To conduct a comprehensive review of the current research status and related influencing factors of adolescents with epilepsy participating in transitional care, providing references for future research and clinical practice. Guided by the methodology of the JBI scope review Guidelines, relevant studies in PubMed, Cochrane Library, Embase, Web of Science, CNKI, Wanfang Database, VIP Database, and Chinese Biomedical Literature Database were systematically retrieved The search period was from the establishment of the database to July 20, 2025, and the included literature was summarized and analyzed. 13 literatures were included, and 18 related factors influencing the participation of adolescents with epilepsy in health care were sorted out. The influencing factors can be summarized into five themes, namely internal individual factors, disease-related factors, psychological and cognitive factors, family system factors, and social support factors. The influencing factors for adolescents with epilepsy to participate in transitional care are diverse. In the future, under the guidance of relevant influencing factors, it is necessary to deeply explore the individual characteristics and needs of adolescents with epilepsy participating in transitional care, provide them with personalized transitional health care services, and enhance their ability to participate in transitional care and disease management.
