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All participants were fully informed about the study\u2019s aims, procedures, and their rights, including the option to participate voluntarily and withdraw at any time without consequence. Written informed consent was obtained before data collection. Participants\u2019 confidentiality and anonymity were maintained throughout the research process, with all data securely stored and reported in a manner that did not reveal identifiable information. The study adhered to the ethical principles outlined in the Declaration of Helsinki and the standards outlined in the Indonesian Health Research Ethics Guidelines (KEPPKN).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"329"}}