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The convergence of the existing network access technologies to a common IP-based architecture and the increase in popularity of accessing video content over the Internet makes IPTV a promising solution for media and entertainment industries. Additionally, video content delivery to the increasingly popular mobile devices over heterogeneous wireless networks makes IPTV even more appealing. However the distribution of multimedia content over heterogeneous wireless networks to mobile devices involves significant technical challenges related to mobility management and quality of service provisioning. The existing solutions do not consider quality of service as a decision making parameter for mobility management in general and handover management in particular. This paper proposes the smooth adaptive soft handover algorithm (SASHA), a novel quality-aware approach to handover based on load balancing among different networks using a comprehensive, quality of multimedia streaming (QMS), function for decision making. SASHA represents the handover management solution at the core of the more comprehensive multimedia mobility management system (M3S), a quality oriented mobility management framework for multimedia applications which maximizes user perceived quality by efficiently exploiting all available communication resources. Simulation-based testing results are presented, outlining the performance of SASHA in different mobility scenarios. The evaluation is performed for different number of nodes performing handover simultaneous and for various situations in terms of networks' overlapping area. The results shown indicate how SASHA outperforms other three mobility management solutions in terms of quality, scalability and resilience to the dynamics of the networks' overlapping area.