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Article History

Received: 11 March 2025

Accepted: 12 August 2025

First Online: 1 October 2025

Declarations

:

: The Medical Ethics Committee of the Erasmus University Medical Center determined that ethical approval was not required under Dutch law (MEC-2021–0948). Before participating in the study, all participants provided informed consent, confirming they had been informed about the study’s purpose, that participation was voluntary, and that they could withdraw at any time without providing a reason. Participants also consented to the use of their data, which would be handled anonymously and confidentially, ensuring it could not be traced back to them. Additionally, all client data collected by the de-implementation ambassadors was fully anonymized, with no information on gender, age, or date of birth recorded. As a result, client data was entirely untraceable.

: Not applicable.

: The authors declare that they have no known competing financial interests or personal relationships that could have influenced the work reported in this study.