title: Observing the behaviour and interactions of adults with congenital deafblindness living in community residences.
abstract: BACKGROUND
  Adults with congenital deafblindness (CDB) have received little attention from researchers. In this study we examined the nature of interactions between adults with CDB and the staff who mediate their support, and investigated the reliability of an observation coding system, originally designed for observing adults with severe intellectual disability.
  
  
  METHODS
  The behaviours of 9 adults with CDB, including their interactions with support staff from 2 community residences, were recorded and subsequently coded by 2 observers.
  
  
  RESULTS
  Interrater reliability, measured using Cohen's k, was variable across the coding system. Adults with CDB were predominantly observed to be disengaged, with few observations of engagement according to the coding schedule's definition of engagement. Interactions between the residents and support staff were rare.
  
  
  CONCLUSIONS
  The introduction of interventions designed for staff to promote resident engagement in social interaction is recommended.
authors.affiliation: School of Health Sciences (Discipline of Disability Studies), RMIT University, Melbourne, Australia. merryprain@gmail.com
authors.forename: Meredith
authors.initials: M
authors.lastname: Prain
authors.forename: Keith
authors.initials: K
authors.lastname: McVilly
authors.forename: Paul
authors.initials: P
authors.lastname: Ramcharan
authors.forename: Sally
authors.initials: S
authors.lastname: Currie
authors.forename: John
authors.initials: J
authors.lastname: Reece
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D001291:Attitude of Health Personnel; D059019:Clinical Coding; D054062:Deaf-Blind Disorders / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D016352:Group Homes / Q000458:organization & administration*; D006801:Humans; D008607:Intellectual Disability / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D011369:Professional-Patient Relations; D011594:Psychometrics; D015203:Reproducibility of Results; D012944:Social Support; D055815:Young Adult