Media Keperawatan Indonesia
Vol 9, No 3 (2026)

Effect of digital interventions on chemotherapy adherence: a systematic review

Ni Made Juniari (Fakultas Keperawatan, Universitas Airlangga)
Tintin Sukartini (Fakultas Keperawatan, Universitas Airlangga)
Hanik Endang Nihayati (Fakultas Keperawatan, Universitas Airlangga)



Article Info

Publish Date
28 Sep 2026

Abstract

Chemotherapy-related adverse effects and prolonged treatment may compromise adherence. Digital interventions may support medication-taking, symptom monitoring, and communication with health professionals. This systematic review aimed to evaluate the effect of digital interventions on adherence among patients with cancer receiving chemotherapy or other anticancer therapy. Five databases—Scopus, PubMed, Web of Science, CINAHL, and ProQuest—were searched, with the last search reported as February 2024. Full-text original articles in English were considered, the review was reported according to PRISMA, and methodological quality was assessed using the Critical Appraisal Skills Programme (CASP). The search identified 456 records. Interventions included mobile/smartphone applications, web-based platforms, SMS or advanced messaging, telehealth/videoconferencing, smart pill-bottle reminders, and mobile games. Most included studies reported improved adherence or related outcomes, although some did not show significant between-group differences. Digital interventions therefore appear promising for supporting treatment adherence and patient engagement. However, heterogeneity in study design, treatment type, and adherence measurement limits the strength and generalizability of the conclusions.

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Journal Info

Abbrev

MKI

Publisher

Subject

Health Professions Medicine & Pharmacology Nursing Public Health

Description

Media Keperawatan Indonesia is intended to be the university journal for publishing articles reporting the results of research in nursing. Media Keperawatan Indonesia invites manuscripts in the areas of medical-surgical nursing, emergency and disaster nursing, critical nursing, pediatric nursing, ...