Meade, Mark
Jennings, Danielle Haskett
Holifield, Reggie R.
Gawronski, Vincent T.
Hazelhoff, Roald
Jacobs, Louanne C.
Melonas, Desiree R.
Russell, Kelly
Hayden, Katherine L.
Funding for this research was provided by:
National Academies of Sciences, Engineering, and Medicine (SCON-10000733)
Article History
Received: 21 April 2025
Accepted: 2 February 2026
First Online: 8 March 2026
Declarations
:
: This project was reviewed and approved by an Institutional Review Board in accordance with U.S. Department of Health and Human Services regulations (45 CFR Part 46; University of Mobile Protocol #202-02-007) to ensure ethical conduct and minimize risk to all human participants. All participants were fully informed about the nature of the study and provided written informed consent prior to participation. For participants under the age of 18, written informed consent was obtained from a parent and/or legal guardian, and assent was obtained from the participating youth. Appropriate measures were implemented to safeguard the confidentiality and privacy of all data collected.
: Written informed consent for publication was obtained from all participants. For participants under the age of 18, consent to publish was obtained from a parent and/or legal guardian. All data were anonymized prior to analysis, and no individually identifiable information is included in this manuscript.
: The authors declare no competing interests.