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Facilitating	Development	of	Education	Resources	for	Intellectual	Disability	Services	
through	a	Community	of	Practice
Daragh	Rodger,	HSE	&	DCU,	Lorraine	Ledger,	SMH,	Anne	Spencer,	PETAL
St	Mary’s	Campus,	Phoenix	Park,	Dublin	20	
Email:	daragh.rodger@hse.ie
Background
According	to	The	Irish	LongituDinal	Study	on	Ageing	
(TILDA)	Intellectual	Disabilities	Study	(IDS)Wave	2	
report	(2014),	osteoporosis	and	falls	related	injuries	
are	a	significant	health	concern	for	people	with	an	
intellectual	disability	(ID).(1)	In	2014	Forever	Autumn	
Community	of	Practice	(FACOP)	collaborated	with	ID	
service	providers	in	North	Dublin	to	develop	an	
education	resource	on	bone	health	and	falls	
awareness.	(2)	A	multidisciplinary	approach	was	taken	
with	evidence	of	teamwork	across	nursing,	medical,	
dietetics,	physiotherapy,	and	service	users	to	inform	
the	content.	
Conclusion	
Happy	Bones	has	been	adopted	in	service	providers	
within	the	FACOP	and	has	generated	a	lot	of	interest	
both	nationally	and	internationally.	
The	programme	has	resulted	in	an	increased	
awareness	of	the	importance	of	good	bone	health,	falls	
awareness		and	falls	prevention	strategies.	This	has	
been	evidenced		in	an	increase	in	the	number	of	
people	with	an	ID	being	referred	for	investigation	for	
osteoporosis.	
Discussion
This	initiative	is	an	example	of	collaboration	and	
integration	working	in	practice.	Service	users’	
engagement	was	paramount	in	the	development	
phase	of	the	education	resource.	Through	their	new	
knowledge	the	service	users	initiated	the	promotion	
of	the	resources	at	a	sports	event	and	health	fair	
within	their	organisations.	This	facilitated	sharing	of	
their	learned	experiences	with	their	peers	in	order	to	
promote	a	healthy	active	lifestyle	to	achieve	strong	
bones.	It	demonstrates	how	this	collaboration	across	
service	providers	to	support	each	other	can	be	
achieved.	This	project	highlights	the	value	and	merits	
of	a	Community	of	Practice	in	supporting	health	and	
social	care	staff	in	their	daily	work	with	individuals	
with	ID.	
The	material	is	developed	in	a	format	that	makes	it	
easily	transferable	- on	line	through	website,	eBook	
store,	and	YouTube	– including	3	short	videos	in	which	
service	users	feature	Paula’s	Story,	Having	a	DXA	scan,	
Best	Foot	Forward	- Chrissies	Story	or	in	printable	
material	– Happy	Bones	book,	easy	read	leaflets	which	
can	be	used	interchangeably	or	independently	The	
resource	was	developed	over	a	12	month	period	
through	engagement	with	members	of	the	target	
population	www.happybones.ie
Highlights
Through	engagement	with	an	Educational	Technologist	
to	design	and	develop	the	content,	the	suite	of	
resources	is	available	on	an	open	online	platform	and	
has	been	accessed	to	date	over	4500	times.	It	has	been	
implemented	as	an	education	resource	on	bone	health	
and	falls	awareness	by	a	number	of	service	providers.	
Service	users	and	their	families	were	actively	involved	
in	the	development	of	the	educational	resources.
References
1. McCarron, M. et al. Advancing years, Different challenges: Wave 2 IDS-TILDA: findings on the ageing of people with an intellectual disability: an intellectual disability
supplement to the Irish Longitudinal Study on Ageing, 2014. Dublin: Trinity College Dublin
2.Bone Health website www.bonehealth.co
3.Happy Bones Website www.happybones.ie
Prevalence of Osteoporosis
People with Intellectual disability General population
Age 50 - 64 36.8% 8%
Prevalence of Osteopenia
37% 14%
7 /10 people with an ID have either osteopenia or osteoporosis
A	guide	to	good	bone	
health
Happy	
Bones
Happy	Bones	
Visitor	Map	
Slideshare
iBooks
Wix –
Web	Pages
Animoto – Online	Video	
Creation
Visit	Happy	Bones	Website		
The	aim	of	the	education	resource	is:-
1.	to	provide	information	on	bone	health	and	falls	
awareness	with	a	specific	focus	on	exercise	and	
nutrition	for	people	with	an	ID.
2.	to	raise	awareness	of	reduced	bone	mineral	
density	and	risk	of	falling	in	this	population.
3.	to	improve	outcomes	for	future	safety	and	well	
being.	
QR	Codes	&	
Augmented	Reality
Box	Cloud	File	Storage	
Software
Articulate	
E	Authoring
Facebook
You	Tube

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