Breakfast Group Interventions in Stroke Rehabilitation

NCT05102812 | Completed

• 1 other identifier: STH20859
• Study Type: interventional
• Target: 134
• Locations: 1 country
• Sites: 1

Brief Summary

Current evidence shows that many people living with stroke experience major problems with eating and drinking. We know that this can lead to malnutrition, dehydration, reduced muscle strength and depression. It can also lead to longer stays in hospital, reduced ability to participate in rehabilitation and in the long term poorer quality of life. People living with stroke say the pleasure gained from eating and drinking changes after a stroke. They describe feeling embarrassed and ashamed and report a loss of self-confidence. Therefore, being able to eat and drink independently is essential for health and well-being. People with stroke welcome opportunities to address eating and drinking problems early in their rehabilitation and would like more opportunities to practice the necessary skills needed, to regain independence. Early rehabilitation interventions have the potential to improve long-term outcomes by providing strategies, assistive devices and rehabilitation as early as possible in stroke recovery. Health care professionals are using breakfast groups to provide opportunities to practice preparation and consumption of food and drink with enabling support. Consultations with patients and health care professionals have found that the processes involved in breakfast group interventions lack rigour and multi-disciplinary team coordination, thus leading to uncertainty about what outcomes are achieved for each patient. This co-designed study aims to find out if it is possible to improve patient outcomes by providing more intensive interventions in a breakfast group format delivered by a range of health care professionals over five days of the week. The intervention will be co-designed with a stakeholder group comprising of patients, carers and stroke unit health care professionals supported by an advisory group, comprising of experts in the field. The intervention will be delivered in three sites and it will include a tool kit to support the integrated assessment, care plan and outcome measures.

Conditions

Stroke

Keywords

Breakfast Intervention; Co-design

Outcome Measures

Primary Outcomes (1)

• Proportion of patients who accept the breakfast group intervention

  4 weeks

Study Arms (1)

Breakfast Group Intervention

EXPERIMENTAL

The intervention will be piloted at Sheffield Teaching Hospitals for 1-2 weeks. Then will be refined and piloted at tow further stroke wards (Rotherham Hospitals NHS Foundation Trust and Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust)

Behavioral: Breakfast Group Intervention

Interventions

Breakfast Group Intervention BEHAVIORAL

An actionable toolkit encompassing an assessment, a personalised care plan and a range of outcome measures.

Breakfast Group Intervention

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Language: Speaks English sufficient to participate in a group activity
• Clinical Condition: Occurrence of a Stroke which has led to difficulties with performance of eating and drinking activities
• Age range: Over 18 years of age
• Cognition: Mild to moderate impairment (Mini-Mental State Examination MMsE\<15/30) able to consent or a consultee can support consent.
• Location: Inpatient in an acute stroke ward/unit in the United Kingdom
• Language: Speaks English sufficient to participate in a group activity
• Age range: Over 18 years of age
• Location: NHS Staff employed to work on an inpatient acute stroke ward/unit in the United Kingdom
• Experience: Working in stroke rehabilitation

You may not qualify if:

• No Stroke Diagnosis - Stroke Survivors only
• Outside the stated age range
• Outside the stated location
• Cognitive impairment (Mini-Mental State Examination MMsE\<15/30 - Stroke Survivors only, or unable to consent with consultee support.

Sponsors & Collaborators

• Sheffield Teaching Hospitals NHS Foundation Trust: lead
• University of Sheffield: collaborator
• Queen's Medical Center: collaborator
• The Rotherham NHS Foundation Trust: collaborator
• Doncaster And Bassetlaw Hospitals NHS Foundation Trust: collaborator

Study Sites (1)

Sheffield Pathway Assessment and Rehabilitation Centre

Sheffield, South Yorkshire, S2 3QE, United Kingdom

Location

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Officials

• Natalie Jones

  Sheffield Teaching Hospitals NHS Foundation Trust

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 20, 2021
• First Posted: November 2, 2021
• Study Start: February 17, 2022
• Primary Completion: February 8, 2023
• Study Completion: February 8, 2023
• Last Updated: August 15, 2023

Record last verified: 2023-08

Locations

GB (1)