Funding for this research was provided by:
University of North Carolina Chapel Hill Occupational Safety and Health Education and Research Center pilot grant
Article History
Received: 9 July 2025
Accepted: 29 November 2025
First Online: 11 December 2025
Declarations
:
: The protocol for this study was reviewed by and received ethical approval from the University of Alabama at Birmingham’s Internal Review Board. The study protocol was approved under UAB IRB# 300004373. All participants provided informed consent prior to their participation in the study. Participants were informed of the study purpose, procedures, potential risks and benefits, and their right to withdraw at any time without penalty. Only participants who voluntarily agreed and documented their consent were enrolled.
: The authors declare no competing interes
: During the preparation of this article, the authors used (ChatGPT) to check for grammatical and spelling errors and for rephrasing sentences to improve clarity. After using ChatGPT, the authors reviewed and edited the generated content as needed and took full responsibility for the content of the published article.
: All figures were generated using R v4.4.3.