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Article History

Accepted: 7 March 2024

First Online: 4 April 2024

Declarations

:

: This study was funded by a grant from the US Department of Veterans Affairs (I01HX001759, IIR 14-306; PI Carolyn T. Thorpe). Ryan Hickson was supported as a Postdoctoral Fellow in Advanced Geriatrics with the Geriatric Research, Education, and Clinical Center at the Veterans Affairs Healthcare System, Pittsburgh, PA. At the time of submission, Ryan Hickson was employed by the US Food and Drug Administration (FDA). The contents do not represent the views of the US Department of Veterans Affairs, the FDA<u>,</u> or the United States Government. The views expressed are those of the authors, and no official endorsement by the Department of Veterans Affairs (VA) or the United States government is intended or should be inferred.

: No authors have relevant conflicts of interest to disclose.

: This project was approved by the institutional review boards (IRBs) at the VA Pittsburgh Healthcare System (IRB #Pro00001563; date approved: 03/16/2016) and Corporal Michael J. Crescenz VA Medical Center (IRB #01627, Prom #0005: date approved: 07/05/2016). Study interviews were conducted from 12/04/2020 through 08/19/2021. The study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

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

: To protect interview participant privacy, transcript data cannot be openly shared.

: All authors made substantial contributions to the conception or design of the work (LS, GK, ME, KR, DS, JC, FS, CT) and/or acquisition (LS, GK, KR, ME, DS, JC, FS, CT), analysis (LS, GK, KR, JR, CT), or interpretation (LS, GK, KR, ME, JR, RH, CT) of data for the work. All authors have read and approved the final version of the manuscript and agree to be accountable for all aspects of the work.

: Not applicable.

: Not applicable.