---
title: Increase daily walking step count
nct_id: NCT04848077
phase: NA
status: RECRUITING
sponsor: Radboud University Medical Center
study_type: INTERVENTIONAL
canonical_url: "https://parkinsonspathways.com/trial/NCT04848077"
clinicaltrials_gov: "https://clinicaltrials.gov/study/NCT04848077"
last_fetched: "2026-05-10T14:05:25.016Z"
source: "Parkinson's Pathways (curated)"
---
# Increase daily walking step count

**Goal (in five words):** Increase daily walking step count

**Official Title:** STEPWISE Parkinson: A Smartphone Based, Titrated Exercise Solution for Patients With Parkinson's Disease in Daily Life

**Trial ID:** [NCT04848077](https://clinicaltrials.gov/study/NCT04848077)

## Key Facts

- **Phase:** NA
- **Status:** RECRUITING
- **Study Type:** INTERVENTIONAL
- **Sponsor:** Radboud University Medical Center
- **Target Enrollment:** 452 participants
- **Start Date:** 2021-05-18
- **Completion Date:** 2026-09
- **Conditions:** Movement Disorders, Parkinson Disease
- **Interventions:** Step count increase with the use of a motivational smartphone application
- **Intervention Types:** BEHAVIORAL

## Summary For Families

The goal is to help people with Parkinson's who walk relatively little increase their daily step count to boost mobility, fitness, and everyday function. The approach uses a motivational smartphone app that tracks steps and gives personalized, gradually increased step-count targets with reminders and feedback, so it nudges more walking in daily life without changing medications like levodopa. Adults with idiopathic Parkinson's at Hoehn and Yahr stages 1 to 3 who can walk independently, understand Dutch, and currently average under 7,000 steps per day are being enrolled. People with frequent recent falls, other mobility-limiting medical problems, cognitive issues that prevent app use, those living in nursing homes, or without a compatible smartphone are excluded.

## Eligibility

- **Minimum age:** 18 Years
- **Sex:** ALL

### Full Criteria

```
Inclusion Criteria:

* idiopathic PD
* Hoehn and Yahr 1-3
* able to understand the Dutch language
* able to walk independently
* equal to or less than 120 minutes of sports/outdoor activities per day (question 5-28 LASA Physical Activity Questionnaire (LAPAQ))
* less than 7,000 steps/day during 1-month baseline (week -4 until 0)

Exclusion Criteria:

* weekly falls in the previous 3 months
* medical conditions that hamper mobility other than PD
* living in a nursing home
* cognitive impairments that hamper use of the motivational app (subjective evaluation by the assessor)
* not in the possession of a suitable smartphone (Iphone 5S or newer with iOS 10 or higher or Android 4.1 or newer)
```

## Locations (1)

- Radboud university medical center, Nijmegen, Gelderland, Netherlands _(51.8425, 5.8528)_
  - Sabine Schootemeijer, MSc. — (CONTACT) — 00316 50155754 — sabine.schootemeijer@radboudumc.nl

## Central Contacts

- Sabine Schootemeijer, MSc — (CONTACT) — 00316 50155754 — sabine.schootemeijer@radboudumc.nl

---

*Canonical: https://parkinsonspathways.com/trial/NCT04848077*  
*HTML version: https://parkinsonspathways.com/trial/NCT04848077*  
*Source data: https://clinicaltrials.gov/study/NCT04848077*