Document is current

Article History

Received: 9 May 2026

Accepted: 7 September 2026

First Online: 14 September 2026

Declarations

Ethics approval and consent to participate: Ethical approval was granted by the University of Liverpool Institute of Population Health Research Ethics Committee (IPH-REC) on 07/05/2025, reference number 16032. All procedures involving human participants adhered to the principles of the Declaration of Helsinki.

Consent for publication: Electronic informed consent was obtained from all participants for the publication of anonymised data to support the study findings in the final dissertation and any subsequent academic publications. No personally identifiable data are included in this manuscript.

Competing interests: The authors declare no competing interests.