to analyze the phenomenon, its general characteristics, methodological framework, the level of feedback it gets from its audience, and what may be the basis for its success.

Models of good practice to enhance infectious disease care cascades among people who inject drugs: a qualitative study of interventions implemented in European settings

BackgroundPeople who inject drugs (PWID) in Europe are at an increased risk of HIV/AIDS, chronic viral hepatitis B (HBV) and C (HCV), and tuberculosis (TB). We aimed to complement the evidence base on interventions optimising their care cascade with evidence from models of good practice (MoGPs) implemented in the EU/EEA and countries from the Eastern European region.MethodsA model of good practice (MoGP) was defined as (a package of) interventions with proven effectiveness in certain settings that are likely to be replicable and sustainable in other settings or countries. Fifteen MoGPs, identified by the European Centre for Disease Prevention and Control (ECDC) and the European Monitoring Centre on Drugs and Drug Addiction (EMCDDA) following a call launched in 2020, have been analysed. For the 15 MoGPs, a qualitative content analysis was conducted of (i) intervention characteristics and (ii) enabling factors. Information was extracted and summarised for community-based testing, linkage to care and adherence to treatment.ResultsMoGPs emerged from projects implemented in Belarus, Norway, Portugal, the Republic of Moldova, Spain, and the UK alongside the multi-country HepCare project (Ireland, Romania, Spain, the UK) targeting either HCV (6/15) or HIV/AIDS (4/15), alone or combined with HBV, and/or TB (5/15). All MoGPs used packages of interventions, with decentralisation of services (15/15), cooperation among service providers (14/15), integrated services (10/15), peer interventions (12/15), and case management (4/15) reported across all stages of the care cascade. The synthesis of enablers shows that when replicating interventions in other settings, consideration should be given to national (legal) frameworks, characteristics of and proximity between healthcare and service providers, and establishing relations of trust with PWID.ConclusionTo improve the cascade of care for PWID in European settings, care structures and pathways should be simplified, based on cooperation and multidisciplinary. MoGPs can provide implementation-based evidence on interventions alongside evidence from peer-reviewed literature to optimise the care cascade among PWID.

Transnational interdependence and new crisis communication governance? German Media coverage of Europe and Asia during the COVID-19 pandemic

The Covid-19 pandemic illustrated that today's political control mechanisms of global risks demand international collaboration on various levels and between various actors. Journalism has a pivotal role to play for global governance as an early warning system in the knowledge society. The paper provides a qualification of potentials and ambivalences of global media interdependence in global crisis by analysing if and how the German press treated other countries as better practice models. A special emphasis is given to a comparison between the coverage of global actors (WHO), European (Portugal, Italy) and Asian countries (South Korea, Taiwan), which developed successful practices during the Covid-19 pandemic, which deserved to be considered as best-practice models. The paper reveals moments of reflexive media interdependence but also highlights the limits, which are pronounced in a gap between North-North and North-South relations in both amount and depth of policy coverage and stereotypical constructions in lifeworld coverage.

Review the Primary Health care for Travellers Projects (PHCTPs) in he Eastern Region

Abstract Issue/Problem Minority ethnic minority groups globally experience similar health challenges in accessing appropriate health services. Irish Travellers are a Minority Ethnic group who experience health inequalities. Our objective is to review the PHC model adapted for Travellers to identify the appropriate elements, resources, standards and principles required to develop, implement and sustain an effective model of good practice in PHCTPs. Description of the Problem We reviewed 10 PHCTPs in the Eastern region. Different methods were used taking cognisance of literacy and experience levels among Traveller Community Health workers (TCHWs), Project Coordinators and Steering group members. Scoping exercise conducted to review the literature and collate project reports; questionnaires designed for Coordinators and steering group members; Regional workshops and focus groups were run with PHCTP coordinators and TCHWs these included SWOC analyses; Spider graphs and graffiti wall exercises. Results The scoping exercise showed improvements in levels of satisfaction and utilisation of health services by Travellers in its areas; TCHWs were very enthusiastic about their training and experience of working in the projects. Focus on replicating the outcomes of the original PHC model but not the process involved to engage Travellers; Project Coordinators require further training to develop skills to improve the capacity, training standards and scope of the projects. Results fed back to all the groups and the collation and analysis informed the development of a Good Practice guide for a sustainable model of PHCTP. Lessons Development of culturally appropriate information and services in partnership with marginalised communities; work with rather than for; respect the expertise that each partner brings to the project. Key messages • A sustainable model of good practice identified for Primary Health care for Traveller Projects to facilitate expansion. • Highlights value of PHC as a model for adaptation for other minorities/settings.

5.A. Workshop: Reducing and monitoring sugar, fat, and salt in packaged food: Germany and the European context

Abstract Today, packaged food constitutes more than 50 % of the food supply in most European households. Many of those products are high in energy, sugar, fat, and salt, and consuming them is positively associated with overweight and obesity. Measures such as taxation and reformulation of packaged food high in sugar, fat, or salt are considered effective means to improve food environments and facilitate healthier food choices for individuals. However, the measures as well as their implementation and evaluation vary across Europe. The aim of this workshop is to give an overview of the different actions taken to stimulate the reformulation of food and beverages. Furthermore, we will present the German monitoring of packaged food, including selected findings, as one example to guide such reformulation initiatives. In the first part of our workshop we summarize existing measures in Europe to facilitate health-promoting food choices, focusing on reformulation measures and related monitoring approaches: Presentation 1 will give a systematic overview of measures to reduce sugar, fat, and salt content of food and beverages in selected European countries (Abstract 1). With presentation 2, we will give methodological insights into the German monitoring of the energy and nutrient content in packaged food (Abstract 2). Presentation 3 will focus on the latest results of the German product monitoring, with an emphasis on sugar reduction in soft drinks, yoghurts, and breakfast cereals. Furthermore, we will compare our results to those of other European countries and highlight methodical differences (Abstract 3). In the second half of the workshop, we aim to discuss our findings with the participants. Participants are encouraged to contribute further examples and experiences from their countries, which then will be discussed and documented. Opening questions and polls will be used to stimulate active involvement. Our workshop aims to contribute to better reporting of existing measures and reformulation monitoring methods in Europe, as information is often limited and only available in respective national languages. Moreover, we hope to create a community of practice to continue exchange on the effectiveness of the respective measures and good practice models across Europe. Key messages • The workshop gives an overview of different measures to reduce sugar, fat, and salt content in packaged food in Europe, incl. related monitoring. • The workshop provides a platform to exchange experiences in packaged food monitoring and stimulate scientific exchange and transparency within this area.

1.Q. Workshop: Work, health, and migration: understanding the health impacts of precarious and exploitative work

Abstract The ILO estimates that of the 169 international migrant workers globally, the largest share resides in Europe, where increasing numbers are at substantial risk of precarious, exploitative, and hazardous work conditions. While the right to health and decent work of migrants is recognised by European member states, COVID-19 has exposed how some low-wage migrant workers are compelled to accept exploitative and precarious employment terms and conditions, with implications for their health. The vulnerability of migrants to labour exploitation is influenced by both personal factors (such as age and gender) as well as situational factors (such as risk environments across the migration journey and national legislation). Hazardous, precarious, and exploitative work is an entrenched driver of poor health. Data show that low-wage migrant workers have higher injury and mortality rates compared to host workers and face barriers to occupational and mainstream health and vaccination systems. In this workshop, we will discuss the patterns of precarious work and labour exploitation in migrants residing in Europe, physical and mental health effects of labour exploitation, research and policy gaps, and models of good practice to ensure that the health and rights of migrant workers are protected. Workshop plan The workshop will start with 10-minute presentations by each of the 4 speakers (including a short Q&amp;A after each talk). This will then move into a 20-minute audience discussion centred around exploring how to foster intersectoral collaboration across the work, migration, and health research communities to begin addressing some of the evidence and policy gaps in the European region. Key messages • Migrant workers have worse health outcomes than native workers, including higher rates of occupational injury and deaths. • Labour exploitation is an important social determinant of health among migrants which requires greater recognition in research and practice.

“The trip actually opened our eyes to things that we were supposed to do and we were not doing”: developing primary health care system leadership in a low-income country with peer exchanges

BackgroundHealth care systems in low and middle-income countries are decentralizing and devolving power to the periphery. Transferring power without systematic processes to develop and nurture leaders at the district compromises the effectiveness and sustainability of the decentralized health system. To address this problem, we developed an approach to leadership learning by observation and experience that improved the organization and performance of the health care system in a district in Ghana.MethodologyUsing two rounds of a longitudinal qualitative study, the study explores the determinants of implementing the Community-Based Health Planning and Services (CHPS) initiative in a district in Ghana. Insights were gained concerning the leadership regimes of two leaders who administered health services in a common geographic area at different points in time with remarkably contrasting outcomes. Insights of health workers who participated in both periods were elicited to clarify interview contexts. Ten focus group discussions (FGDs) and five expert interviews were conducted for each round of the study. The study was informed by a systems appraisal approach that utilized a thematic analytical framework.ResultsProviding district leaders with a practical observational experience had a significant influence on health care delivery in all aspects of health care provision at the district level. Exposing participants to models of best practices facilitated the replication of processes that improved the conduct of service delivery and CHPS implementation. Upon reflection, district leaders attributed performance constraints to their lack of understanding of practical ways of responding to complex district health system development needs. Observation from community members, volunteers, and health workers who witnessed the system development period corroborated narratives that leaders had expressed.ConclusionEffective leadership is optimally developed with participatory learning that provides leaders with direct access to fully functioning systems. Learning by observation can be structured and used to quicken the spread of managerial excellence.

Greater Care Program in the face of the challenges of aging: a qualitative analysis.

To understand the perception of different actors involved in the older adults care process in the intersectoral strategy of the Programa Maior Cuidado (PMC - Greater Care Program), aiming at the development of actions that contribute to the improvement of the services provided. Eleven qualitative interviews guided by a semi-structured script were conducted in 2020 with key informants directly involved in the PMC: the older adults and their families, caregivers, health professionals and social assistance. In addition, to understand the functioning and proposals of the PMC, a documentary analysis was also carried out with the tracking of existing information on the guidelines, protocols, and management instruments. The content analysis technique was used to classify textual data, and the interpretation process was mediated by the theoretical-methodological framework of hermeneutic anthropology. Two categories were identified: "Repercussions of the care offered by the PMC: the 'little' that makes a difference" and "Problems beyond the PMC: the limits of family care in the face of violence against the older adults". For all interviewees, the perception the PMC is very necessary is unison, being able to minimize the occurrence of health problems and avoid transfers of the older adults to hospitals and Long Stay Institutions for the Elderly (Instituição de Longa Permanência - ILPI in Portuguese). Chronic comorbidities increase the demands of health care and generate situations that can be managed by the PMC caregiver. Population aging requires the planning of strategies and public policies aimed at providing continuous care for the older adults, including those living in communities. The PMC emerges as an intersectoral alternative to assist in this issue. The PMC can be considered a good practice model to be expanded to other locations, however there are gaps that need to be rediscussed so that its processes are improved and its results enhanced.

Progress of EU Member States Regarding the Bioeconomy and Biomass Producing and Converting Sectors

The development of the bioeconomy on regional and national levels is heavily reliant on the establishment of precise and efficient governance frameworks. These structures encompass a wide range of components, spanning from financial support to regulatory tools and limitations. These mechanisms play a pivotal role in addressing the challenges that emerge during the bioeconomy’s growth. In this context, the necessity for continuous research to underpin and guide bioeconomy policies, while also bridging existing knowledge gaps, is glaringly evident. The current study brings a new perspective, using hierarchical cluster analysis as an exploratory approach and a technique for generating hypotheses. Its aim is to assess the progress of EU countries concerning the bioeconomy, including sectors involved in biomass production and conversion. The research draws on data published by the European Commission and Eurostat for the years 2015 and 2020, to capture the changes brought about by the adoption of the 2030 Agenda. The research findings furnish valuable insights into advancements in the bioeconomy and the clustering of countries based on their performance levels. Notably, Belgium and Denmark emerge as standout performers, potentially offering exemplary models of best practices.

“Stepping Up”: A Decade of Relationship Violence Prevention

Students in postsecondary education are at high risk for experiencing relationship violence, including dating, domestic, and sexual violence. This can result in significant mental and physical health consequences. A relationship violence prevention program has been offered and evaluated for over 10 years at a Canadian university. It is based on a social–ecological model of violence prevention and best practices. Students who completed both pre- and post-program evaluations were used as their own controls to evaluate the effects of the program. Significant changes were noted for most aspects of the program in knowledge, attitudes, and behavioural intents each year, and these changes persisted for up to six months on most measures. The sample sizes were small and potentially overestimated the effect of the program if results were reported individually. Meta-analysis was used to pool the data and examine the effects of the program across the decade. The results indicated that the program was effective in changing knowledge, attitudes, and behavioural intents immediately following the program, but there were insufficient paired data to conduct six-month meta-analyses. Suggestions are made for future programs and further research.

Protocol for the feasibility and implementation study of a model of best practice in primary care led postdiagnostic dementia care: PriDem

IntroductionCare is often inadequate and poorly integrated after a dementia diagnosis. Research and policy highlight the unaffordability and unsustainability of specialist-led support, and instead suggest a task-shared model, led by...

Explaining a diagnosis of fibromyalgia in primary care: a scoping review.

Fibromyalgia is a common cause of chronic pain in the UK, with a huge individual and societal impact. Despite this, it remains difficult to diagnose and treat. The explanation of a fibromyalgia diagnosis can lead to difficult therapeutic relationships, with attitudinal issues and negative profiling of patients. This can lead to frustration, and have a harmful impact on health outcomes. To review how an explanation of a fibromyalgia diagnosis is provided in primary care in order to establish a model of best practice when educating patients on their diagnosis. Scoping review of articles written in English. MEDLINE, Embase, Web of Science, and grey literature were searched. Articles were extracted, reviewed, and analysed according to the inclusion criteria. In total, 29 records met the inclusion criteria. The following six overarching themes were identified: patient education; physician education; importance of the multidisciplinary team; importance of patient-centred care; the value of primary care; and useful resources. The literature illustrated that describing fibromyalgia using analogies to illustrate the pain sensitisation process can help patients understand their diagnosis better. This improves their willingness to accept management plans, particularly engagement with non-pharmacological therapies, which the literature suggested are best delivered within a multidisciplinary team. Key aspects of fibromyalgia should be explained to patients in order for them to gain a better understanding of their diagnosis. A 'one-size-fits-all' model for explaining the fibromyalgia diagnosis to patients is inappropriate because patients' experiences are individualised. Further research is required on whether different explanations impact patient outcomes.

Ethos in COVID-19 crisis communication: evidence from Oman

There is little research on the effectiveness of the rhetorical strategies adopted by governments in COVID-19 crisis communication. This study aimed to answer the following two questions: (1) What are the ethos-related rhetorical strategies used in the official Arabic discourse of COVID-19 crisis communication in Oman? (2) Aligned with Seeger’s model of best practice in crisis communication, to what extent are these ethos-related rhetorical strategies effective in delivering a successful crisis response communication? The data came from Oman’s COVID-19 Supreme Committee press conference. The data included the first six press conferences covering the period from April 2, 2020 to May 7, 2020. The study showed that Oman’s COVID-19 crisis communication exhibits a variety of ethos-related rhetorical strategies, mainly to establish, reinforce and restore speaker’s credibility. The study also showed that Oman’s COVID-19 crisis communication was effective from a rhetorical perspective because it made use of rhetorical strategies that aligned well with Seeger’s best practice of honesty, candor and openness. One of the key recommendations of this paper is to call for Seeger’s model to be expanded to cover areas that this model does not currently address, namely speaker’s competence and message believability.

Science Mapping and Country Clustering Regarding Challenges of Public Governance to Ensure Societal Well-Being

This study maps the challenges public governance faces in its mission to ensure a high level of societal well-being in European countries due to complex and multidimensional analysis, both on scientific and economic levels: bibliometric analysis, vector quantisation mapping, and clustering analysis of countries. The proposed research advocates considering relevant descriptors of the two phenomena, namely the six dimensions of public governance and the composite quality of life index, to analyse their interdependence by 2020, the year for which official statistics reveal data. Our research proposes a classification of the European Union Member States from the perspective of the progress made at the governmental decision-making level for the multidimensional approach to quality of life to identify the models of good practice. The methodological support was offered by cluster analysis and a vector quantisation method, namely K-means. KNIME software has allowed us to connect to various data sources visually. Clustering of European countries has revealed several disparities thus, Denmark and Finland (which are countries with a high level of quality of life) are examples of good practices, while countries such as Romania and Bulgaria are facing difficulties in significantly improving their quality of life due to the deficiencies of the governing act. Finally, the research highlights the channels through which public governance can substantially contribute to societal well-being, keeping in mind the relatively low importance of welfare given to formal aspects of democratic representation compared to the extent of quality governance.

Teleworking to Support Accommodation, Inclusion, and Health of Aging Workers: Protocol for a Study to Design, Validate, and Test a Reflective Application Guide.

Aging workers constitute a growing population in many countries and form an indispensable and qualified resource, especially in the context of the labor shortage. Despite work's many benefits for individuals, organizations, and societies, it also presents several risks and challenges that may lead to occupational injuries. Thus, rehabilitation professionals and managers working with this emerging and unique clientele during their return to work after an absence often lack the tools and skills to support them, especially in the changing world of work that includes the rise of telework. Indeed, as an increasingly present work arrangement, telework has the potential to be used as an accommodation modality that can facilitate inclusion and healthy participation in the workplace. However, the implications of this topic for aging workers require study. This paper presents the protocol of a study that aims to develop a reflective telework application guide to support the accommodation, inclusion, and health of aging workers after an absence from work. Specifically, this study will (1) explore the experience of aging workers, managers, and rehabilitation professionals regarding telework and its impact on accommodation, inclusion, and health; (2) use a validated logic model to design a reflective application guide; and (3) test and evaluate the guide. Following a 3-phase developmental research design, individual interviews with aging teleworkers, managers, and rehabilitation professionals will enable the collection of qualitative data to be used in generating a logic model of levers and good practices, leading to the creation of a reflective application guide. Validation of this guide by workers and managers to measure its acceptability and applicability in daily life will precede its implementation. Data collection began in spring 2023 and initial results are expected in fall 2023. This study aims to generate a concrete tool-namely, the reflective telework application guide-that rehabilitation professionals could use to support managers and aging workers during their return to work through the healthy use of telework. All phases of the study include conducting dissemination activities to share the results of the project and increase its sustainability potential (ie, publication through social networks, podcasts, conferences, and scientific publications). As the first of its kind, this project aims to produce innovative impacts at several levels, including practical, scientific, and societal impacts. In addition, the results will provide healthy solutions to the labor shortage in a changing world of work, where digital and teleworking are becoming increasingly important. DERR1-10.2196/46114.

Development of a self-management support practice framework for addressing cancer-related fatigue: a modified Delphi study

PurposeManaging cancer-related fatigue requires individuals to adopt a range of self-management behaviours. However, clinicians report the lack of clear guidance on self-management support practices hinders their provision of supportive care. To develop consensus on a framework of core practices required by health professionals to deliver effective self-management support to cancer patients and survivors experiencing cancer-related fatigue.MethodsA preliminary framework of 47 practice items (14 Key Practices, 33 Practice Components) was derived from a systematic review, and a self-management support capability outline for primary care professionals. This preliminary framework was presented for consensus rating and comment in a two-round modified Delphi study conducted with a panel of health professionals, research academics, and cancer consumers.ResultsFifty-two panel participants comprising consumers (n = 25), health professionals (n = 19), and researchers (n = 16) were included in Round 1 of the modified Delphi study. Feedback from the panel produced consensus on retaining 27 of 47 original practice items without change. Seventeen items (including 12 modified, and 5 newly created practice items) were sent to the panel for rating in Round 2. Thirty-six experts produced consensus on retaining all 17 practice items in Round 2. The final framework comprised 44 items (13 Key Practices, 31 Practice Components).ConclusionsThe practice framework offers an evidence- and consensus-based model of best practice for health professionals providing self-management support for cancer-related fatigue.Implications for Cancer SurvivorsThis framework is the first to focus on quality provision of self-management support in managing cancer-related fatigue, one of the most prevalent symptoms experienced by cancer patients and survivors.

Prescribing Exercise to Cancer Patients Suffering from Increased Bone Fracture Risk Due to Metastatic Bone Disease or Multiple Myeloma in Austria—An Inter- and Multidisciplinary Evaluation Measure

In the current absence of specific functional fracture risk assessment technology, the planning of physical exercise interventions for cancer patients suffering from increased bone fracture risk remains a serious clinical challenge. Until a reliable, solely technical solution is available for the clinician, fracture risk assessment remains an inter- and multidisciplinary decision to be made by various medical experts. The aim of this short paper is depicting how this challenge should be approached in the clinical reality according to Austrian experts in cancer rehabilitation, presenting the best-practice model in Austria. Following referral from the specialist responsible for the primary cancer treatment (oncologist, surgeon, etc.), the physiatrist takes on the role of rehabilitation case manager for each individual patient. Fracture risk assessment is then undertaken by specialists in radiology, orthopedics, oncology, and radiation therapy, with the result that the affected bone regions are classified as being at highly/slightly/not increased fracture risk. Following internal clearance, exercise planning is undertaken by a specialist in exercise therapy together with the physiatrist based on the individual's fracture risk assessment. In the case in which the patient shows exercise limitations due to additional musculoskeletal impairments, adjuvant physical modalities such as physiotherapy should be prescribed to increase exercisability. Exercise prescription for cancer patients suffering from increased fracture risk is an inter- and multidisciplinary team decision for each individual patient.