Tessa Taylor

Tessa Taylor
Johns Hopkins Medicine | JHUSOM · Department of Psychiatry and Behavioral Sciences

PhD, BCBA-D

About

125
Publications
20,854
Reads
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1,775
Citations
Additional affiliations
June 2009 - November 2014
Kennedy Krieger Institute
Position
  • Analyst
August 2006 - June 2010
Louisiana State University
Education
June 2009 - October 2011

Publications

Publications (125)
Article
Research has shown effectiveness of redistribution procedures for decreasing packing and increasing swallowing. Redistribution has been done using lower manipulated-texture foods on an infant gum brush in specialized U.S. hospitals. We extended this by using regular texture bites of food in a short-term (1–2 weeks) home-based program in Australia,...
Presentation
Conference Paper
Social validity is a critical issue, especially in paediatric feeding intervention; however, research is lacking despite being a frequent topic. We present a series of studies involving children in home-based, behaviour-analytic, intensive paediatric feeding treatment programmes. We present a novel methodology of assessment development in which car...
Article
Medication administration can be a significant issue in pediatric populations, and especially with patients with developmental disabilities and comorbid feeding disorders. Research has focused largely on consumption of solids rather than medication and liquids in pediatric feeding programs, with most studies being conducted within specialized hospi...
Conference Paper
Social validity is critical to our field but continues to be infrequently assessed, especially in paediatric feeding treatments. Across the board, social validity measures are often constructed by the authors, or involve standardised questionnaires. Little attention has been paid to gaining perspectives from participants in order to inform the soci...
Conference Paper
Social validity is a critical issue, especially in paediatric feeding intervention; however, research is lacking despite being a frequent topic. We present a series of studies involving children in home-based, behaviour-analytic, intensive paediatric feeding treatment programmes. We present a novel methodology of assessment development in which car...
Conference Paper
Full-text available
Aim Paediatric feeding disorders are normally managed by specialist clinics. We examined whether treatment gains were maintained when trained parents continued the programme at home and during meals out. Methods This controlled consecutive case series recruited 26 children (22 boys) with avoidant/restrictive food intake disorder, from a private pae...
Conference Paper
Graphical displays of data help with analysis and interpretation of the targeted response and communication with others about progress. Selecting the graphical display that best suits the measurement system is a critical skill for behaviour analysts particularly when making clinical decisions. One such graphical display is a standard celeration cha...
Article
Social validity of treatment for paediatric feeding disorders can be defined as the extent to which caregivers find treatment goals and procedures acceptable, and the level of satisfaction with the outcomes of treatment. However, there are few studies which examine social validity data, or that evaluate social validity against key treatment variabl...
Article
Full-text available
Behavior analysts typically rely on visual inspection of single-case experimental designs to make treatment decisions. However, visual inspection is subjective, which has led to the development of supplemental objective methods such as the conservative dual-criteria method. To replicate and extend a study conducted by Wolfe et al. (2018) on the top...
Article
Full-text available
There is limited research on the social validity of treatment for pediatric feeding disorders. When it is assessed, the evaluation of treatment acceptability may focus on a few specific procedures or the entire program post‐treatment. This report took place within a home‐based behavior‐analytic treatment model in Australia. Caregivers of eight chil...
Article
Full-text available
Social validity is often defined as the degree to which an intervention has value to the community that it effects, but it is seldom reported in the literature. Most social validity questionnaires are purposely created by the authors of the study and often lack a description of scale development process. The purpose of this study was to evaluate me...
Article
Research from specialised hospital feeding programmes in the United States has shown effectiveness of a variety of treatments for packing (not swallowing food or liquid in the mouth) to increase swallowing and consumption. One potential component used in clinical practice has not been evaluated in the literature to our knowledge. This component is...
Article
Practitioners in pediatric feeding programs often rely on single-case experimental designs and visual inspection to make treatment decisions (e.g., whether to change or keep a treatment in place). However, researchers have shown that this practice remains subjective, and there is no consensus yet on the best approach to support visual inspection re...
Article
Packing involves not swallowing solids or liquids in the mouth. It is a significant mealtime behaviour to treat. Research has shown effectiveness of redistribution, but only two studies in highly specialised hospital settings in the United States have evaluated the use of a chaser. We extended this literature by conducting treatment in the home set...
Article
Full-text available
There are well-established empirically-supported treatments for paediatric feeding disorders (avoidant/restrictive food intake disorder; ARFID); however, more research is needed on their sole use, outside of specialised multidisciplinary feeding hospitals, and with older ages. Additionally, there is little research on the use of an exit criterion t...
Article
Full-text available
For paediatric feeding problems, behaviour-analytic treatments are the only approach with empirical support, but are not globally accessible. Outside of the United States, children and families are therefore likely to receive generic recommendations, or services which are not empirically-supported. Objective: This paper aims to systematically revie...
Article
Full-text available
Childhood feeding problems are one of the most common complaints raised in physician visits. Previous literature has suggested that these problems can be temporary, normal, and not a cause for concern. Thus, it is not surprising that parents may be advised to "wait and see" or receive generic, non-evidence-based recommendations. Objective: This nar...
Article
Early childhood feeding problems can be challenging. Children who limit their food consumption may significantly impact multiple critical areas of development. Effective treatment should be accessed as early as possible but has been limited to a handful of US hospital programmes. Feeding problems affect both children with and without disability, an...
Preprint
Research has shown effectiveness of a redistribution procedure for decreasing packing and increasing swallowing. Redistribution has been done using lower manipulated-texture foods on an infant gum brush in specialised United States hospitals. We extended this by using regular texture bites of food in a short-term (1-2 weeks) home-based programme in...
Article
Full-text available
There are well-established empirically-supported treatments for paediatric feeding disorders (avoidant/restrictive food intake disorder; ARFID); however, more research is needed on their sole use, outside of specialised multidisciplinary feeding hospitals, and with older ages. Additionally, there is little research on the use of an exit criterion t...
Article
A R T I C L E I N F O Keywords: Inappropriate mealtime behaviour Paediatric feeding disorders Chewing Texture selectivity Autism spectrum disorder Avoidant/restrictive food intake disorder (ARFID) A B S T R A C T Children with paediatric feeding disorders may not naturally develop typical chewing skills to eat age-appropriate food textures. There a...
Article
Full-text available
Aim Paediatric feeding disorders are normally managed by specialist clinics. We examined whether treatment gains were maintained when trained parents continued the programme at home and during meals out. Methods This controlled consecutive case series recruited 26 children (22 boys) with avoidant/restrictive food intake disorder, from a private pa...
Article
Full-text available
What is it about? Feeding problems affect most areas of a kid's life and development (toileting, sleep, learning). This should be fixed as young as possible, but proper treatment is only in a few special hospitals in the USA. This paper presents this treatment done in-home overseas. The kids made great improvements in their eating and drinking. The...
Article
Pica is one of the most serious, life-threatening topographies of self-injurious behavior because a single instance can result in death. Despite this, there is a need for more research on teaching adaptive skills to replace pica, particularly outside of intensive specialized hospital admissions and with younger children. We present a case history o...
Preprint
Pica is one of the most serious, life-threatening topographies of self-injurious behavior because a single instance can result in death. Despite this, there is a need for more research on teaching adaptive skills to replace pica, particularly outside of intensive specialized hospital admissions and with younger children. We present a case history o...
Article
Objective Research has shown effectiveness of nonremoval of the spoon and physical guidance in increasing consumption and decreasing inappropriate mealtime behavior. The side deposit has been used to treat passive refusal in 2 studies (1 in a highly specialized hospital setting) using lower manipulated-texture foods on an infant gum brush. Methods...
Article
Full-text available
Introduction: Avoidant/restrictive food intake disorder (ARFID) can occur in children with typical development and persist past childhood. This significantly impacts most areas of children's lives, but may become more evident in teenage years, especially socially. There is an empirically supported treatment for ARFID with 40 years of research back...
Article
Full-text available
A paired-stimulus assessment is an empirical approach for identifying hierarchies of preference based on stimulus approach, consumption, and avoidance. However, if no response occurs after stimuli are presented or if all stimuli are avoided, a hierarchy cannot be established. This is commonly observed in the context of food selectivity for children...
Conference Paper
Introduction: Avoidant/restrictive food intake disorder (ARFID) can occur in children with typical development and persist past childhood. This significantly impacts most areas of children's lives, but may become more evident in teenage years, especially socially. There is an empirically supported treatment for ARFID with 40 years of research backi...
Article
Full-text available
Researchers have shown the effectiveness of physical guidance procedures in highly specialised hospital settings. We replicated use of a side deposit in a treatment package using a reversal design. We extended by translating to a home setting in Australia. We also evaluated the frequency and necessity of use over time to 13 months, choice and posit...
Article
Full-text available
Background: Feeding disorders are multifaceted with behavioral components often contributing to the development and continuation of food refusal. In these cases, behavioral interventions are effective in treating feeding problems, even when medical or oral motor components are also involved. Although behavioral interventions for feeding problems a...
Article
Full-text available
Treatment of liquid refusal in pediatric feeding disorders is essential for decreasing tube dependence, alleviating some medical conditions (e.g., constipation), and increasing caloric and nutritional intake (e.g., formulas). Although investigators have conducted edible preference assessments for solids, there are no studies to our knowledge in whi...
Article
Full-text available
To assess the prevalence of food allergy in children presenting to a multidisciplinary feeding program. A retrospective chart review was conducted from 302 patients. We recorded history of food reaction, family history of any atopic disease, radioallergosorbent testing, prematurity, birth weight, breastfeeding history, Z-scores, age, and gastrointe...
Chapter
Full-text available
A variety of problems related to eating can be observed among persons with intellectual disabilities (ID). This chapter defines the problem, its prevalence, and how it is treated. The focus will be on empirically supported methods and procedures.
Article
Full-text available
Research has shown that nonremoval of the spoon and physical guidance procedures can be effective in treating active food refusal (e.g., head turning and spoon pushing) and increasing food consumption. These procedures alone may not be effective in treating more passive food refusal (e.g., sitting still without opening mouth). We defined and evalua...
Article
Background context: Repeated cohort studies have consistently demonstrated a survival advantage after en bloc resection for locally aggressive primary tumors in the sacrum. A sacrectomy is often required to remove the tumor en bloc, which may necessitate the sacrifice of sacral nerves. This can potentially result in functional complications, inclu...
Article
Full-text available
Physical guidance procedures can be effective in the treatment of severe pediatric food refusal. Researchers evaluating the use of physical guidance procedures often include a procedure referred to as a jaw prompt, but other variations of physical guidance may also be effective. An additional form of physical guidance, the finger prompt, might incr...
Article
Full-text available
An individualized levels system was implemented to increase independent eating in two children with food refusal. Participants earned access to different status levels associated with varying availability of preferred items/activities outside of meals according to criteria based on low levels of prompting throughout the meal. A reversal design was...
Article
Full-text available
Pica displayed by two individuals with autism was decreased by a treatment involving differential reinforcement and response interruption that altered the chain of behavior involved in pica (i.e., picking up items and placing them in the mouth). The treatment involved establishing prompts to ‘clean-up’ as a new discriminative stimulus (SD) for pick...
Article
Full-text available
Although gender disparity in ASD has been long documented, research addressing gender related to core ASD symptomatology (e.g., domains, severity, breadth, etc.) is scant. The present research examined gender differences in ASD symptomatology in three populations: infants and toddlers at risk for developmental disability, children and adolescents,...
Article
Full-text available
A preponderance of males with autism spectrum disorders (ASD) has been evident since the initial writings on the topic. This male predominance has consistently emerged in all ASD research to date in epidemiological as well as clinical populations. Despite this long recognized gender disparity in ASD, surprisingly there is a paucity of research addr...
Presentation
Presented at the core course curriculum training program of the Maternal and Child Health Bureau Leadership Education in Neurodevelopmental and Related Disabilities at Kennedy Krieger Institute and the Johns Hopkins University School of Medicine
Article
Social skills are an important part of development, and deficits in this area have long-term impacts on a child. As a result, clinicians should include a measure of social skills as part of a comprehensive assessment. There are a few well-researched measures of social skills that are currently used, including the Matson Evaluation of Social Skills...