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Authors
Leichter, Joshua W. https://orcid.org/0009-0008-7501-3988
Cannon, Michael J. https://orcid.org/0000-0001-5776-5010
Mensa-Wilmot, Yvonne https://orcid.org/0000-0002-9122-4207
Belay, Zena W. https://orcid.org/0009-0004-1404-4650
Garza, Anyssa S. https://orcid.org/0009-0004-7101-9355
Schmalz, Abby M. https://orcid.org/0009-0007-9485-9981
Walch, Keenan I. https://orcid.org/0009-0004-3746-1457
Bobinet, Kyra https://orcid.org/0009-0004-6501-4603
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Funding
Funding for this research was provided by:
Centers for Disease Control and Prevention
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Article History
Received: 3 July 2025
Accepted: 17 February 2026
First Online: 25 February 2026
Declarations
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: An independent ethical review board, WCG (WIRB-Copernicus Group) IRB, reviewed and approved this study protocol ( , #1300367) and the study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.
: Not Applicable.
: In this study, the Fresh Tri app was used by participants in the intervention arm. The Fresh Tri app is protected by copyright laws as well as trade secrets, with all rights thereto owned by Fresh Tri, LLC, which conducted the study and permitted the use of the Fresh Tri app in the study.
: JWL and KB are employees of Fresh Tri, LLC, which conducted the study and is the developer of the app used in the intervention arm. ZWB is a former consultant, and ASG, KIW and AMS are former employees of Fresh Tri, LLC. MJC and YM are employees of CDC, which funded this study under contract with Fresh Tri, LLC.
