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Article History

Received: 12 February 2026

Accepted: 9 April 2026

First Online: 14 April 2026

Declarations

:

: Ethical clearance was obtained from the Institutional Review Board (IRB) of Wolkite University, College of Health Sciences, with protocol number 0721/2025. Official permission letters were secured from the respective participating institutions prior to data collection. The study was conducted in accordance with the principles of the Declaration of Helsinki and relevant national and institutional guidelines and regulations for research involving human participants. Informed written consent was obtained from each participant prior to data collection. For participants unable to provide written consent, verbal consent was obtained after a full explanation of the study objectives, procedures, potential risks, and benefits. Confidentiality and privacy of the participants were strictly maintained throughout the study. No personal identifiers, including names, were recorded, and all collected data were kept securely and used solely for research purposes.

: Not applicable.

: The authors declare no competing interests.