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Article History

Received: 21 April 2025

Accepted: 4 March 2026

First Online: 16 March 2026

Competing interests

: The authors declare no competing interests.

: This study was reviewed by the Health Media Lab (HML) IRB, authorized by the U.S. Department of Health and Human Services, Office of Human Research Protections (IRB #1211, IORG #850), and has DHHS Federal-Wide Assurance approval (FWA #1102). Ethical approval was obtained on March 2, 2022. All methods were carried out in accordance with guidelines established by the Belmont Report and enacted through United State Federal Policy for the Protection of Human Subjects (45 CFR part 46).

: Written informed consent was obtained by the research team from all individual participants included in the study, from March 14, 2022 to December 14, 2023. Participants consented to participate and be recorded through the duration of focus group discussions. Participants were informed that their participation was completely voluntary and that their anonymity was assured. Participants were made aware that any personally identifiable information collected during the study would be anonymized and destroyed. Participants were also informed about the purpose of the research conducted and assured that participation in the study posed no risk outside of what they may encounter in everyday life.