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Article History

Received: 3 March 2026

Accepted: 24 July 2026

First Online: 29 July 2026

Declarations

Ethics approval and consent to participate: The research adhered to the Declaration of Helsinki and followed the principles of good research practice. Approval was granted by the Medical Ethics Committee at the University Medical Center Göttingen (No. 16/9/21). Participants provided written informed consent for the use of their data for research purposes within the broader research study project. The secondary analysis was conducted on fully anonymized transcripts and did not involve any new data collection. Ethical approval for the overarching study covers this analysis (Ethics Committee approval No. 16/9/21). Focus group members received an 80-euro expense allowance for their time. The participants were provided with a summary of the project findings.

Consent for publication: Participants consented via their signed forms to the anonymized publication of quotations from the focus group sessions. The full manuscript was reviewed and endorsed by all authors.

Competing interests: The authors declare no competing interests.