User Engagement Toolkit
Feb 25, 2016
User Engagement Toolkit1. Irish Legislation2. Health and Safety3. Insurance4. Garda Clearance5. Responsibilities6. Design Project
Protocol7. Risks and Benefits8. User Engagement
Plan9. Data Management
Plan
10. Ethics Protocol11. Ethical Approval12. Reimbursement or
Payment13. Understanding the
Specific Needs of Your Users
14. Confidentiality and Privacy
15. Participant Information16. Informed Consent17. Use of Data18. Following up with the
User
Before design (1), (2), (3), (4), (6), (7), (8), (9), (10), (11),
(13), (14), (15), (16), (17)
During design (1), (5), (7), (8), (9), (11), (13), (14), (16),
(17)
After design (5), (7), (9), (12), (14), (17), (18)
Which sections where?
Principal Investigator◦ Oversees/Directs all legislative responsibilities
Lecturer◦ Understand legislation at a detailed level
Student◦ Understand the limits imposed by legislation
User◦ Brief understanding of legislation
Institution◦ Defines codes of practice for user from legislation
Who
Applying Irish Legislation varies from project to project
Projects/Individuals associated with projects should identify the legal requirements in each situation
Different types of institutions have different requirements under legislation
Examples◦ Ethics for Social Workers bye-law◦ National Vetting Bureau◦ European Communities◦ Data Protection Act◦ Freedom of Information
Details
Code of Professional Conduct and Ethics for Social Workers bye-law 2011 (S.I. No. 143/2011). http://www.irishstatutebook.ie/2011/en/si/0143.html. Accessed 18th July 2013.
The National Vetting Bureau (Children and Vulnerable Persons) Act 2012 (SI Number 47 of 2012). http://www.irishstatutebook.ie/pdf/2012/en.act.2012.0047.pdf. Accessed 18th July 2013.
European Communities (Clinical Trials on Medicinal Products for Human Use) Regulations, 2004) (S.I. 190 of 2004) which implement the EU Clinical Trials Directive (2001/20/EC). http://www.dohc.ie/other_health_issues/clinical_trials/. Accessed 18th July 2013.
Equality Authority (2011) Guide to the Equal Status Acts 2000 to 2008. http://www.equality.ie/Files/Guide-to-the-Equal-Status-Acts-2000-2008.pdf. Accessed 18th July 2013.
Data Protection Act 1998 (SI Number 25 of 1988) and Data Protection (Amendment) Act 2003 (SI Number 6 of 2003). http://www.dataprotection.ie/ViewDoc.asp?fn=%2Fdocuments%2Flegal%2FLawOnDP.htm&CatID=7&m=. Accessed 18th July 2013.
Data Protection Commissioner (2013). The Data Protection Rules. http://www.dataprotection.ie/ViewDoc.asp?fn=/documents/responsibilities/3bii.htm&CatID=54&m=y. Accessed 18th July 2013.
Citizens Information (2013). Freedom of Information in Ireland. Citizens Information website section. http://www.citizensinformation.ie/en/government_in_ireland/national_government/standards_and_accountability/freedom_of_information.html. Accessed 22nd July 2013.
Information on the Health Information Bill found on the Department of Health and Children website. http://www.dohc.ie/issues/hib//. Accessed 17th July 2013.
Department of An Taoiseach website. Information on timing of the Health Information Bill. http://www.taoiseach.gov.ie/eng/Taoiseach_and_Government/Government_Legislation_Programme/SECTION_B1.html. Accessed 17th July 2013.
References
Principal Investigator◦ Discuss user engagement activities with the relevant
Institution department Lecturer
◦ Discuss user engagement activities with the relevant Institution department
Student◦ Ask if the appropriate insurance is in place
User◦ Discuss concerns with the Principal Investigator, design
researchers or students. Institution
◦ Advise staff and students on insurance issues
Who?
◦ Before user engagement begins, any necessary insurance arrangements need to be in place
◦ In proportion to risk◦ Potential cover for researcher and sponsor◦ Insurance issues going to be different according
to institution◦ Examples of potential issues
Details
Irish Council for Bioethics (2004) Operational Procedures for Research Ethics Committees.
HSE (2008). Review of Research Ethics Committees and Processes in the Republic of Ireland. Research Ethics Committees Review Group 2008, Health Services Executive, Ireland.
UK Department of Health (2005). Research Governance Framework for Health and Social Care.
WHO (2011). Standards and Operational Guidance for Ethics Review of Health-Related Research with Human Participants. World Health Organisation.
References
Principal Investigator◦ The design project protocol should identify if vetting of staff or
students is required. Lecturer
◦ The design project protocol should identify if vetting of staff or students is required.
Student◦ Ask if you need to get Garda clearance in advance of user
engagement commencing. User
◦ Discuss Garda vetting as an option in advance of the engagement commencing.
Institution◦ Advise staff and students on this issue and whether or not vetting is
required.
Who?
If Research/Developers or Stakeholders on a project require engaging with vulnerable user groups. Adults with learning disabilities , dementia or Children.
May need to be vetted by the National Vetting Bereau. Before engaging.
Can take up to 12 weeks or longer.
Garda Clearance
Citizens Information (2013). Garda Clearance for Employees. Available at http://www.citizensinformation.ie/en/employment/employment_rights_and_conditions/monitoring_and_surveillance_at_work/garda_clearance_for_employees.html. Accessed 23rd August 2013.
References
Who Principal Investigator
◦ Identify H&S issues and engage with appropriate departments & student
Lecturer◦ As above
Student◦ Follow codes of practice
User◦ Inform Principal Investigator, researchers or students of
any issues Institution
◦ Provide guidance and training
Details Health & Safety – to be considered from
POV of DIT, researcher & user E.g. are physical tasks are part of the study? H&S issues with venue to be considered Are there H&S issues in the interaction of
people involved? Seek advice! Review Health & Safety Authority guidelines
Health and Safety Authority (2013). Guidelines: Your Industry. Available at http://www.hsa.ie/eng/Your_Industry/. Accessed 23rd August 2013.
References
Who ? Principal Investigator
◦ Prepare design project
Lecturer◦ Prepare design project
Student◦ Follow design project protocol
User◦ Request a more detailed or clearer explaination
Institution◦ Provide practical guidance
Details Design project protocol will cover a list of topics
before, during and after the project Include a list of aims and objectives PI create a design Protocol Template as a
standard for all projects User engagement areas should cover
◦ Risks and benefits to the user◦ User Engagement plan◦ Data Management plan◦ Ethics plan◦ User payment◦ Follow-up with user
Durham University (2012) Community-based Participatory Research: A Guide to Ethical Principles and Practice. Centre for Social Justice and Community Action, Durham University.
Irish Council for Bioethics (2004) Operational Procedures for Research Ethics Committees.
National Institutes of Health (2003). Research Ethics: How to Treat People Who Participate in Research. National Institutes of Health, USA. Available at http://www.bioethics.nih.gov/education/FNIH_BioethicsBrochure_WEB.PDF. Accessed 1st August 2013.
NCBI (Draft) Research Code of Practice Policy and Procedure: Principles of Best Practice in Quality Research. NCBI – Working for People with Sight Loss, 2013.
WHO (2011). Standards and Operational Guidance for Ethics Review of Health-Related Research with Human Participants. World Health Organisation. Available at http://whqlibdoc.who.int/publications/2011/9789241502948_eng.pdf. Accessed 1st August 2013.
References
Who ? Principal Investigator
◦ Identify roles and responsibilities. Understand relevant codes of practice, legislation & guidelines
Lecturer◦ Identify roles and responsibilities. Understand relevant codes of
practice, legislation & guidelines Student
◦ Adhere to codes of practice and guidelines. Uphold standards when engaging with users
User◦ Be aware of point of contact for user engagement
Institution◦ Ensure roles and responsibilities are clearly identified. Develop code
of good practice. Ensure all staff members aware of codes od practice and responsibilities.
Details Ensure that the project is carried out to
highest possible standards Any codes or guidelines of good practice are
adhered to Clear project plan Include the principal investigator, design
student and project leader Identify the department and staff members Ensure all issues are addressed
European Science Foundation (2000). Good Scientific Practice in Research and Scholarship. European Science Foundation Policy Briefing. Available at http://www.esf.org/fileadmin/Public_documents/Publications/ESPB10.pdf. Accessed 1st August 2013.
National Institutes of Health (2007). Guidelines for the Conduct of Research in the Intramural Research Programme at the National Institute of Health, USA. Available at http://sourcebook.od.nih.gov/ethic-conduct/conduct%20research%206-11-07.pdf. Accessed 1st August 2013.
References
Who ? Principal Investigator
◦ Prepare the user engagement plan
Lecturer Prepare the user engagement plan
Student◦ Understand user engagement plan, and prepare plans where required
User◦ Request more detailed/clearer explanations
Institution◦ Provide advice on how to prepare a design or protocol – including the user
engagement plan
Details Ask the following questions
◦ Who is being engaged◦ What type of engagement is planned◦ When will the engagement take place during the project◦ Where will the engagement take place◦ Why has the particular user group been selected◦ How do you intend to use the collected data◦ How many users do intend recruit and why ?
User engagement plan is a living document Timeline for key actions should be included
(communications, actions) Users should be asked for their feedback
British Psychological Society Code of Conduct: Ethical Principles for Conducting Research with Human Participants. Available at http://www.bps.org.uk/sites/default/files/documents/code_of_human_research_ethics.pdf. Accessed on 23rd August 2013.
Dalton, AJ, McVilly, KR (2004) Ethics Guidelines for International Multi-Centre Research Involving People with Disabilities.
European Commission (2013). Ethical Review in FP7: European Commission Guidance for Applicants – Getting Through Ethical Review. Available at http://cordis.europa.eu/fp7/ethics_en.html. Accessed on 23rd August 2013.
RCA (2013). Design with People – Ethics Guidelines. Royal College of Art Helen Hamlyn Centre, UK. Available at http://designingwithpeople.rca.ac.uk/ethics. Accessed on 23rd August 2013.
Sociological Association of Ireland (1997) Ethical Guidelines.
References
Who ? Principal Investigator
◦ Identify risks and benefits in advance. And advise students on how to identify them.
Lecturer Identify risks and benefits in advance. And advise students on how to identify them.
Student◦ Familiarise self with risks and benefits
User◦ Ask for clarification where necessary
Institution◦ Provide advice on how to prepare project protocols. Identify realistic risks and
benefits.
Details Design research should have a positive effect on the lives or
activities of all involved It is unethical to put people at risk of harm or discomfort Use to decide on project direction – include in participant
information and informed consent Identify potential risks and benefits of the project (direct or indirect)
◦ Physical◦ Social◦ Financial◦ Psychological
Identified risks ◦ should be used to Inform protocols in case of adverse events occurring◦ Should be honest, realistic and shouldn’t coerce the user in any way
Longevity of benefits estimation Manage user expectations
COPE Foundation (2005) A Policy Document for Conducting Research. Durham University (2012) Community-based Participatory Research: A Guide to Ethical
Principles and Practice. Centre for Social Justice and Community Action, Durham University.
European Science Foundation (2000). Good Scientific Practice in Research and Scholarship. European Science Foundation Policy Briefing. Available at http://www.esf.org/fileadmin/Public_documents/Publications/ESPB10.pdf. Accessed 1st August 2013.
Irish Council for Bioethics (2004) Operational Procedures for Research Ethics Committees. National Disability Authority (2009) Ethical Guidance for Research with People with
Disabilities. National Disability Authority, Ireland. National Institutes of Health (2003). Research Ethics: How to Treat People Who Participate
in Research. National Institutes of Health, USA. Available at http://www.bioethics.nih.gov/education/FNIH_BioethicsBrochure_WEB.PDF. Accessed 1st August 2013.
Sociological Association of Ireland (1997) Ethical Guidelines. WHO (2011). Standards and Operational Guidance for Ethics Review of Health-Related
Research with Human Participants. World Health Organisation. Available at http://whqlibdoc.who.int/publications/2011/9789241502948_eng.pdf. Accessed 1st August 2013.
References
Principal Investigator◦ Create a data managment plan and advise the student to
create their own plan. Lecturer
◦ Same as above Student
◦ Follow data management plan identified by principal investigator
User◦ Ask for more details or more explanation. If the information
provided to you isn’t clear Institution
◦ Provide advise to prepare design or research project protocol.
Who?
Many designer may be they are unaware of the importance of maintaining a high standard regard to user data management.
All users should be treated the same level of confidentially and privacy
Learning a good practice in data management will prepare you for managing complex sets of user data in the future.
At least question why you are creating a data management plan.
A data management plan should cover every single piece of personal and other data collected about user.
Be aware of Irish Data Protection rules.
Data Management Plan -Details
Durham University (2012) Community-based Participatory Research: A Guide to Ethical Principles and Practice. Centre for Social Justice and Community Action, Durham University.
European Science Foundation (2000). Good Scientific Practice in Research and Scholarship. European Science Foundation Policy Briefing. Available at http://www.esf.org/fileadmin/Public_documents/Publications/ESPB10.pdf. Accessed 1st August 2013.
UK Medical Research Council (2012) Good Research Practice: Principles and Guidelines.
UK Medical Research Council (2013). MRC Guidance on Data Management Plans. UK Medical Research Council Website. Available at http://www.mrc.ac.uk/Ourresearch/Ethicsresearchguidance/datasharing/DMPs/index.htm. Accessed 23rd August 2013.
National Institutes of Health (2007). Guidelines for the Conduct of Research in the Intramural Research Programme at the National Institute of Health, USA. Available at http://sourcebook.od.nih.gov/ethic-conduct/conduct%20research%206-11-07.pdf. Accessed 1st August 2013.
NCBI (Draft) Research Code of Practice Policy and Procedure: Principles of Best Practice in Quality Research. NCBI – Working for People with Sight Loss, 2013.
References
Principal Investigator◦ Prepares ethics protocol and advises students how to prepare their own.
Lecturer◦ Same as above
Student◦ Follows ethics protocol identified by principal investigator or where
required prepares protocol. User
◦ Participant information should explain ethical issues otherwise a clear explanation should be asked for.
Institution◦ Prepares a code of practice for design research ethics and raises
awareness of ethical issues that should be addressed in design projects. Provides guidance on how to prepare ethics protocol and obtain informed consent.
Who?
Should be used when planning a design project that includes user engagement
Outlines potential ethical issues and the steps to address the issues
Acts as a record of unexpected ethics issues Contain a user engagement plan, preparing data
management plan and getting informed consent Contain information on how informed consent is
obtained, recruiting in an ethical manner treatment of users, treatment of personal information etc.
Ethics Protocol - Details
British Psychological Society Code of Conduct: Ethical Principles for Conducting Research with Human Participants. Available at http://www.bps.org.uk/sites/default/files/documents/code_of_human_research_ethics.pdf. Accessed on 23rd August 2013.
Dalton, AJ, McVilly, KR (2004) Ethics Guidelines for International Multi-Centre Research Involving People with Disabilities.
European Commission (2013). Ethical Review in FP7: European Commission Guidance for Applicants – Getting Through Ethical Review. Available at http://cordis.europa.eu/fp7/ethics_en.html. Accessed on 23rd August 2013.
Sociological Association of Ireland (1997) Ethical Guidelines.
References
Principal Investigator◦ Finding research ethics committee and apply for approval
and identify any ethics requirements Lecturer
◦ Same as above Student
◦ Follow the principal investigators approval instructions User
◦ If unclear ethical issues are provided to ask for more details Institution
◦ Set up a research ethics committee or find one and to set up codes of practice and training if needed.
Who?
Check what rules or requirements are for the school/institution or department
Check if a research ethics committee exists if not identify one and seek its approval
Check if you need approval from external organisation or board.
Check if source of funding requires ethical approval
Ethical Approval - Details
HSE (2008). Review of Research Ethics Committees and Processes in the Republic of Ireland. Research Ethics Committees Review Group 2008, Health Services Executive, Ireland.
Irish Council for Bioethics (2004) Operational Procedures for Research Ethics Committees.
Irish Medicines Board (2013). Medical Devices. Available at http://www.imb.ie/EN/Medical-Devices.aspx. Accessed on 23rd August 2013.
NDA (2009). Ethical Guidance for Research with People with Disabilities. Disability Research Series 13. National Disability Authority, Ireland.
Privireal (2005). Ireland - RECs and Medical Research. Available at http://www.privireal.org/content/rec/ireland.php. Accessed on 23rd August 2013.
Sociological Association of Ireland (1997) Ethical Guidelines. WHO (2011). Standards and Operational Guidance for Ethics Review of
Health-Related Research with Human Participants. World Health Organisation.
References
Principal Investigator◦ Consider the cost of user engagement and method for
reimbursement. Lecturer
◦ Consider personal details that will be required from the users for payment.
Student◦ Collect necessary information from users so that payment process is
smooth. User
◦ Document the receipt of payment. Make it easy for principal investigator by providing all the necessary relevant info.
Institution◦ Improve coordination between finance department and principal
investigator to make process efficient.
Who?
There are different types of compensations e.g. payment, voucher, a gift voucher. It may be appropriate to provide some sort of compensation e.g. parking, travelling, food or accommodation.
In some automous surveys payments cannot be made unless identity of the user is known.
Payment to users is controversial as it encourages the user to take part in the project and can pollute the results.
Payment to users should be clearly recorded. Payment process should be transparent & efficient.
Reimbursement of Payment - Details
National Disability Authority (2009) Ethical Guidance for Research with People with Disabilities. National Disability Authority, Ireland.
National Institutes of Health (2007). Guidelines for the Conduct of Research in the Intramural Research Programme at the National Institute of Health, USA. Available at http://sourcebook.od.nih.gov/ethic-conduct/conduct%20research%206-11-07.pdf. Accessed 1st August 2013.
WHO (2011). Standards and Operational Guidance for Ethics Review of Health-Related Research with Human Participants. World Health Organisation. Available at http://whqlibdoc.who.int/publications/2011/9789241502948_eng.pdf. Accessed 1st August 2013.
References
Principal Investigator◦ Responsible for identifying user needs and to address them.
Lecturer◦ Same as Principal Investigator
Student◦ Educate yourself on extreme user needs and follow
investigator’s guidance. User
◦ Providing particular requirements to the researchers. Institution
◦ To educate the staff about the needs of older and disabled people and how to collect information in an accessible format.
Who?
Most of the times requirements are almost same to every user but in some cases, requirements may be specific. The best approach to find out if someone has specific requirements is to get engage with them and simply ask.
To ensure that user engagement goes smoothly, they should be provided comfort and easy access to the venue and activities . And it is important to provide users the complete and clear details of the user engagement program.
And while compiling any thing that serves the purpose of the communication, we should follow some protocols so that our words be heard and read by all users, regardless of their age, or disability. And its wise to know your users earliest as possible.
Details
ISO (2001) ISO/IEC Guide 71: 2001. Guidelines for Standards Developers to Address the Needs of Older Persons and Persons with Disabilities.
NDA (2013). Centre for Excellence in Universal Design website (Customer Engagement Toolkits). Available at www.universaldesign.ie. Accessed 23rd August 2013.
NDA (2002). Guidelines for Including People with Disabilities in Research. National Disability Authority, Ireland.
NDA (2002). Ask Me: Guidelines for Effective Consultation with People with Disabilities. National Disability Authority, Ireland.
References
Principal Investigator◦ Familiar with user data best practice & keeping students
informed of those practices. Lecturer
◦ Same as Principal Investigator Student
◦ Follow guidance of PI and learn methods of data sensitivity User
◦ Understand rights and why the data is being collected. Don’t provide data you don’t feel comfortable providing
Institution◦ Develop protocols and educate staff on data collection
issues.
Who?
Always treat data with confidentiality and privacy. Educate anyone with access to the data about their
responsibilities Store data securely Separate data from users identification Transport data securely People should not be identifiable without permission When sharing data, balance data protection while
getting the most out of the data. Don’t protect data to the point where datasets need to be recreated unnecessarily
Details
Data Protection Commissioner (2013). The Data Protection Rules. http://www.dataprotection.ie/ViewDoc.asp?fn=/documents/responsibilities/3bii.htm&CatID=54&m=y. Accessed 18th July 2013.
Durham University (2012) Community-based Participatory Research: A Guide to Ethical Principles and Practice. Centre for Social Justice and Community Action, Durham University.
European Science Foundation (2000). Good Scientific Practice in Research and Scholarship. European Science Foundation Policy Briefing. Available at http://www.esf.org/fileadmin/Public_documents/Publications/ESPB10.pdf. Accessed 1st August 2013.
Medical Research Council (2012) Good Research Practice: Principles and Guidelines.
NCBI (Draft) Research Code of Practice Policy and Procedure: Principles of Best Practice in Quality Research. NCBI – Working for People with Sight Loss, 2013.
Sociological Association of Ireland (1997) Ethical Guidelines.
References
66
Principle Investigator – Prepare clear concise Participant Information. Advise students on preparation of Participant Information.
Lecturer- Prepare clear concise Participant Information.
Student- Preparation and communication of Participant Information.
User – Request appropriate information format; if necessary ask for more details
Institute – Guidelines/advice to preparation of Participant Information.
Who Does What?
67
Details- Crucial: Clear and understandable information (in
recruitment stage or introduction to Informed Consent)
- Format of the Participant Information must comply with user access, so that specific user needs are met (wrt written or f2f communication)
- Include User Understanding and Freedom, see p.3 - Include project details, its purpose, the procedure
and contact details- Give one copy of PI to the user; keep one signed
version
Code of Professional Conduct and Ethics for Social Workers bye-law 2011 (S.I. No. 143/2011). http://www.irishstatutebook.ie/2011/en/si/0143.html. Accessed 18th July 2013.
Irish Council for Bioethics (2004) Operational Procedures for Research Ethics Committees.
NDA (2009). Ethical Guidance for Research with People with Disabilities. Disability Research Series 13. National Disability Authority, Ireland.
WHO (2011). Standards and Operational Guidance for Ethics Review of Health-Related Research with Human Participants. World Health Organisation.
References
70
Who Does What? Principle Investigator – Co-ordinator Lecturer- Advisor Student- Collector User – Inform Institute – Guidelines and codes
71
DetailsStart of the engagement process User Understanding and Freedom
◦ Implications of the project◦ Freedom of participation◦ Ability to withdraw
Be careful of anonymity, use of photo’s and videos Acquire proxy consent Proxy consent and assent Factors influencing users
◦ Knowing the person◦ Developing a relationship◦ Professional connection◦ Skewing information through reimbursement or payment
Dalton, AJ, McVilly, KR (2004) Ethics Guidelines for International Multi-Centre Research Involving People with Disabilities.
Irish Council for Bioethics (2004) Operational Procedures for Research Ethics Committees.
NDA (2009). Ethical Guidance for Research with People with Disabilities. Disability Research Series 13. National Disability Authority, Ireland.
National Institutes of Health (2003). Research Ethics: How to Treat People Who Participate in Research. National Institutes of Health, USA. Available at http://www.bioethics.nih.gov/education/FNIH_BioethicsBrochure_WEB.PDF. Accessed 1st August 2013.
References
74
Who Does What? Principle Investigator – User data Lecturer- User Data Student- Follow Guidance , IP User – If short information, more details Institute – Education & Guidance
75
Details Stick to the agreement of the data use In case of change, inform the user Confidentiality & privacy Maybe IP agreement
Durham University (2012) Community-based Participatory Research: A Guide to Ethical Principles and Practice. Centre for Social Justice and Community Action, Durham University.
European Science Foundation (2000). Good Scientific Practice in Research and Scholarship. European Science Foundation Policy Briefing. Available at http://www.esf.org/fileadmin/Public_documents/Publications/ESPB10.pdf. Accessed 1st August 2013.
Health Research Board (2007) Health Research Board Guidelines for Host Institutions on Good Research Practice.
Medical Research Council (2012) Good Research Practice: Principles and Guidelines.
NDA (2009). Ethical Guidance for Research with People with Disabilities. Disability Research Series 13. National Disability Authority, Ireland.
Sociological Association of Ireland (1997) Ethical Guidelines.
References
78
Who Does What? Principle Investigator – Co-ordinator/Advisor Lecturer-Co-ordinator/Advisor Student- Follow Guidance , Actioner User – Inquire about design project aspects Institute – Advice on Policy
79
Details Send Thank you Possible reimbursement or payment Hear final findings Form of recognition or acknowledgement Peer review stage user included Format accessible to user.
Durham University (2012) Community-based Participatory Research: A Guide to Ethical Principles and Practice. Centre for Social Justice and Community Action, Durham University.
Irish Council for Bioethics (2010) Recommendations for Promoting Research Integrity.
National Institutes of Health (2003). Research Ethics: How to Treat People Who Participate in Research. National Institutes of Health, USA. Available at http://www.bioethics.nih.gov/education/FNIH_BioethicsBrochure_WEB.PDF. Accessed 1st August 2013.
NDA (2002). Ask Me: Guidelines for Effective Consultation with People with Disabilities. National Disability Authority, Ireland.
References