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Volume 18, Issue 2 (2026)
Iran J War Public Health 2026, 18(2): 129-140 |
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Ethics code: IR.IAU.PS.REC.1404.551
History
Received: 2026/01/9 | Accepted: 2026/03/2 | Published: 2026/03/28
Received: 2026/01/9 | Accepted: 2026/03/2 | Published: 2026/03/28
How to cite this article
Shahraki S, Bahador M, Alimohammadzadeh K, Begloo-Amin G, Mirzaei A. Factors Influencing Medication Adherence among Patients with Diabetes. Iran J War Public Health 2026; 18 (2) :129-140
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URL: http://ijwph.ir/article-1-1745-en.html
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1- Department of Health Services Management, Te.M.S.C. (Tehran Medical Sciences Campus), Islamic Azad University, Tehran, Iran
2- Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
3- “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
2- Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
3- “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
Abstract (339 Views)
Aims: This scoping review aimed to identify and synthesize the key factors influencing medication adherence among patients with diabetes.
Information & Methods: This scoping review was conducted following the Arksey & O’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.
Findings: 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.
Conclusion: Medication adherence among patients with diabetes is a multilevel phenomenon shaped by interactions among individual, psychological, treatment-related, economic, and systemic factors.
Information & Methods: This scoping review was conducted following the Arksey & O’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.
Findings: 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.
Conclusion: Medication adherence among patients with diabetes is a multilevel phenomenon shaped by interactions among individual, psychological, treatment-related, economic, and systemic factors.
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