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Article History

Received: 14 August 2025

Accepted: 14 October 2025

First Online: 25 November 2025

Declarations

:

: This study was conducted in accordance with the ethical standards of George Mason University and the principles of the Declaration of Helsinki. Ethical approval was obtained from the George Mason University Institutional Review Board (Project Number: 2165495-2). I confirm that this work is original and has not been published elsewhere, nor is it currently under consideration for publication elsewhere.

: Informed consent was obtained from all individual participants included in the study.

: All participants provided explicit consent for the publication of anonymized data and findings derived from this research.

: The authors declare that they have no competing interests.