Azam, Khooshbin https://orcid.org/0000-0002-2497-0373
Naiersadat, Tahery https://orcid.org/0000-0001-9784-336X
Pouran, Nekoueian https://orcid.org/0009-0004-0556-8428
Hamid, Nasiri https://orcid.org/0000-0001-7286-6039
Mahshid, Bokaie https://orcid.org/0000-0001-7196-813X
Article History
Received: 9 June 2024
Accepted: 23 August 2025
First Online: 29 September 2025
Declarations
:
: After obtaining ethical approval (Code: IR.SSU.REC.1398.230) and receiving authorization from Shahid Sadoughi University of Medical Sciences to conduct the study in Isfahan, along with the necessary administrative coordination with Isfahan University of Medical Sciences and permission from its Vice-Chancellor for Education, the researcher commenced sampling. All participants were fully informed about the research process and signed an informed consent form prior to participation. For participants under the age of 16, consent was obtained from a parent or legal guardian.
: Not applicable.
: The authors declare no competing interests.