Table 1. Values and their interpretations for the seizure detector.
Value | Subcategory | Benefit | Risk |
---|---|---|---|
Health | Patient safety | Detection of seizures | Physical harm caused by system (mis-)use |
Optimal care | Timely caregiving | Lack of availability of trained caregivers | |
Optimal care | Objective information on seizures | Burden of new knowledge on seizures | |
Optimal care | Respond to patient behaviour | - | |
Quality of life | Improved sleep patients | Potential burden of sensors | |
Quality of life | Improved sleep caregivers | - | |
Trust | Trust | Trust and relaxation for patients | ‘Human factor’: device part of ‘care system’ |
Trust | Trust and relaxation for caregivers | - | |
Trust | Evidence based seizure detection | - | |
Trust | Response to major seizures | - | |
Trust | Response to ‘risk averse’ society | - | |
Accessibility | Usability | Personalized telecare | Lack of availability of trained caregivers |
Usability | Plug and play | Insufficient health capacities of end-users | |
Usability | Zero maintenance | Technical problems | |
Usability | Technical support | - | |
Availability | Easy access to data on seizures | Potential for breach of privacy | |
Availability | - | Costs | |
Availability | - | Acceptance of prescribers and insurers | |
Reliability | Accuracy | Low false positives/false negatives | No 100% reliability possible |
Accuracy | Scientific validity | What is a clinically relevant seizure? | |
Accuracy | Short response time | Over-monitoring may lead to alarm-fatigue | |
Accuracy | Detection of multiple seizure types | - | |
Technical | Sustainability | Technical failure | |
Technical | Up-to-date | Interference of/with other systems | |
Technical | Technical support available | - | |
Technical | Remote control | - | |
Autonomy | System | Support patient autonomy | Diminished level of care |
System | More normal family life | - | |
Privacy | - | Misuse of data and video imaging | |
Privacy | - | Restriction of freedom | |
Responsibility | Better circumstances for caregiver | Unclear division of responsibility | |
Responsibility | - | Potential burden of responsibility |
The five main values are shown with subcategories. Risks and benefits of the introduction of the seizure detector regarding each subcategory are summarized in this table.