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Article History

Received: 4 July 2025

Accepted: 25 March 2026

First Online: 1 April 2026

Declarations

:

: The study was conducted in accordance with the Declaration of Helsinki and all procedures were approved by the Institute of Health Research Ethics Committee at the University of Bedfordshire (REF: IHREC979). All participants were provided with a detailed information sheet outlining the purpose and procedures of the study. They were given the opportunity to ask questions and discuss any concerns prior to participation. Written informed consent was obtained from all participants before the interviews were conducted, in accordance with ethical guidelines for research involving human subjects.

: The data that support the findings of this study are available from Dr Erica Cook (erica.cook@beds.ac.uk) but restrictions apply to the availability of these data, which were used under license for the current study, and so are not publicly available. Data are however available from the authors upon reasonable request and with permission of Dr Erica Cook. No identifying images or other personal or clinical details of participants are included that compromise anonymity; therefore, consent to publish such details was not required.

: The authors declare no competing interests.