Hadady Levente, Robinson Torie, Bruno Elisa, Richardson Mark P, Beniczky Sándor
Department of Neurology, Albert-Szent Györgyi Medical School, University of Szeged, Szeged, Hungary.
Epilepsy Sparks, London, UK.
Epilepsia. 2025 Jan 28. doi: 10.1111/epi.18280.
Seizure detection devices (SDDs) offer promising technological advancements in epilepsy management, providing real-time seizure monitoring and alerts for patients and caregivers. This critical review explores user perspectives and experiences with SDDs to better understand factors influencing their adoption and sustained use. An electronic literature search identified 34 relevant studies addressing common themes such as usability, motivation, comfort, accuracy, barriers, and the financial burden of these devices. Usability emerged as the most frequently discussed factor, with patients and caregivers also emphasizing the importance of ease of use, long battery life, and waterproof design. Although validated devices showed high user satisfaction, technical challenges, false negatives, and false positives need much improvement. Motivation to use SDDs was driven by enhanced safety, symptom tracking, and health care professional recommendations. Comfort and wearability were also critical aspects, with users favoring lightweight, breathable, and discreet designs for long-term wear. Users reported the devices as "comfortable" and preferring wrist or arm-worn devices for the long term. Accuracy-particularly minimizing false positives and false negatives-was a priority for users. Barriers to adoption included device cost, limited insurance reimbursement, discomfort, and concerns about data privacy. Despite these challenges, many users were willing to use SDDs. Recommendations from health care professionals significantly increased user motivation. This review highlights the need for SDD designs that address user concerns regarding usability, comfort, looks, and accuracy, while also reducing financial and technical barriers. Enhancing clinical involvement and tailoring devices to specific patient needs may be crucial to promoting wider SDD adoption. Further research is needed to evaluate the impact of SDDs on quality of life and to explore ways to mitigate challenges in long-term use.
癫痫发作检测设备（SDD）在癫痫管理方面取得了有前景的技术进步，可为患者及其护理人员提供实时癫痫发作监测和警报。这篇批判性综述探讨了用户对SDD的看法和体验，以更好地了解影响其采用和持续使用的因素。一项电子文献检索确定了34项相关研究，这些研究涉及可用性、动机、舒适度、准确性、障碍以及这些设备的经济负担等共同主题。可用性是讨论最频繁的因素，患者和护理人员还强调了易用性、长电池续航时间和防水设计的重要性。尽管经过验证的设备显示出较高的用户满意度，但技术挑战、假阴性和假阳性仍需大幅改进。使用SDD的动机来自更高的安全性、症状跟踪以及医疗保健专业人员的建议。舒适度和可穿戴性也是关键方面，用户更喜欢轻便、透气且隐蔽的设计以便长期佩戴。用户报告称这些设备“舒适”，并且长期更喜欢佩戴在手腕或手臂上的设备。准确性——尤其是最大限度地减少假阳性和假阴性——是用户的首要任务。采用的障碍包括设备成本、保险报销有限、不适以及对数据隐私的担忧。尽管存在这些挑战，许多用户仍愿意使用SDD。医疗保健专业人员的建议显著提高了用户的积极性。这篇综述强调需要设计出能解决用户对可用性、舒适度、外观和准确性的担忧的SDD，同时还要减少经济和技术障碍。加强临床参与并根据特定患者需求定制设备对于促进更广泛地采用SDD可能至关重要。需要进一步研究来评估SDD对生活质量的影响，并探索减轻长期使用中挑战的方法。
