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Qualitative studies involving users of clinical neurotechnology: a scoping review.
Starke, Georg; Akmazoglu, Tugba Basaran; Colucci, Annalisa; Vermehren, Mareike; van Beinum, Amanda; Buthut, Maria; Soekadar, Surjo R; Bublitz, Christoph; Chandler, Jennifer A; Ienca, Marcello.
Afiliación
  • Starke G; Faculty of Medicine, Institute for History and Ethics of Medicine, Technical University of Munich, Munich, Germany. georg.starke@epfl.ch.
  • Akmazoglu TB; College of Humanities, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland. georg.starke@epfl.ch.
  • Colucci A; Faculty of Law, University of Ottawa, Ottawa, ON, Canada.
  • Vermehren M; Clinical Neurotechnology Laboratory, Department of Psychiatry and Neurosciences at the Charité Campus Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany.
  • van Beinum A; Clinical Neurotechnology Laboratory, Department of Psychiatry and Neurosciences at the Charité Campus Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany.
  • Buthut M; Centre for Health Law Policy and Ethics, University of Ottawa, Ottawa, ON, Canada.
  • Soekadar SR; Clinical Neurotechnology Laboratory, Department of Psychiatry and Neurosciences at the Charité Campus Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany.
  • Bublitz C; Clinical Neurotechnology Laboratory, Department of Psychiatry and Neurosciences at the Charité Campus Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany.
  • Chandler JA; Faculty of Law, Universität Hamburg, Hamburg, Germany.
  • Ienca M; Bertram Loeb Research Chair, Faculty of Law, University of Ottawa, Ottawa, ON, Canada.
BMC Med Ethics ; 25(1): 89, 2024 Aug 14.
Article en En | MEDLINE | ID: mdl-39138452
ABSTRACT

BACKGROUND:

The rise of a new generation of intelligent neuroprostheses, brain-computer interfaces (BCI) and adaptive closed-loop brain stimulation devices hastens the clinical deployment of neurotechnologies to treat neurological and neuropsychiatric disorders. However, it remains unclear how these nascent technologies may impact the subjective experience of their users. To inform this debate, it is crucial to have a solid understanding how more established current technologies already affect their users. In recent years, researchers have used qualitative research methods to explore the subjective experience of individuals who become users of clinical neurotechnology. Yet, a synthesis of these more recent findings focusing on qualitative methods is still lacking.

METHODS:

To address this gap in the literature, we systematically searched five databases for original research articles that investigated subjective experiences of persons using or receiving neuroprosthetics, BCIs or neuromodulation with qualitative interviews and raised normative questions.

RESULTS:

36 research articles were included and analysed using qualitative content analysis. Our findings synthesise the current scientific literature and reveal a pronounced focus on usability and other technical aspects of user experience. In parallel, they highlight a relative neglect of considerations regarding agency, self-perception, personal identity and subjective experience.

CONCLUSIONS:

Our synthesis of the existing qualitative literature on clinical neurotechnology highlights the need to expand the current methodological focus as to investigate also non-technical aspects of user experience. Given the critical role considerations of agency, self-perception and personal identity play in assessing the ethical and legal significance of these technologies, our findings reveal a critical gap in the existing literature. This review provides a comprehensive synthesis of the current qualitative research landscape on neurotechnology and the limitations thereof. These findings can inform researchers on how to study the subjective experience of neurotechnology users more holistically and build patient-centred neurotechnology.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Investigación Cualitativa / Interfaces Cerebro-Computador Límite: Humans Idioma: En Revista: BMC Med Ethics Asunto de la revista: ETICA Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Investigación Cualitativa / Interfaces Cerebro-Computador Límite: Humans Idioma: En Revista: BMC Med Ethics Asunto de la revista: ETICA Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido