Article History
Received: 30 January 2026
Accepted: 3 September 2026
First Online: 9 September 2026
Declarations
Competing interests: The authors declare no competing interests.
Ethical approvalĀ and consent to participate: This study was conducted in accordance with the Declaration of Helsinki. Ethical approval was obtained from the Institutional Review Board (IRB) of Bule Hora University (Approval No. BHU/IOH 2.03.2025). Written informed consent was obtained from all participants prior to data collection. Participation was voluntary, and the confidentiality of all participant information was strictly maintained.