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Authors
Khanal, Shanti Prasad https://orcid.org/0000-0001-6001-9502
Budhathoki, Chitra Bahadur
Sharma, Mohan Kumar
Okan, Orkan
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Article History
Received: 12 June 2024
Accepted: 22 December 2025
First Online: 3 January 2026
Declarations
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: The research was conducted in accordance with the ethical principles of the Declaration of Helsinki. Ethical approval for this study was obtained from the Nepal Health Research Council (Ref. No. 2688). Specifically, it has received approval from the Graduate School (31-09-2021) of Education at Tribhuvan University in Nepal and the University Grant Commission of Nepal (PhD 78/79-Edu-01). Informed consent was obtained from all subjects and/or their parents and legal guardian(s). All participants were assured of the confidentiality of their information and that their data would be anonymised in the final report.
: Not applicable.
: The authors declare no competing interests.
