Wearable devices for seizure detection: Practical experiences and recommendations from the Wearables for Epilepsy And Research (WEAR) International Study Group
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The Wearables for Epilepsy And Research (WEAR) International Study Group identified a set of methodology standards to guide research on wearable devices for seizure detection. We formed an international consortium of experts from clinical research, engineering, computer science, and data analytics at the beginning of 2020. The study protocols and practical experience acquired during the development of wearable research studies were discussed and analyzed during bi‐weekly virtual meetings to highlight commonalities, strengths, and weaknesses, and to formulate recommendations. Seven major essential components of the experimental design were identified, and recommendations were formulated about: (1) description of study aims, (2) policies and agreements, (3) study population, (4) data collection and technical infrastructure, (5) devices, (6) reporting results, and (7) data sharing. Introducing a framework of methodology standards promotes optimal, accurate, and consistent data collection. It also guarantees that studies are generalizable and comparable, and that results can be replicated, validated, and shared.
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Cites
A continuous measure of phasic electrodermal activity
Benedek, M., & Kaernbach, C. (2010) · Journal of Neuroscience Methods · doi:10.1016/j.jneumeth.2010.04.028 · Cited by 1,689 · see citing works
Cook, M. J., O'Brien, T. J., Berkovic, S. F., Murphy, M. A., Morokoff, A. P., Fabinyi, G., D'Souza, W. J., Yerra, R., Archer, J. S., Litewka, L., et al. (2013) · The Lancet Neurology · doi:10.1016/s1474-4422(13)70075-9 · Cited by 881 · see citing works
Investigating sources of inaccuracy in wearable optical heart rate sensors
Bent, B., Goldstein, B. A., Kibbe, W. A., & Dunn, J. P. (2020) · npj Digital Medicine · doi:10.1038/s41746-020-0226-6 · Cited by 673 · cited 1× · see citing works
“36 In our studies, only the Empatica E4 device was used at all of the four sites.”
MethodDiagnostic challenges in epilepsy: seizure under-reporting and seizure detection
Elger, C. E., & Hoppe, C. (2018) · The Lancet Neurology · doi:10.1016/s1474-4422(18)30038-3 · Cited by 403 · see citing works
Stochastic complexity measures for physiological signal analysis
Rezek, I. A., & Roberts, S. (1998) · IEEE Transactions on Biomedical Engineering · doi:10.1109/10.709563 · Cited by 292 · see citing works
Public Views on Policies Involving Nudges
Hagman, W., Andersson, D., Västfjäll, D., et al. (2015) · Review of Philosophy and Psychology · doi:10.1007/s13164-015-0263-2 · Cited by 277 · see citing works
Crowdsourcing reproducible seizure forecasting in human and canine epilepsy
Brinkmann, B. H., Wagenaar, J., Abbot, D., Adkins, P., Bosshard, S. C., Chen, M., Tieng, Q. M., He, J., Muñoz–Almaraz, F. J., Botella-Rocamora, P., et al. (2016) · Brain · doi:10.1093/brain/aww045 · Cited by 268 · see citing works
Self-citationAutonomic changes with seizures correlate with postictal EEG suppression
Poh, M., Loddenkemper, T., Reinsberger, C., Swenson, N. C., Goyal, S., Madsen, J. R., & Picard, R. W. (2012) · Neurology · doi:10.1212/wnl.0b013e318258f7f1 · Cited by 242 · see citing works
Self-citationRegalia, G., Onorati, F., Lai, M., Caborni, C., & Picard, R. W. (2019) · Epilepsy Research · doi:10.1016/j.eplepsyres.2019.02.007 · Cited by 240 · see citing works
Ranjan, Y., Rashid, Z., Stewart, C., Kerz, M., Begale, M. J., Verbeeck, D., Boettcher, S., Conde, P., Hyve, T., Dobson, R., et al. (2018) · JMIR mhealth and uhealth · doi:10.2196/11734 · Cited by 229 · see citing works
Boon, P., Vonck, K. E. J., van Rijckevorsel, K., Tahry, R. E., Elger, C. E., Mullatti, N., Schulze‐Bonhage, A., Wagner, L., Diehl, B., Hamer, H. M., et al. (2015) · Seizure · doi:10.1016/j.seizure.2015.08.011 · Cited by 202 · see citing works
Self-citationKuhlmann, L., Karoly, P. J., Freestone, D. R., Brinkmann, B. H., Temko, A., Barachant, A., Li, F., Titericz, G., Lang, B. W., Lavery, D., et al. (2018) · Brain · doi:10.1093/brain/awy210 · Cited by 195 · see citing works
Self-citationWearable technology in epilepsy: The views of patients, caregivers, and healthcare professionals
Bruno, E., Simblett, S., Lang, A., Biondi, A., Odoi, C., Schulze-Bonhage, A., Wykes, T., & Richardson, M. P. (2018) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2018.05.044 · Cited by 191 · see citing works
Self-citationA Fast Form Approach to Measuring Technology Acceptance and Other Constructs1
Chin, Johnson, N., & Schwarz, A. (2008) · MIS Quarterly · doi:10.2307/25148867 · Cited by 186 · see citing works
Postconvulsive central apnea as a biomarker for sudden unexpected death in epilepsy (SUDEP)
Vilella, L., Lacuey, N., Hampson, J. P., Rani, M. R. S., Sainju, R. K., Friedman, D. J., Nei, M., Strohl, K. P., Scott, C. A., Gehlbach, B. K., et al. (2018) · Neurology · doi:10.1212/wnl.0000000000006785 · Cited by 181 · see citing works
Standards for testing and clinical validation of seizure detection devices
Beniczky, S., & Ryvlin, P. (2018) · Epilepsia · doi:10.1111/epi.14049 · Cited by 150 · see citing works
Beniczky, S., Wiebe, S., Jeppesen, J., Tatum, W. O., Brázdil, M., Wang, Y., Herman, S. T., & Ryvlin, P. (2021) · Clinical Neurophysiology · doi:10.1016/j.clinph.2020.12.009 · Cited by 144 · see citing works
Gu, Y., Cleeren, E., Dan, J., Claes, K., Paesschen, W. V., Huffel, S. V., & Hunyadi, B. (2017) · Sensors · doi:10.3390/s18010029 · Cited by 132 · see citing works
Bruno, E., Viana, P. F., Sperling, M. R., & Richardson, M. P. (2020) · Epilepsia · doi:10.1111/epi.16521 · Cited by 129 · see citing works
Self-citationUltra‐long‐term subcutaneous home monitoring of epilepsy—490 days of EEG from nine patients
Weisdorf, S., Duun‐Henriksen, J., Kjeldsen, M. J., Poulsen, F. R., Gangstad, S. W., & Kjær, T. W. (2019) · Epilepsia · doi:10.1111/epi.16360 · Cited by 127 · see citing works
Multimodal nocturnal seizure detection in a residential care setting
Arends, J. B. A. M., Thijs, R. D., Gutter, T., Ungureanu, C., Cluitmans, P. J. M., Dijk, J. V., van Andel, J. M., Tan, F. I. Y., de Weerd, A., Vledder, B., et al. (2018) · Neurology · doi:10.1212/wnl.0000000000006545 · Cited by 124 · see citing works
Baldassano, S. N., Brinkmann, B. H., Ung, H., Blevins, T., Conrad, E. C., Leyde, K. W., Cook, M. J., Khambhati, A. N., Wagenaar, J., Worrell, G. A., et al. (2017) · Brain · doi:10.1093/brain/awx098 · Cited by 113 · see citing works
Self-citationThe RNS System: brain-responsive neurostimulation for the treatment of epilepsy
Jarosiewicz, B., & Morrell, M. J. (2020) · Expert Review of Medical Devices · doi:10.1080/17434440.2019.1683445 · Cited by 113 · see citing works
Zibrandtsen, I. C., Kidmose, P., Christensen, C. B., & Kjær, T. W. (2017) · Clinical Neurophysiology · doi:10.1016/j.clinph.2017.09.115 · Cited by 105 · see citing works
Beniczky, S., Wiebe, S., Jeppesen, J., Tatum, W. O., Brázdil, M., Wang, Y., Herman, S. T., & Ryvlin, P. (2021) · Epilepsia · doi:10.1111/epi.16818 · Cited by 99 · see citing works
Szabó, C. Á., Morgan, L. C., Karkar, K. M., Leary, L., Lie, O. V., Girouard, M., & Cavazos, J. E. (2015) · Epilepsia · doi:10.1111/epi.13083 · Cited by 94 · see citing works
Meritam, P., Ryvlin, P., & Beniczky, S. (2018) · Epilepsia · doi:10.1111/epi.14051 · Cited by 90 · see citing works
Signal quality and patient experience with wearable devices for epilepsy management
Nasseri, M., Nurse, E., Glasstetter, M., Böttcher, S., Gregg, N. M., Laks Nandakumar, A., Joseph, B., Pal Attia, T., Viana, P. F., Bruno, E., et al. (2020) · Epilepsia · doi:10.1111/epi.16527 · Cited by 90 · see citing works
Self-citationNarechania, A., Garic, I., Sen‐Gupta, I., Macken, M. P., Gerard, E. E., & Schuele, S. (2013) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2013.04.017 · Cited by 81 · see citing works
van Andel, J. M., Thijs, R. D., de Weerd, A., Arends, J. B. A. M., & Leijten, F. S. S. (2016) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2016.01.003 · Cited by 78 · see citing works
Multimodal seizure detection: A review
Leijten, F. S. S. (2018) · Epilepsia · doi:10.1111/epi.14047 · Cited by 77 · see citing works
Automated video‐based detection of nocturnal convulsive seizures in a residential care setting
Geertsema, E. E., Thijs, R. D., Gutter, T., Vledder, B., Arends, J. B. A. M., Leijten, F. S. S., Visser, G. H., & Kalitzin, S. (2018) · Epilepsia · doi:10.1111/epi.14050 · Cited by 71 · see citing works
230 days of ultra long‐term subcutaneous EEG: seizure cycle analysis and comparison to patient diary
Viana, P. F., Duun‐Henriksen, J., Glasstëter, M., Dümpelmann, M., Nurse, E. S., Martins, I. P., Dumanis, S. B., Schulze‐Bonhage, A., Freestone, D. R., Brinkmann, B. H., et al. (2020) · Annals of Clinical and Translational Neurology · doi:10.1002/acn3.51261 · Cited by 68 · see citing works
Self-citationDetecting nocturnal convulsions: Efficacy of the MP5 monitor
Carlson, C., Arnedo, V., Cahill, M., & Devinsky, O. (2008) · Seizure · doi:10.1016/j.seizure.2008.08.007 · Cited by 63 · see citing works
Simblett, S. K., Biondi, A., Bruno, E., Ballard, D., Stoneman, A., Lees, S., Richardson, M. P., & Wykes, T. (2019) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2019.106717 · Cited by 57 · see citing works
Self-citationSimblett, S. K., Bruno, E., Siddi, S., Matcham, F., Giuliano, L., López, J. H., Biondi, A., Curtis, H., Ferrão, J., Polhemus, A., et al. (2019) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2019.05.035 · Cited by 54 · see citing works
Self-citationBayly, J., Carino, J., Petrovski, S., Smit, M., Fernando, D. A., Vinton, A., Yan, B., Gubbi, J. R., Palaniswami, M. S., & O'Brien, T. J. (2013) · Epilepsia · doi:10.1111/epi.12207 · Cited by 50 · see citing works
Automated differentiation between epileptic and nonepileptic convulsive seizures
Beniczky, S., Conradsen, I., Moldovan, M., Jennum, P., Fabricius, M. E., Benedek, K., Andersen, N., Hjalgrim, H., & Wolf, P. (2014) · Annals of Neurology · doi:10.1002/ana.24338 · Cited by 45 · see citing works
Seizure detection watch improves quality of life for adolescents and their families
Thompson, M., Langer, J. E., & Kinfe, M. (2019) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2019.07.028 · Cited by 36 · see citing works
Bruno, E., Biondi, A., Böttcher, S., Lees, S., Schulze‐Bonhage, A., & Richardson, M. P. (2020) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2020.107478 · Cited by 35 · see citing works
Self-citationSeizure detection devices for use in antiseizure medication clinical trials: A systematic review
Kurada, A. V., Srinivasan, T., Hammond, S., Ulate-Campos, A., & Bidwell, J. (2019) · Seizure · doi:10.1016/j.seizure.2019.02.007 · Cited by 33 · see citing works
Responsibility in Investigations on Human Subjects: M.R.C. Statement
RICKHAM, P. P. (1964) · BMJ · doi:10.1136/bmj.2.5402.178 · Cited by 32 · see citing works
Common data elements for epilepsy mobile health systems
Goldenholz, D. M., MOSS, R. E., Jost, D. A., et al. (2018) · Epilepsia · doi:10.1111/epi.14066 · Cited by 32 · see citing works
Ictal quantitative surface electromyography correlates with postictal EEG suppression
Arbune, A.-A., Conradsen, I., Cardenas, D., et al. (2020) · Neurology · doi:10.1212/wnl.0000000000009492 · Cited by 25 · see citing works
de Vel, A. V., Milošević, M., Bonroy, B., Cuppens, K., Lagae, L., Vanrumste, B., Huffel, S. V., & Ceulemans, B. (2016) · Epilepsy & Behavior Case Reports · doi:10.1016/j.ebcr.2016.03.005 · Cited by 23 · see citing works
Bad information in epilepsy care
Fisher, R. S. (2016) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2016.10.022 · Cited by 17 · see citing works
Kusmakar, S., Muthuganapathy, R., Yan, B., O'Brien, T. J., & Palaniswami, M. S. (2016) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/embc.2016.7590872 · Cited by 16 · see citing works
Post‐ictal accelerometer silence as a marker of post‐ictal immobility
Bruno, E., Böttcher, S., Biondi, A., Epitashvili, N., Manyakov, N. V., Lees, S., Schulze‐Bonhage, A., & Richardson, M. P. (2020) · Epilepsia · doi:10.1111/epi.16552 · Cited by 14 · see citing works
Self-citationHusain, A. M., Towne, A. R., Chen, D. K., Whitmire, L., Voyles, S. R., & Cardenas, D. (2020) · Journal of Clinical Neurophysiology · doi:10.1097/wnp.0000000000000703 · Cited by 12 · see citing works
Mobiles Anfallsmonitoring bei Epilepsiepatienten
Schulze‐Bonhage, A., Böttcher, S., Glasstetter, M., Epitashvili, N., Bruno, E., Richardson, M. P., Laerhoven, K. V., & Dümpelmann, M. (2019) · Der Nervenarzt · doi:10.1007/s00115-019-00822-x · Cited by 6 · see citing works
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Böttcher, S., Vieluf, S., Bruno, E., Joseph, B., Epitashvili, N., Biondi, A., Zabler, N., Glasstetter, M., Dümpelmann, M., Van Laerhoven, K., et al. (2022) · Scientific Reports · doi:10.1038/s41598-022-25949-x · Cited by 91 · see citing works
Self-citationBöttcher, S., Bruno, E., Manyakov, N. V., Epitashvili, N., Claes, K., Glasstetter, M., Thorpe, S., Lees, S., Dümpelmann, M., Van Laerhoven, K., et al. (2021) · JMIR mHealth and uHealth · doi:10.2196/27674 · Cited by 39 · see citing works
Self-citationBöttcher, S., Bruno, E., Epitashvili, N., Dümpelmann, M., Zabler, N., Glasstetter, M., Ticcinelli, V., Thorpe, S., Lees, S., Van Laerhoven, K., et al. (2022) · Sensors · doi:10.3390/s22093318 · Cited by 23 · see citing works
Self-citationGlasstetter, M., Böttcher, S., Zabler, N., Epitashvili, N., Dümpelmann, M., Richardson, M. P., & Schulze-Bonhage, A. (2021) · Sensors · doi:10.3390/s21186017 · Cited by 21 · see citing works
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- Authors
- Bruno, E., Böttcher, S., Viana, P. F., Amengual‐Gual, M., Joseph, B., Epitashvili, N., Dümpelmann, M., Glasstetter, M., Biondi, A., Van Laerhoven, K., Loddenkemper, T., Richardson, M. P., Schulze‐Bonhage, A., & Brinkmann, B. H.
- Affiliations
- King's College London (GB)
- University of Freiburg (DE)
- University of Lisbon (PT)
- Boston Children's Hospital (US)
- Mayo Clinic (US)
- Ubiquitous Computing Department of Electrical Engineering and Computer Science University of Siegen Siegen Germany
- Corresponding author
- Brinkmann, Benjamin H.
- ORCID
- Venue
- Epilepsia
- Publisher
- Wiley
- Published
- 2021-08-22
- Volume
- 62
- Issue
- 10
- Pages
- 2307-2321
- ISSN
- 0013-9580 (ISSN-L)
- 1528-1167
- OpenAlex
- W3194220803
- Cited by
- 37
- References
- 50
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 10 · 2023: 6 · 2022: 8 · 2021: 5
- FWCI
- 1.30
- Type
- journal article
- Language
- en
- Open access
- green
- kclpure.kcl.ac.uk
- Licence
- Locations
- Epilepsia (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion, other-oa)
- Funders
- Ron and Sanne Higgins Family Foundation
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › EEG and Brain-Computer Interfaces
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Context-Aware Activity Recognition Systems
- Keywords
- wearable devices, seizure detection, epilepsy, research methodology standards, experimental design, data sharing, study population, data collection infrastructure, result reporting, research ethics policy, reproducibility
- MeSH terms
- Wearable Electronic Devices, Data Collection, Epilepsy, Humans, Research Design, Seizures
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