Digital Dementia: Smart Technologies, mHealth Applications and IoT Devices, for Dementia-Friendly Environments

The global increase in dementia cases, which is predicted to exceed 152 million by 2050, poses substantial challenges to healthcare systems and caregiving structures. Concurrently, the expansion of mobile health (mHealth) technologies offers scalable, cost-effective opportunities for dementia care. This study systematically reviews 100 publicly available dementia-related mobile applications on the Apple App Store (iOS) and the Google Play Store (Android), categorised using the Mobile App Rating Scale (MARS), as well as the targeted end-users, Internet of Things (IoT) integration, data protection, and cost burden. Applications were evaluated for their utility in cognitive training, memory support, carer education, clinical decision-making, and emotional well-being. Findings indicate a predominance of carer resources and support tools, while clinically integrated platforms, cognitive assessments, and adaptive memory aids remain underrepresented. Most apps lack empirical validation, inclusive design, and integration with electronic health records, raising ethical concerns around data privacy, transparency, and informed consent. In parallel, the study identifies promising pathways for energy-optimised IoT systems, Artificial Intelligence (AI), and Ambient Assisted Living (AAL) technologies in fostering dementia-friendly, sustainable environments. Key gaps include limited use of low-power wearables, energy-efficient sensors, and smart infrastructure tailored to therapeutic needs. Application domains such as cognitive training (19 apps) and carer resources (28 apps) show early potential, while emerging innovations in neuroadaptive architecture and emotional computing remain underexplored. The findings emphasize the need for co-designed, evidence-based digital solutions that align with the evolving needs of people with dementia, carers, and clinicians. Future innovations must integrate sustainability principles, promote interoperability, and support global aging populations through ecologically responsible, person-centred dementia care ecosystems.