In patients with epilepsy, the potential to prevent seizure‐related injuries and to improve the unreliability of seizure self‐report have fostered the development and marketing of numerous seizure detection devices for home use. Understanding the requirements of users (patients and caregivers) is essential to improve adherence and mitigate barriers to the long‐term use of such devices. Here we reviewed the evidence on the needs and preferences of users and provided an overview of currently marketed devices for seizure detection (medically approved or with published evidence for their performance). We then compared devices with known needs. Seizure‐detection devices are expected to improve safety and clinical and self‐management, and to provide reassurance to users. Key factors affecting a device’s usability relate to its design (attractive appearance, low visibility, low intrusiveness), comfort of use, confidentiality of recorded data, and timely support from both technical and clinical ends. High detection sensitivity and low false alarm rates are paramount. Currently marketed devices are focused primarily on the recording of non–electroencephalography (EEG) signals associated with tonic‐clonic seizures, whereas the detection of focal seizures without major motor features remains a clear evidence gap. Moreover, there is paucity of evidence coming from real‐life settings. A joint effort of clinical and nonclinical experts, patients, and caregivers is required to ensure an optimal level of acceptability and usability, which are key aspects for a successful continuous monitoring aimed at seizure detection at home.

中文翻译：

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家中癫痫发作检测：市场上的设备是否符合癫痫患者及其护理人员的需求？

在癫痫患者中，预防癫痫相关损伤和改善癫痫自我报告的不可靠性的潜力促进了许多家用癫痫检测设备的开发和营销。了解用户（患者和护理人员）的要求对于提高依从性和减少长期使用此类设备的障碍至关重要。在这里，我们回顾了有关用户需求和偏好的证据，并概述了目前上市的癫痫检测设备（经医学批准或已公布其性能证据）。然后，我们比较了具有已知需求的设备。癫痫发作检测设备有望提高安全性、临床和自我管理，并为用户提供保证。影响设备可用性的关键因素涉及其设计（美观的外观、低能见度、低侵入性）、使用舒适度、记录数据的机密性以及技术和临床方面的及时支持。高检测灵敏度和低误报率至关重要。目前上市的设备主要集中在记录与强直阵挛发作相关的非脑电图 (EEG) 信号，而检测没有主要运动特征的局灶性发作仍然是一个明显的证据空白。此外，缺乏来自现实生活环境的证据。需要临床和非临床专家、患者和护理人员的共同努力，以确保最佳的可接受性和可用性水平，