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Article History

Received: 5 March 2025

Accepted: 27 February 2026

First Online: 6 March 2026

Declarations

:

: The study was reviewed and approved by the Ethics Committee of the State Medical Association of Rhineland-Palatinate on December 14, 2022 (Application No.: 2022–16822). The study was conducted in accordance with the Declaration of Helsinki and applicable ethical guidelines. All participants were informed about the study objectives, procedures, and their rights before participation. Written informed consent was obtained from each participant prior to the preliminary interview. To ensure data protection and confidentiality, all study results were anonymised, and data security was guaranteed in accordance with the General Data Protection Regulation (GDPR) as implemented by the Mainz University Medical Centre.

: All participants were informed about the purpose of the research, including the planned publication of anonymised data and quotations. Written consent for publication was obtained from all participants prior to their participation.

: The authors declare no competing interests.