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Article History

Received: 24 September 2025

Accepted: 13 January 2026

First Online: 21 February 2026

Declarations

:

: The study was designed following the principles of the Declaration of Helsinki. Ethical approval was granted by the independent ethics committee of the University of Applied Sciences Fulda on December 21, 2023, and June 21, 2024 (reference EK231204), which included participant information material, measurement instruments, and an informed consent form.

: All participants provided consent for the use of anonymized data for publication; no personal data will be published.

: The authors declare that they have no competing interests.

: Not applicable. No clinical trial.