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Article History

Received: 19 August 2025

Accepted: 7 November 2025

First Online: 20 November 2025

Declarations

:

: This study was approved by the Institutional Ethics Committee of the All India Institute of Speech and Hearing (AIISH), Mysuru, India (Approval Date: 26/12/2024; Ethical clearance Number: SH/IRB/M.1/15/2024-25. Informed written consent to participate was obtained from all adult participants. For participants below 16 years of age, written informed consent was obtained from their parent or legal guardian. Written informed consent was obtained from all individual participants involved in the study. For participants under the age of 16 years, written informed consent was obtained from their parent or legal guardian.

: Not applicable.

: The authors declare no competing interests.