Wearables in real life: A qualitative study of experiences of people with epilepsy who use home seizure monitoring devices

Olsen, Lotte Schelde; Nielsen, Joachim; Simonÿ, Charlotte; Kjær, Troels W.; Beck, Malene

doi:10.1016/j.yebeh.2021.108398

Cited by 13 publications

(21 citation statements)

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“…The mobile solution was applied by medical students after <1 h of training and was well tolerated by participants and medical staff. One limitation of these studies is that they did not use standardized questionnaires or interview to assess the acceptability and usability of devices, 22–24,40 whereas one did not describe the technical characteristics of the mobile EEG tested 45 …”

Section: Results: 20 Years Of Progress In the Application Of New Noni...mentioning

confidence: 99%

“…Overall, evidence showed that mobile EEG is well accepted and tolerated by patients 20,24,40,43–47,49,58,67 and that experts and nonexperts found these solutions easy to apply 22,33,38 . Multiple‐channel solutions, which are easy to apply but with electrodes that are not fixed, such as Emotiv Epoc+ 20 and ANT neuro, 48 may not be optimal for diagnostic purposes but are useful in situations where it is important to apply the EEG easily.…”

Section: Discussionmentioning

confidence: 99%

“…62 On the other side the use of these solutions is enhanced by the fact that patients and nonexperts needed only a brief training to learn how to apply, fix, or adjust them. 20,26,28,45,49,51,58 Several solutions described were designed specifically to be discrete, 19,21,27,49,52 ensure an optimal level of acceptability and usability, 69 and allow patients to be comfortable. 23,26,28,40,50 An example of this new approach is a new mobile system in use for ambulatory EEG, the SeerSense (SeerMedical).…”

Section: Discussionmentioning

confidence: 99%

“…The biggest issues related with devices with low number of channels were related to their visibility, 40,44,45 the material, 23 the need for frequent adjustment, 43,44,67,68 and movement artifacts in the data 62 . On the other side the use of these solutions is enhanced by the fact that patients and nonexperts needed only a brief training to learn how to apply, fix, or adjust them 20,26,28,45,49,51,58 . Several solutions described were designed specifically to be discrete, 19,21,27,49,52 ensure an optimal level of acceptability and usability, 69 and allow patients to be comfortable 23,26,28,40,50 .…”

Section: Discussionmentioning

confidence: 99%

“…One limitation of these studies is that they did not use standardized questionnaires or interview to assess the acceptability and usability of devices, [22][23][24]40 whereas one did not describe the technical characteristics of the mobile EEG tested. 45 3.7 | Usability, acceptability, and feasibility of noninvasive mobile EEG systems in the ICU and ED Meyer et al 33 showed that one of the main advantages of using the CerebAir headset in the ICU is that it was very quick to apply due to the absence of cables and highly accepted by ICU nurses. Similarly, Egawa et al 34 showed that the median time needed to initiate CerebAir EEG was 57 min, saving 303 min compared to the set-up time for conventional scalp EEG.…”

Section: Usability Acceptability and Feasibility Of Noninvasive Mobil...mentioning

confidence: 99%

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Noninvasive mobile EEG as a tool for seizure monitoring and management: A systematic review

et al. 2022

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In the last two decades new noninvasive mobile electroencephalography (EEG) solutions have been developed to overcome limitations of conventional clinical EEG and to improve monitoring of patients with long‐term conditions. Despite the availability of mobile innovations, their adoption is still very limited. The aim of this study is to review the current state‐of‐the‐art and highlight the main advantages of adopting noninvasive mobile EEG solutions in clinical trials and research studies of people with epilepsy or suspected seizures. Device characteristics are described, and their evaluation is presented. Two authors independently performed a literature review in accordance with Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines. A combination of different digital libraries was used (Embase, MEDLINE, Global Health, PsycINFO and https://clinicaltrials.gov/). Twenty‐three full‐text, six conference abstracts, and eight webpages were included, where a total of 14 noninvasive mobile solutions were identified. Published studies demonstrated at different levels how EEG recorded via mobile EEG can be used for visual detection of EEG abnormalities and for the application of automatic‐detection algorithms with acceptable specificity and sensitivity. When the quality of the signal was compared with scalp EEG, many similarities were found in the background activities and power spectrum. Several studies indicated that the experience of patients and health care providers using mobile EEG was positive in different settings. Ongoing trials are focused mostly on improving seizure‐detection accuracy and also on testing and assessing feasibility and acceptability of noninvasive devices in the hospital and at home. This review supports the potential clinical value of noninvasive mobile EEG systems and their advantages in terms of time, technical support, cost, usability, and reliability when applied to seizure detection and management. On the other hand, the limitations of the studies confirmed that future research is needed to provide more evidence regarding feasibility and acceptability in different settings, as well as the data quality and detection accuracy of new noninvasive mobile EEG solutions.

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Section: Results: 20 Years Of Progress In the Application Of New Noni...mentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Usability Acceptability and Feasibility Of Noninvasive Mobil...mentioning

confidence: 99%

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Noninvasive mobile EEG as a tool for seizure monitoring and management: A systematic review

et al. 2022

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User involvement in the design and development of medical devices in epilepsy: A systematic review

Ferreira,

Peixoto,

Lopes

et al. 2024

Epilepsia Open

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ObjectiveThis systematic review aims to describe the involvement of persons with epilepsy (PWE), healthcare professionals (HP) and caregivers (CG) in the design and development of medical devices is epilepsy.MethodsA systematic review was conducted, adhering to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines. Eligibility criteria included peer‐reviewed research focusing on medical devices for epilepsy management, involving users (PWE, CG, and HP) during the MDD process. Searches were performed on PubMed, Web of Science, and Scopus, and a total of 55 relevant articles were identified and reviewed.ResultsFrom 1999 to 2023, there was a gradual increase in the number of publications related to user involvement in epilepsy medical device development (MDD), highlighting the growing interest in this field. The medical devices involved in these studies encompassed a range of seizure detection tools, healthcare information systems, vagus nerve stimulation (VNS) and electroencephalogram (EEG) technologies reflecting the emphasis on seizure detection, prediction, and prevention. PWE and CG were the primary users involved, underscoring the importance of their perspectives. Surveys, usability testing, interviews, and focus groups were the methods used for capturing user perspectives. User involvement occurs in four out of the five stages of MDD, with production being the exception.SignificanceUser involvement in the MDD process for epilepsy management is an emerging area of interest holding a significant promise for improving device quality and patient outcomes. This review highlights the need for broader and more effective user involvement, as it currently lags in the development of commercially available medical devices for epilepsy management. Future research should explore the benefits and barriers of user involvement to enhance medical device technologies for epilepsy.Plain Language SummaryThis review covers studies that have involved users in the development process of medical devices for epilepsy. The studies reported here have focused on getting input from people with epilepsy, their caregivers, and healthcare providers. These devices include tools for detecting seizures, stimulating nerves, and tracking brain activity. Most user feedback was gathered through surveys, usability tests, interviews, and focus groups. Users were involved in nearly every stage of device development except production. The review highlights that involving users can improve device quality and patient outcomes, but more effective involvement is needed in commercial device development. Future research should focus on the benefits and challenges of user involvement.

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Mapping Epilepsy Monitoring Challenges for Enhanced Patient Experience

Morgado,

Ayanoğlu,

Hernández Ramírez

2024

Lecture Notes in Computer Science

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Wearables in real life: A qualitative study of experiences of people with epilepsy who use home seizure monitoring devices

Cited by 13 publications

References 13 publications

Noninvasive mobile EEG as a tool for seizure monitoring and management: A systematic review

Noninvasive mobile EEG as a tool for seizure monitoring and management: A systematic review

User involvement in the design and development of medical devices in epilepsy: A systematic review

Mapping Epilepsy Monitoring Challenges for Enhanced Patient Experience

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