Smartwatch Coaching and Nurse Support for Walking After a Minor Stroke
Compares two smartwatch types for walking after a minor stroke or TIA.
Plain-language title generated from the registry record
Registry title: Smartwatch-Guided Secondary Prevention After Stroke
Key facts
- Where
- Brest, FranceSee the site
Could this be for you?
Answer for yourself. This is not a decision: only the study team can say whether you can take part.
- Are you between 40 and 75 years old?
Source: NCT07640360, who can take part
Where in France
- Chu BrestBrest, FranceNo longer taking part
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- University Hospital, Brest
- Trial code
- NCT07640360
- Record updated
- 10 June 2026
- Original description
After a first stroke or transient ischemic attack (TIA), the risk of recurrence is high in the weeks and months following the initial event. There are several modifiable risk factors that can reduce this risk, such as blood pressure, diet, physical activity, and smoking. Many stroke patients (NIHSS < 5) have a low daily step count during the early recovery period, despite a good functional prognosis.Read full original descriptionShow less
WATCH-STEP : Pilot Trial: Smartwatch-Guided Secondary Prevention After Stroke Randomized Trial of Nurse-led Program With Active vs Passive Smartwatch in Minor Stroke. A Randomized Controlled Trial Evaluating a Nurse-led Secondary Prevention and Physical Activity Program Supported by Either an Active Smartwatch (Structured Feedback) or Passive Smartwatch in Patients With Minor Stroke.
After a first stroke or transient ischemic attack (TIA), the risk of recurrence is high in the weeks and months following the initial event. There are several modifiable risk factors that can reduce this risk, such as blood pressure, diet, physical activity, and smoking. Many stroke patients (NIHSS < 5) have a low daily step count during the early recovery period, despite a good functional prognosis.
Active smartwatches provide real-time feedback, track progress, and set personalized walking goals, thereby boosting motivation and adherence to physical activity recommendations.
The combination of advice provided by nurses and active behavioral coaching supported by a smartwatch, compared to passive monitoring, could significantly increase daily step counts over a 12-week period. The results of this research will help guide future large-scale secondary prevention strategies integrating digital health and structured nursing support.
Inclusion: Age ≤ 40-75; Patients with recent minor ischemic stroke or TIA, initial NIHSS ≤5 (< 30 days); mRS ≤2 before stroke and on discharge; Patient with Wifi access (for data transmission); Able to understand smartwatch instructions; Written informed consent; Ambulatory ≥10 meters without assistance and without walking aid; Expected to live at home during the study period.
Exclusion: Cognitive impairment interfering with participation (e.g., MoCA <20); Unstable cardiac conditions preventing walking goals; Major visual or upper limb impairment preventing use of the smartwatch; Patients with transient neurological deficits resolving within one hour and normal brain imaging will be excluded; Not affiliated to social security; Patient under legal protection or deprived of liberty by a judicial or administrative decision; Patient whose follow-up will be impossible; Life expectancy <1 year; Already highly active (>10,000 steps/day, or about 1.5 hours of walking); Participation in competing interventional trials.