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.