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Article History

Received: 20 June 2025

Accepted: 19 September 2025

First Online: 14 October 2025

Declarations

:

: The study adhered to the Declaration of Helsinki. The University of Notre Dame reviewed the protocol for secondary data analysis (Protocol ID: 24–06-8642). Because these are secondary, de-identified data, the IRB determined that the protocol did not meet the definition of research with human subjects set forth in Federal Regulations at 45 CFR 46.102. Thus, the project could proceed without further review from that office. Fourteen women voluntarily agreed to participate, scheduling home visits for data collection. Verbal informed consent was obtained at that time, including permission for audio recordings and photographs. To ensure ethical rigor, verbal consent was reaffirmed during each home visit, respecting participants' autonomy and ensuring their continued voluntary participation in the research.

: Because these are secondary, de-identified data, the authors could not identify individual participants during data analysis so no consent was required.

: The authors declare no competing interests.