Ahmadi, Sina https://orcid.org/0000-0002-7553-8206
SoleimanvandiAzar, Neda https://orcid.org/0000-0002-9840-5588
Karimi, Salah Eddin https://orcid.org/0000-0002-1542-0214
Sepahvand, Elham https://orcid.org/0000-0001-7224-8601
Rampisheh, Zahra https://orcid.org/0000-0002-6401-9654
Nojomi, Marzieh https://orcid.org/0000-0003-4330-3522
Kamal, Seyed Hossein Mohaqeqi https://orcid.org/0000-0003-2550-7898
Eslamian, Ayoub https://orcid.org/0000-0002-3415-2219
Higgs, Peter https://orcid.org/0000-0002-5587-5379
Article History
Received: 10 February 2026
Accepted: 16 July 2026
First Online: 18 July 2026
Declarations
Competing interests: The authors declare no competing interests.
Consent for publication: Not applicable.
Consent to participate: Verbal informed consent was obtained from all participants prior to the interviews, and all interviews were audio-recorded with their explicit permission. Participants were assured of the confidentiality of their information and were informed of their right to withdraw from the study at any stage without any consequences.
Ethical approval: This study was approved by the Ethics Committee of Iran University of Medical Sciences (approval code: IR.IUMS.REC.1401.960) and was conducted in accordance with the ethical principles of the Declaration of Helsinki and relevant institutional guidelines and regulations.