Wang, Yang
Wang, Qiyi
Dong, Xiaoxiao
Yang, Jia
Cai, Kelong
Chen, Dandan
Chen, Aiguo
Funding for this research was provided by:
National Social Science Fund of China (23ATY008)
Article History
Received: 12 March 2025
Accepted: 23 October 2025
First Online: 13 December 2025
Declarations
:
: The authors declare no competing interests.
: The design and reporting of this study were informed by the CONSORT guidelines. We referred to the CONSORT flow diagram and checklist to enhance transparency, although full adherence to cluster-specific items was not feasible given that only two clusters were included.