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Article History

Received: 26 June 2024

Accepted: 25 February 2026

First Online: 5 March 2026

Declarations

:

: This research was conducted in accordance with the World Medical Association Declaration of Helsinki to ensure the highest standards of ethical conduct and governance. The research team sought ethical approval to carry out the research from The University of Glasgow College of Social Sciences Research Ethics Committee. An application was submitted for each phase of the project, and for every amendment to the research process. The approvals are listed as follows:Phase 1: Approval date: 19 November 2019. Application No: 400190018Phase 2: Approval date: 8 March 2022. Application No: 400210110Phase 2: Amendment 1 (PGSI long form score of 8) Approval date: 14 April 2022. Application No: 400210110Phase 2: Amendment 2 (PGSI score of 8-14) Approval date: 22 April 2022. Application No: 400210110Phase 2: Amendment 3 (PGSI score up to 19) Approval date: 4 May 2022. Application No: 400210110Phase 2: Amendment 4 (changes to sign up process) Approval date: 17 June 2022. Application No: 400210110Phase 2: Amendment 5 (use of Teams for interviews) Approval date: 1 August 2022. Application No: 400210110

: All participants signed consent forms that included agreement to the publication of our data under pseudonyms.

: The authors declare no competing interests.