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Article History

Received: 7 January 2025

Accepted: 21 August 2025

First Online: 6 October 2025

Declarations

:

: All four studies, including the pilot and the three main studies, have been approved by the Institutional Review Board (IRB) at Oklahoma City University (YS061622, YS091322, YS012923A, YS083123).

: All participants have provided consent prior to participating in the study.

: Not applicable.

: I have no competing interests to declare.