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Article History

First Online: 27 March 2019

Compliance with Ethical Standards

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: The authors declare that they have no potential conflicts of interest.

: All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This research protocol was reviewed and approved by the Institutional Review Board prior to data collection. Given that this was unfunded research, federal wide assurance requirements did not apply. The research methods qualified for expedited review as stipulated in the Code of Federal Regulations policy regarding human participants in research (Title 45 Public Welfare CFR Part 46 Protection of Human Subjects Subpart A, Federal Policy for the Protection of Human Subjects, 45 CFR 46.110) because the research involved the collection of identifiable data using survey methods and research on individual characteristics or behavior, but reasonable and appropriate protections were implemented so that risks related to invasion of privacy and breach of confidentiality were minimal. Informed consent was obtained from all individual participants included in this study. Confidentiality was maintained by de-identification of the responses. Participant’s names were never directly connected with their responses. The study data is stored on a password protected computer and in locked file cabinets in the principal investigator’s locked office.