en <span style="font-size:12pt"><span style="line-height:normal"><span style="font-family:Aptos,sans-serif"><b><span style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:#f79646">Aims:</span></span></span></b><span style="font-size:10.0pt"><span cambria="" style="font-family:"> This scoping review aimed to identify and synthesize the key factors influencing medication adherence among patients with diabetes. </span></span><b><span style="border:none windowtext 1.0pt; font-size:10.0pt; padding:0cm"><span style="background:white"><span style="font-family:"Cambria",serif"></span></span></span></b></span></span></span><br> <span style="font-size:12pt"><span style="line-height:normal"><span style="font-family:Aptos,sans-serif"><b><span style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:#f79646">Information & Methods:</span></span></span></b><span style="font-size:10.0pt"><span cambria="" style="font-family:"> This scoping review was conducted following the Arksey & O&rsquo;Malley framework. The review scope was defined using the population, concept, and context approach, including patients with all types of diabetes, the concept of medication adherence, and all healthcare delivery settings. A systematic search of PubMed/MEDLINE, Scopus, Web of Science, and SID was performed for Persian- and English-language articles published between 2003 and 2025. Study screening was conducted using the Rayyan platform. In total, 52 eligible studies were included. Data were analyzed through narrative synthesis and inductive content analysis, and the results were reported in accordance with the PRISMA-ScR guideline. </span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:normal"><span style="font-family:Aptos,sans-serif"><b><span style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:#f79646">Findings:</span></span></span></b> <span style="font-size:10.0pt"><span cambria="" style="font-family:">Individual and demographic, psychological and behavioral, treatment-related, economic and access-related, and systemic factors influenced medication adherence among patients with diabetes. These factors encompassed a wide range of patient characteristics, treatment attributes, economic and access constraints, and components related to supportive interactions and healthcare system performance. </span></span><b><span style="border:none windowtext 1.0pt; font-size:10.0pt; padding:0cm"><span style="background:white"><span style="font-family:"Cambria",serif"></span></span></span></b></span></span></span><br> <span style="font-size:12pt"><span style="line-height:normal"><span style="font-family:Aptos,sans-serif"><b><span style="font-size:10.0pt"><span cambria="" style="font-family:"><span style="color:#f79646">Conclusion:</span></span></span></b> <span style="font-size:10.0pt"><span cambria="" style="font-family:">Medication adherence among patients with diabetes is a multilevel phenomenon shaped by interactions among individual, psychological, treatment-related, economic, and systemic factors.</span></span></span></span></span> Medication Adherence,Diabetes,Scoping Review,Pharmaceuticals, 129 140 http://ijwph.daneshafarand.org/browse.php?a_code=A-10-1-104&slc_lang=en&sid=3 S. Shahraki 1003194753284600380466 1003194753284600380466 No Department of Health Services Management, Te.M.S.C. (Tehran Medical Sciences Campus), Islamic Azad University, Tehran, Iran M.K. Bahador 1003194753284600380467 1003194753284600380467 No Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran Kh. Alimohammadzadeh 1003194753284600380468 1003194753284600380468 Yes “Department of Health Services Management, N.T.C. (North Tehran Campus)” and “Health Economics Policy Research Center, Te.M.S.C. (Tehran Medical Sciences Campus)”, Islamic Azad University, Tehran, Iran Gh. Begloo-Amin 1003194753284600380469 1003194753284600380469 No Department of Health Services Management, Te.M.S.C. (Tehran Medical Sciences Campus), Islamic Azad University, Tehran, Iran A. Mirzaei 1003194753284600380470 1003194753284600380470 No Department of Health Services Management, Te.M.S.C. (Tehran Medical Sciences Campus), Islamic Azad University, Tehran, Iran