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Article History

Received: 8 November 2024

Accepted: 21 February 2025

First Online: 13 May 2025

Declarations

:

: The study was conducted in accordance with the Declaration of Helsinki and with the principles of good research practice. It has been approved by the Medical Ethics Committee of the University Medical Center Göttingen (Ethics Approval No. 16/9/21). All participants provided written informed consent. Participants in the focus groups received an expense allowance of 50 euros, and participants in the individual interviews received 20 euros.

: All participants agreed by signing the consent forms that quotes from the focus group discussions could be published after pseudonymization of the data. All authors revised and approved the final manuscript.

: The authors declare no competing interests.

: EK (female) PhD is a medical sociologist with experience in qualitative data analysis. She works as a researcher at the Department of General Practice at the University Medical Center Göttingen, Germany.LM (female) M.A. has a background in sociology and has had training in qualitative data analysis as part of her studies and experience from a previous project. She is a researcher at the Department of General Practice at the University Medical Center Göttingen, Germany.LS (female) M.Sc. is a cultural and health scientist specializing in qualitative research. She works as a researcher at the Division of Ethics in Medicine at the Carl von Ossietzky University of Oldenburg.DB (male) MD is a specialist in psychosomatic medicine and psychotherapy with experience in qualitative methods. He works as a physician and researcher at the Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Göttingen, Germany.LN (female) M.Sc. has a background in psychology and has been trained in qualitative and quantitative data analysis. She is a researcher at the Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Göttingen, Germany.EH (female) Prof. is a specialist in family medicine, scientist and Director of the Department of General Practice at the University Medical Center Göttingen, Germany.