High Level Of Compliance Research Articles

Managing Tax Compliance Through Collective Action Framework in Decent Work and Economic Growth (SDG 8) Goal: Lesson from Three Indonesian Cities

Objective: This study will examine how the government and citizens view taxes as a collective action in state governance for Decent work and economic growth (SDG 8) goal. Method: This research used questionnaires with a purposive random sampling method to collect data, and the data was tested using Structural Equation Modeling with the Partial Least Squares (SEM-PLS) analysis. Results and Discussion: The results of the goodness of fit test of the three research areas show a significant value. The SEM-PLS analysis of hypothesis model testing results shows that all hypotheses are accepted in all three cities, but there are 3 hypotheses were rejected in one of the cities. The results of this study show a strong causal relationship between high levels of local tax payment compliance in the context of collective action. The Taxpayer Awareness variable influences the Taxpayer Compliance variable in Madiun and Mojokerto cities; however, in Probolinggo City, Taxpayer Compliance is influenced by Collaborative Governance. Increasing tax compliance is crucial for socio-economic development and contributes to the SDG 8 goal. Research Implications: Furthermore, the results showed that tax compliance is still in the low category. This challenges local governments to increase public awareness of the importance of paying taxes. Therefore, further research is needed to determine the collective action in increasing tax compliance warranted to achieve Indonesia's target of tax ratio rate.

THE DYNAMICS OF IMPLEMENTING SHARIA ACCOUNTING STANDARD IN SHARIA FINANCIAL INSTITUTION

This study investigates the dynamics of Sharia Accounting Standards (SAS) implementation in Indonesian sharia-compliant financial institutions. The adoption of SAS is essential for ensuring consistency and transparency in financial reporting within the Islamic finance sector. However, the process faces several challenges, including differences in practitioners' understanding and expertise of Sharia accounting principles. To explore these dynamics, a systematic literature review was conducted, focusing on publications related to SAS and its application in Islamic finance. The results reveal that multiple factors influence the adoption of SAS. Technical issues, such as varying levels of comprehension and expertise among practitioners, hinder effective implementation. Furthermore, governance issues, stemming from different models of Shariah compliance across countries and varying stages of growth in the Islamic finance sector, add complexity. Additional challenges include the alignment with the Accounting and Auditing Organization for Islamic Financial Institutions (AAOIFI) standards, conflicts between multiple accounting frameworks, and the lack of a unified accounting structure. The study also highlights the disparities in SAS application across Islamic financial institutions. Some institutions exhibit high levels of compliance and effective integration, while others struggle with the implementation. Factors such as inadequate human resources, differences in interpreting SAS, and the need for adjustments to accounting systems further complicate the process. The findings suggest that while the implementation of SAS faces significant challenges, regulatory support, enhanced education and training, and increased collaboration among sharia financial institutions can improve the effectiveness of Sharia-compliant financial reporting in Indonesia.

Current Approaches to Ulcerative Colitis Management: A Comprehensive Overview of Methodologies and Treatments.

Ulcerative colitis is a chronic, idiopathic, inflammatory condition affecting the colon, primarily impacting individuals aged 30 to 40. It typically begins in the rectum and gradually progresses to the proximal regions of the colon, characterized by recurrent and remitting mucosal inflammation. Ulcerative colitis is categorized under inflammatory bowel disease, which encompasses various gastrointestinal tract disorders, but its underly-ing pathophysiology remains unclear. The development of ulcerative colitis is influenced by a combination of genetic, environmental, and inflammatory factors. The severity of the disease guides the management of ulcerative colitis. Restorative strategies include the use of TNF-α (anti-tumor necrosis factor-alpha) monoclonal antibodies. Janus Kinase inhibi-tors suppress cell signaling of the innate immune system. As ongoing research continues, the treatment options for ulcerative colitis are continually evolving and improving. Vari-ous types of dosage forms (tablets, capsules, suppositories, etc.) are available in the market for managing ulcerative colitis, with the primary goal of achieving and maintaining clinical and endoscopic remission of the disease. Ensuring a high level of patient compliance is crucial when considering the formulation of these dosage forms. This review article seeks to offer a comprehensive understanding of ulcerative colitis while highlighting the existing treatment options on various available dosage forms.

Social dilemma of nonpharmaceutical interventions: Determinants of dynamic compliance and behavioral shifts

In fighting infectious diseases posing a global health threat, ranging from influenza to Zika, nonpharmaceutical interventions (NPI), such as social distancing and face covering, remain mitigation measures public health can resort to. However, the success of NPI lies in sufficiently high levels of collective compliance, otherwise giving rise to recurrent infections that are not only driven by pathogen evolution but also changing vigilance in the population. Here, we show that compliance with each NPI measure can be highly dynamic and context-dependent during an ongoing epidemic, where individuals may prefer one to another or even do nothing, leading to intricate temporal switching behavior of NPI adoptions. By characterizing dynamic regimes through the perceived costs of NPI measures and their effectiveness in particular regarding face covering and social distancing, our work offers insights into overcoming barriers in NPI adoptions.

Gap Analysis of Good Manufacturing Practices for The Household Industry (CPPB-IRT) Implementation at MN Sambal MSMEs, Bogor

Micro, Small, and Medium Enterprises (MSMEs) in the food sector play a crucial role in supporting food security and local economic growth. A common challenge faced by these businesses is the lack of implementation of Good Manufacturing Practices for Household Industry (CPPB-IRT) that This hinders their ability to obtain the SPP-IRT (Household Industry Food Production Certificate), which is essential for ensuring food safety and quality. MN Sambal, an MSME producing chili sauce as a food product susceptible to spoilage and poses a significant risk to consumers if not handled properly. To assess MN Sambal's compliance with CPPB-IRT standards, research data was collected through observation, interviews, checklists, and literature review. The gap analysis based on BPOM regulation No. HK.03.1.23.04.12.2206 2012 revealed that MN Sambal achieved a high level of compliance are 83.8% conformity aspect and 16.2% non-conformity aspect. These non-conformities were identified in six aspects: Hygiene and Sanitation Facilities and Activities, Process Control, Food Labelling, Supervision by Responsible Parties, and Employee Training. Based on these nonconformities, it is recommended that MN Sambal undertake corrective actions to enhance CPPB-IRT implementation and increase its chances of obtaining the SPP-IRT certification, which will ultimately lead to increased product value and market expansion.

HUBUNGAN TINGKAT KEPATUHAN MINUM OBAT HIPERTENSI MENGGUNAKAN KUESIONER HILL-BONE TERHADAP KUALITAS HIDUP PASIEN DI PUSKESMAS PEKAUMAN BANJARMASIN SELATAN

Hypertension is a disease that is the number one cause of death in the world every year. Based on measurements at ages ≥18 years, the highest hypertension prevalence data according to the province is South Kalimantan at 44.13%. One of the causes of the high prevalence of hypertension is due to low compliance in taking medication. Compliance is very necessary while undergoing hypertension treatment to reduce the impact and thus provide a good quality of life. The purpose of this study was to determine the relationship between the level of compliance using the Hill-Bone questionnaire on the quality of life of hypertensive patients at the Puskesmas Pekauman. This study used an observational method with a cross-sectional design to determine the picture of the level of compliance with the quality of life of hypertensive patients at the Puskesmas Pekauman. Data collection using the Hill-Bone questionnaire to determine adherence level and EQ-5D-5L questionnaire to determine patient's quality of life. The results of this study showed that of the 68 respondents, 3 people (4.40%) with a moderate level of compliance had a moderate quality of life, 59 people (86.80%) with a moderate level of compliance had a high quality of life and 6 people (8.8 %) with a high level of compliance have a high quality of life, which is obtained from Kendall's tau-B test, p-value = 0.000 < 0,05. It can be concluded that there is a significant relationship between compliance and quality of life in hypertension sufferers at the Puskesmas Pekauman.

Impact of Enhanced Recovery After Surgery Protocol Compliance on Outcome After Pancreatic Surgery: Results From a Certified ERAS Center.

The aim was to evaluate the sustainability of the pancreatic Enhanced Recovery After Surgery (ERAS) program and the effect of ERAS items on patient morbidity and hospital stay. The current ERAS guideline recommendations encompass 27 items to improve recovery after pancreatoduodenectomy (PD). Patients who underwent pancreatic resection at the University Hospital Hamburg-Eppendorf between February 2016 and June 2023 were included. The datasets were retrospectively collected from a central database. The effects of individual ERAS items and compliance on morbidity and hospital stay were assessed by uni- and multivariable analyses. In total, 594 patients who underwent PD (44.8%), distal pancreatectomy (14.6%), total pancreatectomy (17.8%), or other pancreatic resections (22.7%) were included. Of these, 90 patients (15.2%) achieved a high overall ERAS compliance of ≥70%. High compliance was associated with significantly less complications (Clavien-Dindo ≥ 3a), reduced 30-day mortality, and a shorter hospital stay. Early mobilization on the first postoperative day (POD1), restrictive intravenous fluid administration, and timely removal of urinary catheters were significant multivariable predictors for lower morbidity. Early mobilization on POD1 also correlated with reduced morbidity in the subcohort of PD cases. The pancreatic ERAS protocol can be sustainably implemented and applied to both, PD and non-PD cases. A high level of compliance with the ERAS protocol after pancreatic resections correlated with improved outcomes but was achieved by less than one-fifth of patients. Early mobilization on POD1 and restrictive fluid management were key indicators for optimized short-term outcomes.

Digital goal management training for cognitive impairment in cervical cancer survivors-a randomized comparison study.

Cognitive impairment (CI) is a common late effect after cancer treatment, for which effective interventions are lacking. Goal management training (GMT) is a validated cognitive training protocol reported to improve cognition, including executive functioning. The purpose of this study was to examine the feasibility and acceptability of digital GMT in cervical cancer survivors (CCS) experiencing CI and compare it to computerized cognitive training (CCT). Thirty-five CCS with significant subjective CI were randomized in a 1:1 ratio between digital GMT (N = 18) and CCT (N = 17). The primary endpoint was attendance, and participants attending ≥ 80% of the sessions were categorized as completers. Acceptability was evaluated post-intervention using the Client Satisfaction Questionnaire-8 (CSQ-8). Secondary outcomes included self-reported and performance-based cognitive functioning. The completion rate in both groups was 88%. Participants in both groups reported high levels of satisfaction (CSQ-8; GMT: M = 25.2, SD 3.7, range 18-31, and CCT: M = 24.6, SD 3.1, range 19-30). Exploratory analyses showed improvements in both groups over time in attention and memory as well as self-reported cognitive functioning. Digital GMT is feasible with a high level of compliance and satisfaction in CCS. Preliminary efficacy data shows promising cognitive improvement over time, and the results are comparable to CCT and warrant further investigation in a larger-scale trial. If deemed effective in a larger study, digital cognitive training, such as GMT, is a low-cost, low-staff intensive intervention that is easily implemented and available to cancer survivors experiencing CI.

Road Safety of Highway Traffic System of Halsema Highway

Traffic accidents happen all the time. It’s a situation that can happen in any transportation network, including the one in the study area, where safety steps aren’t good enough. The study then looked at how safe the roads are on the Halsema Highway in the Philippines. In particular, it found out what the main reasons are for traffic accidents along Halsema Highway and how well safety standards are being followed. The goal is to come up with ways to lessen the bad effects of land transportation traffic accidents. A questionnaire checklist was the main tool used to collect data, with human interviews and observation also being used. T-tests and both quantitative and qualitative study methods were used to look at the data that was collected. The results show that mistakes made by people are the main reason why cars crash on the Halsema Highway. There is a high level of compliance with road safety standards (2.63) and traffic engineering (2.56), but only a modest level of compliance with traffic signs (2.46). Right now, it’s clear that some Halsema Highway drivers don’t care about safety. On the other hand, there are some issues and concerns that need to be addressed when it comes to road safety standards, especially when it comes to traffic signs that aren’t big enough.

Một số đặc điểm về tuân thủ sử dụng thuốc kháng động kinh của người bệnh động kinh tại Trung tâm Thần kinh Bệnh viện Bạch Mai

Epilepsy is a common disease, affecting about 65 million people in the world, accounting for 1% of the global burden of disease. Many aspects are affected such as: Economic, social and especially the quality of life. Some researches have shown that the quality of life of people with epilepsy is much lower than that of healthy people. Treatment of epilepsy is necessary. However, epilepsy treatment is difficult with a high rate of seizure recurrence. One of the important causes of seizure recurrence is the medication non-adherence that even making the disease more difficult to control. Objective: Describe the characteristics of medication adherence in epilepsy patients at the Bach Mai neurology center and analyze some related factors. Subjects and methods: Cross-sectional descriptive study on patients who were diagnosed and treated for outpatient epilepsy, came for follow-up examination at the neurology center of Bạch Mai hospital. Patient classification based on medication adherence characteristics and patients beliefs about drug use, through MMAS-8 scale and BMQ scale. Results: Out of 193 patients, 80.5% of them often had difficulty remembering to take medication, 11.4% felt bothered when adhering to treatment. 0% of patients achieved a high level of compliance, 27.5% at average level and 72.5% at low level). Conclusion: The majority of patients have a moderate level of knowledge about epilepsy, with most of them understanding that epilepsy can be cured, the available treatment methods, and the necessity of adhering to medication. However, they also recognize the serious issue of using stimulants. Despite this, none of the patients achieved a high level of adherence, with most showing low adherence to treatment, primarily due to occasionally forgetting to take their medication.

The Relationship between Compliance with Medication and Blood Pressure in Hypertension Sufferers

Hypertension is a chronic medical condition that requires long-term management through medication and lifestyle changes. Adherence to the treatment regimen is a key factor in controlling blood pressure and preventing potentially fatal complications. This study aims to evaluate the relationship between adherence to medication consumption and blood pressure in hypertension sufferers. This study used a cross-sectional design involving 40 respondents who were diagnosed with hypertension at several health centers in Nganjuk City. Data was collected through a questionnaire that measured the patient's level of compliance with taking antihypertensive drugs and blood pressure checks carried out by medical personnel. The results of the analysis showed that there was a significant relationship between the level of adherence to taking medication and the level of blood pressure control (p < 0.05). Patients who have a high level of compliance tend to have better controlled blood pressure compared to patients who are not compliant. These findings emphasize the importance of improving adherence to treatment in hypertension management to achieve optimal health outcomes.

Predictors of infectious disease-related behaviors among adolescents in Armenia

Abstract Background We explored the behaviors related to infectious diseases (ID) and its predictors among 15-17 years old adolescents in Armenia. Methods We surveyed adolescents from public and private high schools in Yerevan and one province in 2023. The instrument explored ID-related behaviors, health literacy (HL), interest in health, and socio-demographics. ID-related behaviors were measured with five Yes/No questions about sharing a toothbrush, covering their mouth when coughing or sneezing, and washing hands with soap and water - before eating, after using the bathroom, and when coming home. HL was assessed with ten questions on a scale from ‘Strongly disagree’ to ‘Strongly agree’. Summative scores were calculated for ID-related behaviors and HL. Multivariable regression analysis explored factors associated with ID-related behaviors. Results Overall, 366 students completed the survey, most of them being females (64.4%). The majority were interested in health issues (80.7%). Almost all respondents reported not sharing a toothbrush with other persons (97.9%) and usually covering their mouth when coughing or sneezing in public places (94.1%). Somewhat lower percentages reported washing hands with soap and water before eating (82.0%), after using the bathroom (89.2%), and when coming home (86.6%). The mean behavior score was 4.52 out of 5 (SD = 0.92) and the percent score was 90.4%. The average HL score was 17.41 out of 30 (SD = 4.47). In the regression analysis, being female vs. male, being interested in health vs. not, studying in private vs. public schools, and having higher HL were independent significant predictors for higher score of ID-related behaviors. Conclusions Armenian adolescents reported high levels of compliance with ID-related behaviors. Improving health literacy and fostering interest in health can help further enhance the performance of preventive behaviors. Interventions targeting public schools and male adolescents are particularly pertinent. Key messages • Being female, studying in private schools, having higher interest in health issues, and better health literacy independently positively influence infectious disease-related behaviors. • Promoting health literacy and fostering interest in health in high schools have the potential to further enhance infectious disease prevention behaviors among adolescents.

Smartphone App-Based Remote Monitoring Challenges in Patients with Cardiac Resynchronization Therapy Defibrillators-A Multicenter Study.

Background/Objectives: Remote monitoring (RM) cardiac implantable electronic devices for adults delivers improved patient outcomes. However, previously used bedside transmitters are not optimal due to deficient patient adherence. The goal of this study was to evaluate the efficacy of RM regarding the connectivity of smartphone app-based solutions, adherence to scheduled automatic follow-ups, and prevalence of alert-based events. Methods: We evaluated the adult heart failure (HF) population with an implanted cardiac resynchronization therapy defibrillator (CRT-D) divided into two arms: with app-based RM (abRM) and without app-based RM (control). Results: A total of 81 patients (median age of 69.0) were included in our study. Sixty-five patients received a CRT-D with abRM functionality, and sixteen did not. Twelve patients had no smartphone, and two provided no consent, resulting in their transfer to the control group. Finally, the abRM arm consisted of 51 patients, while 30 patients were in the control group. The median period of follow-up lasted 12 months. Among abRM patients, 98.0% successfully transmitted their first scheduled follow-up, and 80.4% were continuously monitored. Alert-based events were mainly related to arrhythmic events and device functionality with significantly shorter median times to notification (1 day vs. 101 days; p < 0.0001) in the abRM group. Conclusions: Our study showed a high level of compliance with timely initial transmission and adherence to scheduled remote follow-ups. Patient enrollment eligibility was a major challenge due to the limited accessibility of smartphones in the population. App-based RM demonstrated an accurate notification of events and patient-initiated transmissions in emergencies, regardless of location.

Religious-Based Peer Education in Preeclampsia Prevention: Social Cognitive Theory and Information, Motivation, Behavioral Skill Model Approach to Improve Preeclampsia Preventive Behavior in Indonesia

Background:Preeclampsia is the second leading cause of maternal death, largely due to the failure to identify the condition early. Prevention behaviors for preeclampsia in pregnant women can be developed through the Social Cognitive Theory (SCT) and the Information-Motivation-Behavioral Skills (IMB) Model. Utilizing religious organizations with unique values and cultures to foster high levels of compliance, a Religious-Based Peer Education approach can optimize these preventive efforts. Objective:This research aims to analyze the influence of knowledge, skills, motivation, observational learning, husband's support, and self-efficacy on the formation of preeclampsia prevention behaviors. Methods:A non-equivalent pre- and post-test design was conducted in Bojonegoro district from August 2022 to February 2023. The sample consisted of 179 pregnant women in the intervention group and 168 in the control group. The intervention involved Religious-Based Peer Education, with peers being members of the Muslimat NU religious organization, while the control group received routine assistance from existing health cadres. Data were analyzed using path analysis. Results:The mean scores for knowledge, skills, and behavior in the intervention group were significantly higher than those in the control group (13.81 vs. 12.34; 2.37 vs. 1.95; 30.33 vs. 28.19; p &lt; 0.001). The strongest factors influencing the formation of preeclampsia prevention behavior were screening skills (b = 0.74, p = 0.010; 95% CI: 0.03–0.23) and self-efficacy (b = 0.36, p = 0.010; 95% CI: 0.23–0.48). Conclusion:The SCT and IMB models, when applied through Religious-Based Peer Education, have proven effective in improving preeclampsia prevention behaviors. Ongoing training for peers and consistent support for pregnant women are essential to identify high-risk pregnancies and prevent maternal complications. Keywords: social cognitive theory; information-motivation-behavioral skills model; preeclampsia; religious-based peer education; behavior

Through the Lens of Accountability: Body-Worn Cameras in Police Operations at Pampanga Police Provincial Office

This study evaluates the compliance of the Pampanga Provincial Police Office with the use of body-worn cameras and alternative recording devices during police operations in the province Pampanga and examines the severity of problems encountered in their use. Specifically, it assesses compliance in terms of procedural fairness, police performance, data protocols, privacy concerns, and camera benefit while investigating the relationship between compliance levels and encountered problems. It hypothesizes that higher compliance levels are associated with fewer operational problems and that certain areas, such as data protocols and privacy, may present greater challenges. A descriptive correlational design was used, employing structured questionnaires to gather data from 200 respondents, including police officers and community members. Key findings indicate a very high compliance level in using Body-Worn Cameras and Alternative Recording Devices (Mean = 3.49), but also highlight significant challenges, with an overall severity rating of problems as high (Mean = 2.81). Correlational analysis suggests a moderate positive relationship between perceived compliance and the severity of problems faced. The study recommends tailored training, procedural adjustments, and improved data management and privacy measures to address these challenges. Limitations of the study include potential biases in respondent perceptions and constraints in generalizing findings to other regions. Policymakers are urged to enhance transparency, accountability, and public trust in police practices to foster a safer community environment in Pampanga Province.

SP9.5 - Peri-operative Comprehensive Geriatric Assessment (CGA): A new benchmark for Acute General Surgery patients

Abstract Aims More than 50% of patients undergoing emergency general surgery are over 65 years of age. NICE guidelines emphasise frailty assessment in acute surgical settings, particularly in the preoperative period. Similarly, the Emergency Laparotomy and Frailty (ELF) study showed associations between frailty (CFS ≥ 5) and 90-day mortality, increased complication and length of hospital stay in older emergency laparotomy patients. NELA best practice tariff (BPT) April 2023 heavily focuses on perioperative team involvement in frailer, older patients. This is an audit from a city teaching hospital, with a surgical liaison team against standards set by NELA. Methods Review of patients aged ≥ 65 undergoing emergency laparotomies between August and November 2023 (pre-intervention) then December and January 2024 (post-intervention). Data collected includes whether patients had a documented frailty score, a clearly documented CPR decision &amp; treatment escalation plan (TEP), pre- or post-operative medical review, and advanced-care planning (ACP) post-operatively. Intervention included dedicated members of surgical liaison team following patients throughout admission, weekly meetings to discuss laparotomy patients, older patient template being created capturing ceilings of care, frailty score, and social history. Results Post intervention, improvement in clear documentation regarding escalation, frailty level. Greater level of MDT collaboration with regards to older patients undergoing laparotomies. Conclusion Changes in NELA BPT emphasise the importance of comprehensive geriatric assessment in the management of older laparotomy patients. Even a basic surgical liaison service can achieve high levels of compliance with a few simple strategies, resulting in better outcomes for patients as well as financial benefits for Trusts.

Breast gel based on Boswellia serrata, Betaine and myo-Inositol improves cyclic mastodynia in fertile women: A retrospective clinical study.

The management of mastodynia plays a central role in improving women quality of life. Despite its high occurrence, specific therapeutic guidelines for mastalgia are still lacking. Available therapies include unspecific anti-inflammatories, even though they may often expose to undesirable effects and low compliance. The aim of this study was to highlight the efficacy of the topical application of combined natural molecules including Boswellia serrata, Betaine and myo-Inositol in improving cyclic mastalgia. In this retrospective pilot clinical study, patients with cyclic mastalgia applied a specific breast gel for three months. The severity of the pain was measured through the Visual Analogue Score (VAS) in the treated group compared to untreated one. Treated patients also filled in a questionnaire evaluating acceptance and safety of the breast gel. This pilot clinical study demonstrated for the first time the efficacy of the topical application of a breast gel based on Betaine, Boswellia serrata, and myo-Inositol in improving cyclic mastodynia. The completed questionnaires also revealed high levels of acceptance, as both safety and compliance. Besides confirming the positive effects of these natural molecules in the management of conditions affecting breast physiology - so far evaluated as oral supplementation - the obtained results pave the way for further studies supporting the use of such molecules as a tailored medical device in the management of breast pain, thus also opening toward a combined oral and topical approach.

Progression and perceptual responses to blood flow restriction resistance training among people with multiple sclerosis.

Resistance exercise can attenuate muscular impairments associated with multiple sclerosis (MS), and blood flow restriction (BFR) may provide a viable alternative to prescribing heavy training loads. The purpose of this investigation was to examine the progression of upper and lower body low-load (30% of one-repetition maximum [1RM]) resistance training (RT) with BFR applied intermittently during the exercise intervals (RT + BFR) versus volume-matched heavy-load (65% of 1RM) RT. Men and women with MS (n = 16) were randomly assigned to low-load RT + BFR (applied intermittently) or heavy-load RT and completed 12weeks (2 × /week) of RT that consisted of bilateral chest press, seated row, shoulder press, leg press, leg extension, and leg curl exercises. Exercise load, tonnage, and rating of perceived exertion were assessed at baseline and every 6 weeks. Training load increased to a greater extent and sometimes earlier for RT + BFR (57.7-106.3%) than heavy-load RT (42.3-54.3%) during chest press, seated row, and leg curl exercises, while there were similar increases (63.5-101.1%) for shoulder press, leg extension, and leg press exercises. Exercise tonnage was greater across all exercises for RT + BFR than heavy-load RT, although tonnage only increased during the chest press (70.7-80.0%) and leg extension (89.1%) exercises. Perceptions of exertion (4.8-7.2 au) and compliance (97.9-99.0%) were similar for both interventions. The training-induced increases in load, high compliance, and moderate levels of exertion suggested that RT + BFR and heavy-load RT are viable interventions among people with MS. RT + BFR may be a preferred modality if heavy loads are not well tolerated and/or to promote early-phase training responses.

PRO-WAVE1: Monitoring patient reported outcomes (PROs) in prostate cancer through Wave Health, a novel ePRO health platform.

192 Background: It is well established that the monitoring and evaluation of PROs in cancer patients has a positive impact in both quality of life and overall survival [Basch E., JAMA 2017]. In parallel, the widespread use of electronic devices such as smart phones in the general population have increased significantly over recent years [Statista, 2023], representing a unique opportunity to operationalize ePROs. However, there is uncertainty about the feasibility and applicability of these technologies in certain patient population such as prostate cancer (PC) patients. PRO-WAVE1 aims to determine the acceptability, engagement and satisfaction of the Wave Health patient app and healthcare provider portal, enhanced for PC patients. Methods: 98 patients across 8 sites in Spain enrolled in the study, and 82 of those patients actively engaged with the Wave Health App over a 13-week period. Each week, patients completed validated ePRO questionnaires (generating 93.3% compliance) consisting of: a weekly symptom review (WSR), FACT-P and CHLT-30-Dkspa. A report summary of the patients’ WSR was generated for care team view in the Wave Health Connect platform – specifically to conduct weekly check ins on patients. Further, an optional in-app feedback survey was administered once patients completed the study to measure overall app satisfaction, information usefulness, reduction in anxiety, and effectiveness of communication with medical teams. Results: In addition to unusually high compliance and perceived usefulness, there was a particularly high response rate for an optional end of study survey (78%), whereby 64 patients who completed the feedback survey reported remarkable experiences, including: 90% reported being satisfied with the app to track their activities and keep their medical team informed; 95% of patients described the information provided by Wave Health as “useful"; 6 in 10 patients indicated that using Wave Health helped them feel less anxious about their treatment experience; 75% of patients reported that Wave Health helped them track their health and keep their medical team informed. Correspondingly, patients without a caregiver rated the platform higher than those with a caregiver across all areas (information useful/relevancy, communication with care team, likeliness to recommend and overall satisfaction). Additionally, 90% of HCPs positively perceived the platform’s impact on the quality of communication with patients. Conclusions: The high levels of patient compliance, satisfaction, perceived usefulness, and anxiety reduction associated with the app, along with the high HCP perceived usefulness of the portal, underscore the opportunity to enable better treatment management between HCPs and patients - particularly for those without caregivers. A larger study with a comparator arm will help further evaluate impact on costs and clinical outcomes.

2349 How to provide a cost-effective geriatric peri-operative service within general surgery in line with NELA BPT

Abstract Introduction More than 50% of patients undergoing emergency general surgery are &amp;gt;65 years. The Emergency Laparotomy and Frailty (ELF) study showed strong associations between frailty (CFS ≥ 5) and increased mortality, risks of complications, and length of hospital stay. Methods For nearly 10 years, we have had geriatric liaison input for general surgery and colorectal patients in a tertiary teaching centre. This has transformed into a fully embedded service involving consultant geriatrician, registrars and senior house offices, providing 3-day a week medical input. NELA best practice tariff (BPT) April 2023 emphasises perioperative Geriatric team involvement in frail patients aged 65 and above. The main metrics include CFS, an MDT-based risk assessment, treatment escalation decision making and perioperative geriatrician involvement. Results The service has previously demonstrated significant improvement in patient care and holistic management including reducing the length of stay in hospital (average decrease of 5.5 days). Simple job planning, use of current resources and efficiency can mean Trusts can incorporate geriatricians with essential skills to improve patient management and reach NELA BPT. Conclusion Changes in NELA BPT emphasise the importance of comprehensive geriatric assessment in the management of older laparotomy patients. Introducing a multidisciplinary geriatric liaison service into the general surgical department can achieve high levels of compliance with national guidelines, resulting in better outcomes for patients as well as financial benefits for Trusts. This is particularly pertinent given the financial constraints on many services across the NHS, this is an opportunity to increase revenue and build a geriatric workforce.