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Article History

Received: 6 August 2025

Accepted: 29 April 2026

First Online: 18 May 2026

Declarations

: The authors affirm that they have no competing interests to declare. This study was reviewed and approved as exempt by the Elon University Institutional Review Board, and was conducted in accordance with the Declaration of Helsinki. The first author conceptualized the assignment on which the study is based. All four authors contributed to the study design, data collection, and data organization processes. The second author took the lead on the quantitative analysis, with substantial data organization contributions by the third author. The first and second authors took the lead on qualitative analysis and manuscript preparation, with input from the third and fourth authors.

: Ethics approval was granted by the Institutional Review Board of Elon University (Ref # 24—3071), and was conducted in accordance with the Declaration of Helsinki. All participants provided informed consent prior to participation.

: The authors declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.