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Article History

Received: 12 February 2026

Accepted: 21 September 2026

First Online: 29 September 2026

Declarations

Ethical approval and consent to participate: This study received approval from Ethics Review Boards in each of the 4 participating provinces: Comité d’éthique du Centre intégré universitaire de santé et services sociaux de l’Estrie – Centre Hospitalier Universitaire de Sherbrooke (MP-31-2019-2830); Research Ethics Boards Horizon Health Network (2018–2694); University of New Brunswick Research Ethics Board (016-2019); Research Ethics Board Memorial University (2019-027); Nova Scotia Health Research Ethics Board (1024432). Informed consent was obtained verbally, or in written form, and was documented by a member of the research team. This study was conducted in accordance with the Declaration of Helsinki.

Consent for publication: Not applicable.

Declaration of generative AI and AI-assisted technologies in the writing process: During the preparation of this work, the authors used DeepL Write to improve the readability and language of the manuscript. They also used Copilot-365 to enhance the writing. After using these tools, the authors reviewed and edited the content as needed and took full responsibility for the content of the published article.

Competing interests: The authors declare no competing interests.