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Organic mixed ionic-electronic conductors are promising materials for next generation bioelectronic devices. While they readily interface with biological systems, the volumetric doping mechanism renders them susceptible to biofouling and operational instability. Thus, there is a materials science challenge requiring strategic focus on rational, molecular-level design materials to control the complex bio-abiotic interface. Here, biofouling and operational instability are explored, and strategies developed to address these interconnected problems are traced. 

Coupled ionic and electronic transport underpins processes as diverse as electrochemical energy conversion, biological signaling, and soft adaptive electronics. Yet, how chemical environments such as pH modulate this coupling at the molecular scale remains poorly understood. Here, we show that the protonation state of carboxylated polythiophenes provides precise chemical control over ion dynamics, doping efficiency, solvent uptake and mechanical response. Using a suite of multimodal operando techniques, supported by simulations, we reveal that pH dictates the balance of cation/anion uptake during electrochemical doping. Mapping across pH uncovers a quasi–non-swelling regime (≈pH 3–3.5) where charge compensation proceeds with minimal volumetric change yet pronounced stiffening. These findings establish molecular acidity as a general strategy to program ionic preference and mechanical stability, offering design principles for pH-responsive mixed conductors and soft electronic materials that couple ionic, electronic, and mechanical functionality. 

Abstract Organic mixed ionic‐electronic conductors (OMIECs) have garnered significant attention due to their capacity to transport both ions and electrons, making them ideal for applications in energy storage, neuromorphics, and bioelectronics. However, charge compensation mechanisms during the polymer redox process remain poorly understood, and are often oversimplified as single‐ion injection with little attention to counterion effects. To advance understanding and design strategies toward next‐generation OMIEC systems, a series of p‐channel carboxylated mixed conductors is investigated. Varying side‐chain functionality, distinctive swelling character is uncovered during electrochemical doping/dedoping with model chao‐/kosmotropic electrolytes. Carboxylic acid functionalized polymers demonstrate strong deswelling and mass reduction during doping, indicating cation expulsion, while ethoxycarbonyl counterparts exhibit prominent mass increase, pointing to an anion‐driven doping mechanism. By employingoperandograzing incidence X‐ray fluorescence (GIXRF), it is revealed that the carboxyl functionalized polymer engages in robust cation interaction, whereas ester functionalization shifts the mechanism towards no cation involvement. It is demonstrated that cations are pivotal in mitigating swelling by counterbalancing anions, enabling efficient anion uptake without compromising performance. These findings underscore the transformative influence of functionality‐driven factors and side‐chain chemistry in governing ion dynamics and conduction, providing new frameworks for designing OMIECs with enhanced performance and reduced swelling. 

Organic mixed ionic–electronic conductors (OMIECs) are an emerging class of polymeric materials with opportunities for applications in bioelectronics, neuromorphic computing, and various sensing technologies owing to their mixed conduction characteristics. The performance and long‐term operational stability of OMIECs, particularly in aqueous environments, c an be influenced by the dynamic interactions between polymer functionalities and electrolyte species. This mini review highlights the necessity of integrating advanced operando characterization techniques and computational modeling to successfully investigate structure–property relationships. Then, recent progress in understanding how sidechain design dictates ion transport, hydration, swelling behavior, and mixed conduction properties is summarized. Furthermore, the significant impacts of electrolyte composition on doping mechanisms, structural stability, and device performance are explored; and the persistent challenges associated with extensively studied ethylene glycol sidechain designs and emerging hybrid sidechain strategies that incorporate ionic moieties are examined. Recognizing the current limitations in understanding these complex systems, particularly regarding long‐term stability, this outlook focuses on elucidating fundamental structure–property relationships and degradation mechanisms. This understanding is crucial for the rational design and future development of robust and high‐performance OMIEC materials for organic electrochemical transistor applications.