Reporting treatment processes and outcomes for paediatric feeding disorders: A current view of the literature

Taylor, Tessa; Taylor, Sarah Ann

doi:10.1080/15021149.2023.2259219

Cited by 5 publications

(10 citation statements)

References 87 publications

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“…Finally, flashcards, puzzles, games, or individualized materials given child's interests could depict criteria. This intervention requires competency in comprehensive intakes (e.g., swallow safety, consultation with other disciplines), estimating service intensity, determining targets and textures, prioritizing goals and progression over time, and conducting training and generalization (Piazza et al, 2020;Taylor & Taylor, 2023;Williams & Seiverling, 2022). Developing medication administration protocols requires multidisciplinary coordination (Taylor, 2022).…”

Section: Acknowledgmentsmentioning

confidence: 99%

“…Researchers have since expanded this to encompass aspects such as caregiver implementation and maintenance (Kazdin, 2014; Kennedy, 1992; Schwartz & Baer, 1991). While SV is at the “heart” of applied behavior analysis, research could be expanded, particularly in pediatric feeding as a recent review found only 29% of studies reported SV (Taylor & Taylor, 2023).…”

Section: Introductionmentioning

confidence: 99%

“…A further gap in the literature concerns detailed reporting of processes and outcomes (Sharp et al., 2017; Taylor & Taylor, 2023; Williams & Seiverling, 2022). Crucial to SV, research may lack details on generalization and maintenance (Kennedy, 1992; Ulloa et al., 2019), routine processes (e.g., progressing to portion‐based meals workable in family mealtimes including siblings, guidelines for feeders in other contexts, and eating away from home), and the broader range of goals met, permanent product data, or long‐term improvements in nutrition and quality of life.…”

Section: Introductionmentioning

confidence: 99%

“…The aim of this report was to extend recommendations from recent SV measurement studies (reviewed in Taylor et al, 2024) and broader reporting of goals, processes, and outcomes (Taylor & Taylor, 2023), with implications and utility for practitioners in applications to improve SV in an in-home clinical case.…”

mentioning

confidence: 99%

“…A. Taylor et al, 2019;. These gaps may limit both researcher's and practitioner's interpretation and utility of the research (Lukens & Silverman, 2014;Sharp et al, 2017;Taylor & Taylor, 2023).…”

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confidence: 99%

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Incorporating social validity into practice: Treatment progression across pediatric feeding skill domains

Taylor,

Taylor

2024

Behavioral Interventions

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A small but growing body of research in pediatric feeding disorders asserts the importance of comprehensively measuring social significance of goals, procedures, and effects of intervention, and incorporating social validity into practice to inform treatment. This report sought to extend this literature by detailing procedures to measure and improve social validity during a clinical case of a 3.5‐year‐old during a home‐based intensive feeding program. A multiple baseline design demonstrated effectiveness of nonremoval and re‐presentation added to a treatment package. Repeated choice via direct child preference assessments informed demand fading and gradual progression across six feeding skill domains (medication, cup drinking, independence, texture, volume, variety) and arrangements of response effort (preference, skill) with layers of reinforcer parameters (quality, magnitude, rate, immediacy). Indices of happiness definitions were modified, and extinction bursts examined. Fostering a collaborative approach, caregivers provided detailed input on social validity measures pretreatment, at discharge, and long‐term follow‐up (6‐month, 1‐year), inclusive of both qualitative and quantitative responses, written and verbal communication, and permanent product data. Further implications for practitioners included detailing the process for caregiver training and generalization to family meals with siblings and community settings, and providing adaptable full‐text guidelines for free access/choice contexts.

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Section: Acknowledgmentsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Incorporating social validity into practice: Treatment progression across pediatric feeding skill domains

Taylor,

Taylor

2024

Behavioral Interventions

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Assessing physiological arousal and emotional valence during behavioral intervention for pediatric feeding difficulties: A pilot study

Phipps,

Arce,

Walker

et al. 2024

Mental Health Science

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This study's purpose is to introduce a new measurement system that objectively assesses the social validity of behavioral feeding intervention from the child's perspective via the concurrent measurement of two dimensions of emotion. To date, the primary measures of social validity for behavioral feeding intervention are caregiver treatment acceptability and satisfaction surveys. This is the first study to objectively measure two dimensions of emotion, physiological arousal and emotional valence, while children received behavioral intervention for feeding difficulties. Data collectors used a new open‐source data collection software, cometrics, developed to synchronize and record physiological and observational data. Physiological data was collected using a wearable biosensor and observers recorded an index of child happiness, unhappiness, or neither using definitions by Phipps et al. (2022) for six children with a pediatric feeding disorder. Two out of six children needed programmed habituation to the device before data collection. All children assented to wearing the device during data collection. Recorded indices mapped to separable physiological states using electrodermal activity and its constituent components, skin conductance responses and skin conductance level, in addition to skin temperature. Findings demonstrated the feasibility of measuring two dimensions of child emotions during behavioral feeding intervention and revealed that children's physiological responses were distinctly different during intervals scored as happy, unhappy, or neither. This new data collection system has implications for future research on the child's emotional experience of behavioral feeding treatment and increases the possibilities for improving clinical practice.

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A Systematic Review and Comprehensive Discussion of Social Validity Measurement in Behavioural Intervention for Paediatric Feeding Disorders

Taylor,

Phipps,

Peterson

et al. 2024

Child Youth Care Forum

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Background Social validity in the field of applied behaviour analysis is the measurement of the social significance of goals, the social appropriateness of procedures, and the social importance of the effects of a treatment. There is a paucity of rigorous research on social validity measurement as it relates to feeding treatment. Objective To our knowledge, this is the first systematic review aiming to identify the gaps in and assess the current state of the science regarding comprehensive social validity measurement of paediatric feeding treatment. Method We conducted a systematic review following PRISMA guidelines using four ProQuest databases. Results The systematic review resulted in the identification of 26 eligible articles reporting findings related to social validity post-intensive treatment or describing new measurement systems that could be used to assess social validity more comprehensively. Collectively, caregivers rated behaviour-analytic treatments high in social validity and treatments were highly effective. Caregivers reported increased broader quality of life and lasting positive impacts, decreased stress, and lack of negative effects. Conclusion In the context of these results, we discuss behaviour-analytic feeding treatment within social validity’s comprehensive definition. We identify additional data-based research needs in this area and provide recommendations to spur new investigations. Social validity measurement requires refinement to further inform the standard of care. Paediatric feeding expertise and competency are crucial in navigating social validity considerations. Accurate dissemination is needed to increase earlier access to effective feeding treatment for families and specialised training for professionals to promote data-based and individualised decision-making in this vital area.

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Reporting treatment processes and outcomes for paediatric feeding disorders: A current view of the literature

Cited by 5 publications

References 87 publications

Incorporating social validity into practice: Treatment progression across pediatric feeding skill domains

Incorporating social validity into practice: Treatment progression across pediatric feeding skill domains

Assessing physiological arousal and emotional valence during behavioral intervention for pediatric feeding difficulties: A pilot study

A Systematic Review and Comprehensive Discussion of Social Validity Measurement in Behavioural Intervention for Paediatric Feeding Disorders

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