Technology development is gathering pace in epilepsy with seizure detection devices promising to transform self-care and service provision. However, such accounts often neglect the uncertainties, displacements and responsibilities that technology-supported care generates. This review brings together a heterogeneous literature, identified through systematic searches in 8 databases and snowball searching, to interrogate how technology becomes positioned in epilepsy care. We took a hermeneutic approach in our analysis of the 206 included articles, which resulted in the development of a conceptual framework surfacing the underlying logics by which technology-supported epilepsy care is organised. Each of these logics enacts different techno-scientific futures and carries specific assumptions about how (often imagined) ‘users’ and their bodies become co-constituted. Our review shows that studies in this area remain primarily deterministic and technology-focused. Few draw phenomenological insights on lived experiences with epilepsy or use social theory to problematise the role of technology. We propose future directions for sociotechnical, theory-driven studies of technology in epilepsy care and offer a framework transferable across other long-term conditions.

中文翻译：

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质疑技术在癫痫护理中的前景：系统的、解释性的审查

随着癫痫检测设备有望改变自我保健和服务提供，技术发展正在加快癫痫发作的步伐。然而，这样的描述往往忽视了技术支持的护理产生的不确定性、流离失所和责任。本综述汇集了通过系统搜索 8 个数据库和滚雪球搜索确定的异质文献，以询问技术如何在癫痫护理中定位。我们在对 206 篇纳入文章的分析中采用了解释学方法，这导致了一个概念框架的发展，该框架揭示了组织技术支持的癫痫护理的基本逻辑。这些逻辑中的每一个都制定了不同的技术科学未来，并带有关于（通常想象的）“用户”和他们的身体如何共同构成的特定假设。我们的审查表明，该领域的研究仍然主要是确定性的和以技术为重点的。很少有人从癫痫的生活经历中汲取现象学见解，或使用社会理论来质疑技术的作用。我们为癫痫护理技术的社会技术、理论驱动的研究提出了未来的方向，并提供了一个可在其他长期条件下转移的框架。