Literature DB >> 36249541

Opportunity Cost or Opportunity Lost: An Empirical Assessment of Ethical Concerns and Attitudes of EEG Neurofeedback Users.

Louiza Kalokairinou1, Rebekah Choi1, Ashwini Nagappan1, Anna Wexler1.   

Abstract

Background: Electroencephalography (EEG) neurofeedback is a type of biofeedback that purportedly teaches users how to control their brainwaves. Although neurofeedback is currently offered by thousands of providers worldwide, its provision is contested, as its effectiveness beyond a placebo effect is unproven. While scholars have voiced numerous ethical concerns about neurofeedback-regarding opportunity cost, physical and psychological harms, financial cost, and informed consent-to date these concerns have remained theoretical. This pilot study aimed to provide insights on whether these issues were supported by empirical data from the experiences of neurofeedback users.
Methods: Semi-structured telephone interviews were conducted with individuals who had used EEG neurofeedback for themselves and/or for a child.
Results: The majority of respondents (N = 36) were female (75%), white (92%), and of higher socioeconomic status relative to the U.S. population. Among adult users (n = 33), most (78.8%) resorted to neurofeedback after having tried other therapies and were satisfied with treatment (81.8%). The majority paid for neurofeedback out-of-pocket (72.7%) and considered it to be good value for money (84.8%). More than half (57.6%) considered neurofeedback to be a scientifically well-established therapy. However, of those, 78.9%were using neurofeedback for indications not adequately supported by scientific evidence.
Conclusion: Concerns regarding opportunity cost, physical and psychological harms, and financial cost are not substantiated by our findings. Our results partially support concerns regarding insufficient understanding of limitations. This study underlines the disconnect between some of the theoretical concerns raised by scholars regarding the use of non-validated therapies and the lived experiences of users.

Entities:  

Keywords:  EEG Neurofeedback; complementary and alternative medicine; informed consent; non-validated therapies; opportunity cost

Year:  2022        PMID: 36249541      PMCID: PMC9555209          DOI: 10.1007/s12152-022-09506-x

Source DB:  PubMed          Journal:  Neuroethics        ISSN: 1874-5490            Impact factor:   1.427


  48 in total

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Journal:  Neurosci Lett       Date:  2010-05-15       Impact factor: 3.046

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Authors:  Robert T Thibault; Samuel Veissière; Jay A Olson; Amir Raz
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Authors:  P A Clark
Journal:  J Public Health Policy       Date:  2000       Impact factor: 2.222

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Authors:  Lucas R Trambaiolli; Simon H Kohl; David E J Linden; David M A Mehler
Journal:  Neurosci Biobehav Rev       Date:  2021-02-12       Impact factor: 8.989

8.  A systematic review of fMRI neurofeedback reporting and effects in clinical populations.

Authors:  Anita Tursic; Judith Eck; Michael Lührs; David E J Linden; Rainer Goebel
Journal:  Neuroimage Clin       Date:  2020-11-11       Impact factor: 4.881

9.  Triangulating perspectives on functional neuroimaging for disorders of mental health.

Authors:  James A Anderson; Ania Mizgalewicz; Judy Illes
Journal:  BMC Psychiatry       Date:  2013-08-08       Impact factor: 3.630

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