Document is current

Article History

Received: 24 February 2026

Revised: 17 March 2026

Accepted: 27 March 2026

First Online: 22 April 2026

Declarations

:

: This study was reviewed and approved by an Institutional Review Board and determined to be exempt under 45 CFR 46.104(d)(4)(iii) (Protocol #2025 − 307). The study was conducted in accordance with institutional policies and the ethical standards of the Declaration of Helsinki.

: The Institutional Review Board determined that the requirement for informed consent was waived due to the use of existing, de-identified data.

: The manuscript does not contain any individual person’s identifiable data. All participants consented to the use of their de-identified responses for research and publication purposes.

: The authors declare that they have no relevant financial or non-financial interests to disclose.