  Multiple Sclerosis (MS) is a severely disabling condition that leads to
various neurological symptoms. A Brain-Computer Interface (BCI) may substitute
some lost function; however, there is a lack of BCI research in people with MS.
To progress this research area effectively and efficiently, we aimed to
evaluate user needs and assess the feasibility and user-centric requirements of
a BCI for people with MS. We conducted an online survey of 34 people with MS to
qualitatively assess user preferences and establish the initial steps of
user-centred design. The survey aimed to understand their interest and
preferences in BCI and bionic applications. We demonstrated widespread interest
for BCI applications in all stages of MS, with a preference for a non-invasive
(n = 12) or minimally invasive (n = 15) BCI over carer assistance (n = 6).
Qualitative assessment indicated that this preference was not influenced by
level of independence. Additionally, strong interest was noted in bionic
technology for sensory and autonomic functions. Considering the potential to
enhance independence and quality of life for people living with MS, the results
emphasise the importance of user-centred design for future advancement of BCIs
that account for the unique pathological changes associated with MS.
