{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T12:29:16Z","timestamp":1786883356406,"version":"build-2736575974"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"crossref","award":["NIHR300529"],"award-info":[{"award-number":["NIHR300529"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the feasibility and acceptability of a co-designed breakfast group intervention, BISTRo, delivered within an acute stroke rehabilitation service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Multisite mixed-methods feasibility study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Three National Health Service stroke rehabilitation wards in the United Kingdom.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Sixteen stroke survivors and 53 multidisciplinary staff from occupational therapy, physiotherapy, speech and language therapy, dietetics, nursing, and psychology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>A structured breakfast group, delivered on five mornings a week over two weeks, integrating social dining, peer support, multidisciplinary rehabilitation, and functional eating and drinking practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Attendance, attrition, and therapy dose were recorded. Patient-reported outcomes included a self-confidence Likert scale and subscales of the Confidence after Stroke Measure. Semi-structured interviews with stroke survivors and staff focus groups explored acceptability. Qualitative data were analysed thematically using feasibility and acceptability frameworks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixteen stroke survivors participated across all wards, with high attendance (mean 8.9 sessions\/standard deviation 1.45 out of 10), no intervention-related withdrawals, and complete data collection. Fifteen participants improved on the self-confidence measure. Positive attitude scores improved in eight participants, remained stable in five, and declined in three. In interviews with stroke survivors (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200912) and focus groups with staff (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200921), BISTRo was described as meaningful, confidence-building, and socially supportive. Staff also reported improved interdisciplinary working and manageable resource demands.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Delivery of the BISTRo breakfast group was feasible and acceptable and warrants further evaluation. Conducting this feasibility study has enabled identification of potential changes to the trial design.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155261476634","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T14:20:41Z","timestamp":1786630841000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility and acceptability of the breakfast group intervention BISTRo for stroke survivors in acute rehabilitation"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6177-1808","authenticated-orcid":false,"given":"Natalie","family":"Jones","sequence":"first","affiliation":[{"name":"University of Sheffield"},{"name":"Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK"},{"name":"Primary Care Doncaster Limited"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2795-8983","authenticated-orcid":false,"given":"Susan","family":"Mawson","sequence":"additional","affiliation":[{"name":"University of Sheffield"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1220-8354","authenticated-orcid":false,"given":"Avril","family":"Drummond","sequence":"additional","affiliation":[{"name":"Loughborough University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4033-506X","authenticated-orcid":false,"given":"Alicia","family":"O'Cathain","sequence":"additional","affiliation":[{"name":"University of Sheffield"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"1","volume-title":"State of the nation stroke statistics","author":"Stroke Association","year":"2018","unstructured":"Stroke Association. 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Effect of communal dining and dining room enhancement interventions on nutritional, clinical and functional outcomes of patients in acute and sub-acute hospital, rehabilitation and aged-care settings: a systematic review. Nutr Diet 2021; 79: 1\u201329.","journal-title":"Nutr Diet"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-016-0256-8"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-017-4695-8"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-026-14977-2"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2026.2669997"},{"key":"e_1_3_3_18_2","unstructured":"Horne J. Measuring confidence after stroke. University of Nottingham. http:\/\/eprints.nottingham.ac.uk\/31465\/1\/PHDhardboundthesisJCH Horne.pdf%0ACopyright (2016)."},{"key":"e_1_3_3_19_2","volume-title":"Successful qualitative research","author":"Braun V","year":"2013","unstructured":"Braun V, Clarke V. Successful qualitative research. 1st ed. Sages Publications Ltd, 2013.","edition":"1"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/bjhp.12295"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2013.006270"},{"key":"e_1_3_3_22_2","author":"QSR International Pty Ltd","unstructured":"QSR International Pty Ltd. NVivo (Version 12) [computer software].","journal-title":"NVivo"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305285708"},{"key":"e_1_3_3_24_2","unstructured":"Royal College of Physicians. 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