Shayesteh, Mahsa https://orcid.org/0009-0001-2102-1295
Sadeghi-Yarandi, Mohsen https://orcid.org/0000-0002-2512-8591
Mohammadbeigi, Abolfazl https://orcid.org/0000-0002-3142-6413
Soltanzadeh, Ahmad https://orcid.org/0000-0002-6976-1276
Article History
Received: 14 October 2025
Accepted: 9 September 2026
First Online: 11 September 2026
Declarations
Competing interests: The authors declare no competing interests.
Ethics approval and consent to participate: This study was approved by the Ethics Committee of Qom University of Medical Sciences (IR.MUQ.REC.1403.171) and adhered to the principles of the Declaration of Helsinki. All participants provided written informed consent after receiving complete information about the study objectives, procedures, risks, and benefits. Confidentiality and anonymity were ensured, and participants could withdraw at any time without consequences.