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Authors
Wexler, Ryan S.
Klee, Daniel
Kaplan, Joshua
Oken, Barry
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Article History
Accepted: 2 January 2026
First Online: 5 February 2026
Declarations
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: This secondary data analysis was approved by the Oregon Health & Science University Institutional Review Board (STUDY00027058).
: The authors declare no competing interests.
: Artificial intelligence was used for editing the manuscript to improve conceptual clarity.
