{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T14:36:48Z","timestamp":1780324608330,"version":"3.54.1"},"reference-count":37,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,9,2]],"date-time":"2018-09-02T00:00:00Z","timestamp":1535846400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001262","name":"Baily Thomas Charitable Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001262","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Research Intellect Disabil"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>People with intellectual disabilities are a high risk population for developing osteoporosis and fragility fractures, yet they experience barriers to accessing dual\u2010energy x\u2010ray absorptiometry (<jats:styled-content style=\"fixed-case\">DXA<\/jats:styled-content>) bone mineral density (<jats:styled-content style=\"fixed-case\">BMD<\/jats:styled-content>) screening and fracture assessment. Reasonable adjustments are a statutory requirement in the <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>, but there is a paucity of evidence\u2010based examples to assist their identification, implementation and evaluation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Thirty adults with intellectual disabilities underwent <jats:styled-content style=\"fixed-case\">DXA BMD<\/jats:styled-content> screening and fracture risk assessment. Reasonable adjustments were identified and implemented.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The presence of osteopenia or osteoporosis was detected in 23 out of 29 (79%) participants. Osteoporosis professionals report that 17 of 18 reasonable adjustments identified and implemented are both important and easy to implement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Adults across all levels of intellectual disabilities can complete <jats:styled-content style=\"fixed-case\">DXA BMD<\/jats:styled-content> screening with reasonable adjustments. Widely implementing these reasonable adjustments would contribute to reducing inequalities in health care for adults with intellectual disabilities.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jar.12526","type":"journal-article","created":{"date-parts":[[2018,9,3]],"date-time":"2018-09-03T01:59:05Z","timestamp":1535939945000},"page":"300-312","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Reasonable adjustments to provide equitable and inclusive assessment, screening and treatment of osteoporosis for adults with intellectual disabilities: A feasibility study"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8445-3581","authenticated-orcid":false,"given":"Janet","family":"Finlayson","sequence":"first","affiliation":[{"name":"School of Health and Life Sciences Glasgow Caledonian University  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leyla","family":"De Amicis","sequence":"additional","affiliation":[{"name":"School of Health and Life Sciences Glasgow Caledonian University  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Gallacher","sequence":"additional","affiliation":[{"name":"Centre for Diabetes and Endocrinology Queen Elizabeth University Hospital  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin","family":"Munro","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Wishaw General Hospital  Lanarkshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Crockett","sequence":"additional","affiliation":[{"name":"Community Learning Disabilities Health Care Services  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon","family":"Godwin","sequence":"additional","affiliation":[{"name":"School of Health and Life Sciences Glasgow Caledonian University  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"Feeney","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Wishaw General Hospital  Lanarkshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawn A.","family":"Skelton","sequence":"additional","affiliation":[{"name":"School of Health and Life Sciences Glasgow Caledonian University  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,9,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0300060513509473"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s002230010035"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afu093"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cca.2011.01.004"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-004-1687-1"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.321.7262.694"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1352\/0895-8017(1998)103<0019:PWMRHA>2.0.CO;2"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1528-1167.2012.03639.x"},{"key":"e_1_2_6_10_1","volume-title":"Health Inequalities and People With Learning Disabilities in the UK: 2012","author":"Emerson E.","year":"2012"},{"key":"e_1_2_6_11_1","doi-asserted-by":"crossref","unstructured":"Finlayson J.(2018).Fall prevention for people with learning disabilities: key points and recommendations for practitioners and researchers. 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