Digital monitoring to prevent repeat strokes after a recent stroke

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Adults who recently experienced an ischemic or hemorrhagic stroke (or a high-risk TIA) and who smoke are enrolled during routine post-stroke follow-up at the neurovascular unit. Participants use smartphone ecological momentary assessment (EMA) to report behaviors and symptoms, undergo biological measures including expired carbon monoxide, and receive psychological and substance-use evaluations alongside standard care. The digital monitoring is intended to support behavior change and smoking cessation in the early post-stroke period. The program is delivered at CHU de Bordeaux and requires smartphone and internet access and French national health insurance.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Male or female
* At least 18 years of age and younger than 80 years;
* Recent (≤ 15 days) clinically symptomatic ischemic or hemorrhagic stroke documented through brain imaging (CT or MRI) or a Transient Ischemic Attack with an Predictive Risk Score (ABCD2) ≥ 4;
* Returning to the neurovascular unit for the standard care post-stroke follow-up visits;
* National Institute Health Stroke Scale (NIHSS) \< 15;
* modified Rankin scale ≤ 4;
* No severe cognitive impairment as defined by the neurologist;
* Current smokers (smoking at least 1 cigarette per day during the month before admission)
* Able to use a smartphone
* Living in an area with internet coverage
* Written informed consent by the patient;
* Coverage by the French National Health Insurance

Exclusion Criteria:

* Subarachnoid hemorrhage; Dementia syndrome or other central neurologic disorder;
* Severe aphasia (NIHSS item 9 ≥ 2)
* Severe visual impairment interfering with the completion of evaluations;
* Severely impaired physical and/or mental health that, according to the neurologist, may affect the participant's capacity to participate in the study;
* Individuals already undergoing treatment for tobacco cessation and/or SRADs at admission in the stroke unit;
* Pregnancy or breastfeeding;
* Inability to read French;
* Individuals under legal protection or unable to express personally their consent
* Participation in another protocol modifying the patient's follow-up status.
* Person deprived of liberty
* Person in emergency situation

Where it's running

• CHU de Bordeaux
  Bordeaux, France Recruiting

Study contacts

• Principal investigator: Igor SIBON — University Hospital, Bordeaux
• Study coordinator: Igor SIBON
• Email: igor.sibon@chu-bordeaux.fr
• Phone: 0556795520

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.