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Article History

Received: 1 October 2024

Accepted: 13 January 2025

First Online: 27 January 2025

Declarations

:

: The Medical Ethics Review Committee of Amsterdam University Medical Centers reviewed and approved the study protocol. They decided that the study did not fall within the scope of the Dutch Medical Research Involving Human Subjects Act, as representatives were not subjected to medical procedures or required to adhere to specific behavioral rules [39]. Therefore, no additional formal ethical approval was required (statement ID 2021–0417). All representatives signed an informed consent form before their interview and received a summary of their interview for member checking afterward. The research was conducted in accordance with the relevant guidelines and regulations, including the Declaration of Helsinki. The transcripts and audio recordings were stored and analyzed in compliance with the General Data Protection Regulation.

: Not applicable.

: We disclose that DD and IvB, besides their roles as researchers, are employed by Zorginstituut Nederland (National Health Care Institute, ZIN), a guideline organization. While this may introduce potential bias or conflicts of interest, we have mitigated this by extensively addressing and discussing the matter in our group discussions on study design and result interpretation.