Soland, James https://orcid.org/0000-0001-8895-2871
Rispoli, Mandy J. https://orcid.org/0000-0002-0805-3217
Saina, Chelagat
Omollo, Mark
Mwendwa, Emmanuel
Boke, Carolyne
Xu, Rujun https://orcid.org/0009-0002-6852-791X
Keehn, Rebecca McNally https://orcid.org/0000-0002-8162-8152
Pearson, Jamie N. https://orcid.org/0000-0001-6200-3790
Hassinger, Tonia
Stauffer, Carol
McHenry, Megan S.
Funding for this research was provided by:
Spencer Educational Foundation (202400130)
Article History
Accepted: 25 August 2025
First Online: 24 November 2025
Declarations
:
: Both the University of Virginia Institutional Review Board for Social and Behavioral Sciences and the Moi Teaching and Referral Hospital Institutional Research and Ethics Committee approved this study. Informed consent was obtained in accordance with these approvals.
: The authors declare no competing interests.