It can equally be laid on an ordinary bed frame as a Japanese-style sleep layer. Pair it with a moisture pad and stand it up to ventilate so the underside stays dry; on tile or other cold surfaces, lay a rug first to block the chill before use.
If you are comparing Japanese futon care with a conventional mattress, focus on airflow, dryness, regular turning, and the right cover; these habits help the shikibuton keep its shape and comfort.