Price, Natalie F.
Cvejkus, Ryan
Wheeler, Victor
Parsons, Patrick J.
Mullin, Elizabeth J.
Gennings, Chris
Barchowsky, Aaron
Zmuda, Joseph M.
Sanders, Alison P.
Miljkovic, Iva
Article History
Received: 8 August 2025
Revised: 16 February 2026
Accepted: 10 March 2026
First Online: 30 March 2026
Competing interests
: The authors declare no competing interests.
: All data collection and research methods were approved by the University of Pittsburgh and the Tobago Ministry of Health and Social Services Institutional Review Boards in accordance with the relevant guidelines and regulations. Informed consent was obtained at study enrollment.