{
  "abstract": "Background:: The accelerating pace of population aging has led to the increasing prevalence of multimorbidity among older adults. Poor medication adherence has become a key risk factor for adverse health outcomes. While the development of smart technologies offers new pathways for optimizing medication management, their application effectiveness and dissemination models require systematic review. This scoping review aims to systematically analyze the application forms, empirical effectiveness, and implementation challenges of smart technologies in improving medication adherence among older adults with chronic diseases, providing evidence for developing localized, age-friendly smart medication management strategies.\n\nMethods:: Following the Joanna Briggs Institute scoping review framework and guided by the PRISMA-ScR guidelines, we systematically searched 6 major databases (China National Knowledge Infrastructure, Wanfang, SinoMed, PubMed, Web of Science, and Embase) for literature published between January 1, 2014, and December 31, 2024. Using the Population, Concept, and Context framework, we defined our scope as follows: Population: Adults aged 60 years or older with chronic diseases; Concept: smart technology interventions targeting medication adherence; and Context: community-dwelling settings. Only original empirical studies were included. The literature screening and data extraction processes were conducted independently by 2 researchers. Consistent with standard scoping review methodology, a formal risk-of-bias assessment was not performed.\n\nResults:: Eight studies were included, comprising 4 quasi-experimental studies, 1 randomized controlled trial, 1 prospective observational study, 1 cross-sectional study, and one usability-testing study. Smart technology applications primarily consisted of smartphone apps, smart pillboxes, and remote platforms, forming a “reminder-monitoring-feedback” system. Results indicated that the included studies generally reported improvements in medication adherence and clinical indicators. Key challenges included urban-rural digital literacy gaps and low long-term retention.\n\nConclusion:: Smart technologies demonstrate preliminary benefits and show promise for enhancing medication adherence in this population. While these early signals are encouraging, limitations such as short intervention durations and small samples necessitate cautious interpretation. Practical implementation should prioritize age-friendly design and family-community collaborative models to advance “digital healthy aging.”",
  "abstract_shown": true,
  "affiliations": [
    "Health Management Center, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang, Sichuan, China."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Sisi Cai"
    },
    {
      "affs": [
        0
      ],
      "name": "Jiekun Zhao"
    },
    {
      "affs": [
        0
      ],
      "name": "Xi Xu"
    },
    {
      "affs": [
        0
      ],
      "name": "Mengyi Li"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/6jn2kzkkbwgea.bib",
  "cited_by": 0,
  "doi": "10.1097/md.0000000000051398",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13727263/?tool=EBI",
  "id": "6jn2kzkkbwgea",
  "issns": [
    "0304-5412",
    "1536-5964",
    "0025-7974"
  ],
  "landing_url": "https://europepmc.org/article/PMC/PMC13727263",
  "language": "eng",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "4600"
    ],
    [
      "heading",
      "Research Article"
    ],
    [
      "heading",
      "Systematic Review and Meta-Analysis"
    ]
  ],
  "openalex": null,
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13727263/pdf/?tool=EBI",
  "pmcid": "PMC13727263",
  "pmid": null,
  "published": "2026-10-30",
  "publisher": "Wolters Kluwer Health",
  "ris": "https://research.draconitic.com/paper/6jn2kzkkbwgea.ris",
  "sources": [
    {
      "first_seen": "2026-11-03T15:20:51Z",
      "native_id": "PMC:PMC13727263",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13727263"
    },
    {
      "first_seen": "2026-11-05T12:23:23Z",
      "native_id": "PMC13727263",
      "source": "pmc",
      "url": "https://doi.org/10.1097/md.0000000000051398"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:F27",
      "subfield": "general"
    }
  ],
  "title": "A scoping review of the application of intelligent technology in medication adherence among older adults with chronic diseases",
  "title_text": "A scoping review of the application of intelligent technology in medication adherence among older adults with chronic diseases",
  "type": "peer-reviewed",
  "updated_at": "2026-11-06T12:22:59Z",
  "url": "https://research.draconitic.com/paper/6jn2kzkkbwgea",
  "venue": "Medicine",
  "versions": []
}