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Article History

Received: 14 January 2026

Accepted: 3 September 2026

First Online: 12 September 2026

Declarations

Ethics approval and consent to participate: The study was assessed by the regional committee for medical and health research ethics in South-Eastern Norway (REK) and was not classified as clinical research, as the aim was not to gain new knowledge about health and disease; thus, it did not fall under the Law of Health Research in Norway (Lov om medisinsk og helsefaglig forskning (helseforskningsloven) - Lovdata) and did not require formal ethical approval from REK (Reg nr. 844958). All observations, field notes, and questionnaire responses were fully anonymized and treated confidentially throughout the research process. No identifiable personal information was collected, and all the data were stored and presented in a way that ensured that the participants could not be recognized at any stage. All ethical principles were adhered to, and informed consent was obtained from all participants.

Competing interests: The authors declare no competing interests.