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Article History

Received: 21 January 2025

Accepted: 31 March 2025

First Online: 15 April 2025

Declarations

:

: This study was IRB approved through Indiana University’s review board. This research was conducted in full adherence to the principles outlined in the Declaration of Helsinki, which emphasizes the protection of human participants in medical and clinical research. In accordance with the Declaration, the study relied upon Institutional Review Board (IRB) approvals determining the most appropriate means of ensuring informed consent from all participants to ensure compliance with ethical guidelines and federal regulations. Additionally, confidentiality and privacy was prioritized, with all personal data protected and used solely for the purposes of the study. We also acknowledge that US regulations, including those set forth by the Department of Health and Human Services (DHHS) and the Food and Drug Administration (FDA), will be strictly followed alongside the principles of the Declaration of Helsinki. Informed consent was obtained for HBSP services and records were stored per The Family Educational Rights and Privacy Act.

: Informed consent was not required for this study per the authorizing IRB. Informed consent for services was obtained by the Hospital-Based School Program from patients’ legal guardians.

: Informed consent was not required for this study per the authorizing IRB.

: The authors declare no competing interests.