{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T08:11:31Z","timestamp":1790323891521,"version":"4.1.0"},"reference-count":45,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Adolescent and young adult cancer survivors (AYACS) often experience psychological distress caused by difficulty in maintaining relationships. Cancer-related movies could promote knowledge and self-efficacy in relationship maintenance, but little is known about how cancer is depicted on screen. This study explored how the medical and social consequences of cancer are depicted in movies featuring an AYA with cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a content analysis of cancer-related movies released between 2013 and 2023. Two independent coders collected information about each character with cancer, each medical scene, and each social scene.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The final sample included 20 movies and 24 AYA characters with cancer. These characters were primarily female, White, and heterosexual, and more than half died during the movie. Only about 30% of medical scenes showed characters receiving any kind of cancer treatment. The most prevalent social theme was related to death. The receipt and provision of informal, non-medical care was the second most frequent social theme. Survivorship themes accounted for less than 10% of the sample.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Popular movies featuring depictions of AYA cancer are mostly not reflective of the cancer experience, especially as related to treatment and survival. The inclusion of themes related to the receipt and provision of informal care was noteworthy for its alignment with the existing literature. Movies may provide an opportunity for survivors to start conversations about preferences for the receipt and provision of non-medical support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00520-026-11138-3","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:08:28Z","timestamp":1788134908000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["How adolescent and young adult cancer is portrayed in movies: reflections for supportive care"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4324-8765","authenticated-orcid":false,"given":"Meredith K. Reffner","family":"Collins","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel S.","family":"Anca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brinda","family":"Pusuloori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawn","family":"Carey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5287-3874","authenticated-orcid":false,"given":"Karen","family":"Long-Traynor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Archana","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1003-8905","authenticated-orcid":false,"given":"Katie A.","family":"Devine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"issue":"17","key":"11138_CR1","doi-asserted-by":"publisher","first-page":"18354","DOI":"10.1002\/cam4.6435","volume":"12","author":"V Osmani","year":"2023","unstructured":"Osmani V et al (2023) Prevalence and risk of psychological distress, anxiety and depression in adolescent and young adult (AYA) cancer survivors: a systematic review and meta-analysis. Cancer Med 12(17):18354\u201318367","journal-title":"Cancer Med"},{"issue":"4","key":"11138_CR2","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1089\/jayao.2016.0015","volume":"5","author":"MC McCarthy","year":"2016","unstructured":"McCarthy MC et al (2016) Psychological distress and posttraumatic stress symptoms in adolescents and young adults with cancer and their parents. J Adolesc Young Adult Oncol 5(4):322\u2013329","journal-title":"J Adolesc Young Adult Oncol"},{"issue":"2","key":"11138_CR3","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1089\/jayao.2014.0005","volume":"4","author":"MJ Burgoyne","year":"2015","unstructured":"Burgoyne MJ et al (2015) Cancer-related distress in young adults compared to middle-aged and senior adults. J Adolesc Young Adult Oncol 4(2):56\u201363","journal-title":"J Adolesc Young Adult Oncol"},{"key":"11138_CR4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1200\/CCI.17.00138","volume":"2","author":"KA Devine","year":"2018","unstructured":"Devine KA et al (2018) Digital health interventions for adolescent and young adult cancer survivors. JCO Clin Cancer Inform 2:1\u201315","journal-title":"JCO Clin Cancer Inform"},{"issue":"5","key":"11138_CR5","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1037\/0003-066X.55.5.469","volume":"55","author":"JJ Arnett","year":"2000","unstructured":"Arnett JJ (2000) Emerging adulthood: a theory of development from the late teens through the twenties. Am Psychol 55(5):469\u2013480","journal-title":"Am Psychol"},{"issue":"3","key":"11138_CR6","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1016\/j.soncn.2015.05.006","volume":"31","author":"SL Docherty","year":"2015","unstructured":"Docherty SL et al (2015) The adolescent and young adult with cancer: a developmental life course perspective. Semin Oncol Nurs 31(3):186\u2013196","journal-title":"Semin Oncol Nurs"},{"issue":"2","key":"11138_CR7","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1177\/1049732315627645","volume":"27","author":"NT Iannarino","year":"2017","unstructured":"Iannarino NT, Scott AM, Shaunfield SL (2017) Normative social support in young adult cancer survivors. Qual Health Res 27(2):271\u2013284","journal-title":"Qual Health Res"},{"key":"11138_CR8","doi-asserted-by":"publisher","unstructured":"Ray CD, Iannarino NT, Wang NO, Matias BM, Westerman AW, Germann JN (2023) Exploring the barriers to social support interactions: a qualitative study of young adult cancer patients and young adult supporters. Health Commun 1-11. https:\/\/doi.org\/10.1080\/10410236.2023.2285558","DOI":"10.1080\/10410236.2023.2285558"},{"issue":"15\u201316","key":"11138_CR9","doi-asserted-by":"publisher","first-page":"2953","DOI":"10.1111\/jocn.14899","volume":"28","author":"MA Hauken","year":"2019","unstructured":"Hauken MA, Larsen TMB (2019) Young adult cancer patients\u2019 experiences of private social network support during cancer treatment. J Clin Nurs 28(15\u201316):2953\u20132965","journal-title":"J Clin Nurs"},{"issue":"3","key":"11138_CR10","doi-asserted-by":"publisher","first-page":"292","DOI":"10.1080\/07347332.2017.1289290","volume":"35","author":"N Breuer","year":"2017","unstructured":"Breuer N et al (2017) How do young adults with cancer perceive social support? A qualitative study. J Psychosoc Oncol 35(3):292\u2013308","journal-title":"J Psychosoc Oncol"},{"issue":"2","key":"11138_CR11","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1080\/07347332.2019.1672847","volume":"38","author":"T Kaluarachchi","year":"2020","unstructured":"Kaluarachchi T et al (2020) Being a teenager and cancer patient: what do adolescents and young adults with cancer find valuable and challenging with their friends and cancer peers? J Psychosoc Oncol 38(2):195\u2013209","journal-title":"J Psychosoc Oncol"},{"issue":"5","key":"11138_CR12","doi-asserted-by":"publisher","first-page":"515","DOI":"10.1089\/jayao.2017.0131","volume":"7","author":"MMH Janin","year":"2018","unstructured":"Janin MMH et al (2018) Talking about cancer among adolescent and young adult cancer patients and survivors: a systematic review. J Adolesc Young Adult Oncol 7(5):515\u2013524","journal-title":"J Adolesc Young Adult Oncol"},{"issue":"2","key":"11138_CR13","doi-asserted-by":"publisher","first-page":"E355","DOI":"10.1097\/NCC.0000000000000977","volume":"45","author":"J Currin-McCulloch","year":"2022","unstructured":"Currin-McCulloch J, Kaushik S, Jones B (2022) \u201cWhen will I feel normal\u201d?: disorienting grief responses among young adults with advanced cancer. Cancer Nurs 45(2):E355\u2013E363","journal-title":"Cancer Nurs"},{"issue":"4","key":"11138_CR14","doi-asserted-by":"publisher","first-page":"457","DOI":"10.1080\/07347332.2021.1914271","volume":"40","author":"K Darabos","year":"2022","unstructured":"Darabos K, Berger AJ, Ford JS (2022) \u201cEmpathy without sympathy\u201d: an analysis of support-related preferences among young adult cancer survivors. J Psychosoc Oncol 40(4):457\u2013472","journal-title":"J Psychosoc Oncol"},{"key":"11138_CR15","doi-asserted-by":"publisher","unstructured":"Ray CD (2023)\u00a0Nonsupport experiences of young adult cancer patients: prevalence, acceptability, and outcomes of not receiving support. Health Commun 1\u201313.\u00a0https:\/\/doi.org\/10.1080\/10410236.2023.2206178","DOI":"10.1080\/10410236.2023.2206178"},{"issue":"1","key":"11138_CR16","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1080\/10570314.2018.1472800","volume":"83","author":"CD Ray","year":"2018","unstructured":"Ray CD, Manusov V, McLaren RM (2018) \u201cEmotional support won\u2019t cure cancer\u201d: reasons people give for not providing emotional support. West J Commun 83(1):20\u201338","journal-title":"West J Commun"},{"issue":"1","key":"11138_CR17","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1093\/hcr\/hqad032","volume":"50","author":"CM Thompson","year":"2024","unstructured":"Thompson CM, Taniguchi-Dorios E, Reid T (2024) Further examination of the support quandary hypothesis: a weekly diary study of how uncertainty both motivates and challenges supporting close others with mental illness. Hum Commun Res 50(1):95\u2013107","journal-title":"Hum Commun Res"},{"key":"11138_CR18","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1016\/j.ejon.2018.12.010","volume":"39","author":"S Pini","year":"2019","unstructured":"Pini S et al (2019) \u201cWhat are you crying for? I don\u2019t even know you\u201d: the experiences of teenagers communicating with their peers when returning to school. Eur J Oncol Nurs 39:28\u201334","journal-title":"Eur J Oncol Nurs"},{"issue":"6","key":"11138_CR19","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/07347332.2024.2337043","volume":"42","author":"MKR Collins","year":"2024","unstructured":"Collins MKR et al (2024) Reel reflections: the role of entertainment media narratives in coping among young adult cancer survivors. J Psychosoc Oncol 42(6):1\u201322","journal-title":"J Psychosoc Oncol"},{"issue":"6","key":"11138_CR20","doi-asserted-by":"publisher","first-page":"867","DOI":"10.1089\/jayao.2023.0175","volume":"13","author":"MKR Collins","year":"2024","unstructured":"Collins MKR et al (2024) Understanding young adult cancer survivors\u2019 engagement with cancer storylines in entertainment media narratives. J Adolesc Young Adult Oncol 13(6):867\u2013875","journal-title":"J Adolesc Young Adult Oncol"},{"issue":"3","key":"11138_CR21","doi-asserted-by":"publisher","first-page":"552","DOI":"10.1080\/10410236.2023.2174403","volume":"39","author":"MKR Collins","year":"2024","unstructured":"Collins MKR et al (2024) \u201cIt\u2019s nothing like cancer\u201d: young adults with cancer reflect on memorable entertainment narratives. Health Commun 39(3):552\u2013562","journal-title":"Health Commun"},{"issue":"3","key":"11138_CR22","doi-asserted-by":"publisher","first-page":"316","DOI":"10.1093\/ct\/qtz012","volume":"31","author":"N Tal-Or","year":"2021","unstructured":"Tal-Or N (2021) The effects of co-viewers on the viewing experience. Commun Theory 31(3):316\u2013335","journal-title":"Commun Theory"},{"issue":"2","key":"11138_CR23","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1515\/commun-2015-0006","volume":"40","author":"C Lacalle","year":"2015","unstructured":"Lacalle C (2015) Young people and television fiction: reception analysis. Communications 40(2):237\u2013255","journal-title":"Communications"},{"key":"11138_CR24","doi-asserted-by":"crossref","unstructured":"Zillich AF (2020) Socially shared television viewing: preconditions, processes, and effects of co-viewing and social TV. In: Kramer B, Frey F (eds) How we use the media: strategies, modes, and styles. Palgrave Macmillan, pp 133\u2013156","DOI":"10.1007\/978-3-030-41313-2_7"},{"issue":"2","key":"11138_CR25","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1515\/commun-2014-0011","volume":"39","author":"AF Zillich","year":"2014","unstructured":"Zillich AF (2014) Watching television with others: the influence of interpersonal communication on entertainment. Communications 39(2):169\u2013192","journal-title":"Communications"},{"issue":"3","key":"11138_CR26","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1007\/s11764-015-0488-1","volume":"10","author":"J Mooney-Somers","year":"2016","unstructured":"Mooney-Somers J, Lewis P, Kerridge I (2016) Discursive constructions of youth cancer: findings from creative methods research with healthy young people. J Cancer Surviv 10(3):427\u2013436","journal-title":"J Cancer Surviv"},{"key":"11138_CR27","doi-asserted-by":"publisher","first-page":"457","DOI":"10.1200\/OP.23.00658","volume":"20","author":"DJ Benjamin","year":"2024","unstructured":"Benjamin DJ, Lythgoe MP, Kalebasty AR (2024) Hollywood\u2019s take on oncology: portrayal of cancer in movies, 2010\u20132020. JCO Oncol Pract 20:457\u2013459","journal-title":"JCO Oncol Pract"},{"key":"11138_CR28","doi-asserted-by":"publisher","first-page":"430","DOI":"10.1097\/MPH.0000000000000195","volume":"36","author":"J Pavisic","year":"2014","unstructured":"Pavisic J et al (2014) Childhood cancer in the cinema: how the celluoid mirror reflects psychosocial care. J Pediatr Hematol Oncol 36:430\u2013437","journal-title":"J Pediatr Hematol Oncol"},{"issue":"3","key":"11138_CR29","doi-asserted-by":"publisher","first-page":"529","DOI":"10.1093\/jnci\/djae250","volume":"117","author":"LL Page","year":"2025","unstructured":"Page LL et al (2025) Prevalence of cancer survivors diagnosed during adolescence and young adulthood in the United States. J Natl Cancer Inst 117(3):529\u2013536","journal-title":"J Natl Cancer Inst"},{"issue":"6","key":"11138_CR30","doi-asserted-by":"publisher","first-page":"311","DOI":"10.1177\/1043454213513839","volume":"30","author":"P Lewis","year":"2013","unstructured":"Lewis P et al (2013) Growing up with cancer: accommodating the effects of cancer into young people\u2019s social lives. J Pediatr Oncol Nurs 30(6):311\u2013319","journal-title":"J Pediatr Oncol Nurs"},{"key":"11138_CR31","doi-asserted-by":"publisher","DOI":"10.4324\/9780429464287","volume-title":"Analyzing media messages: using quantitative content analysis in research","author":"D Riffe","year":"2019","unstructured":"Riffe D, Lacy S, Fico F, Watson BR (2019) Analyzing media messages: using quantitative content analysis in research, 4th edn. Routledge. https:\/\/doi.org\/10.4324\/9780429464287","edition":"4"},{"key":"11138_CR32","unstructured":"Gwet KL (2021) Analysis of categorical ratings. Handbook of inter-rater reliability: the definitive guide to measuring the extent of agreement among raters, vol vol 1, 5th ed. AgreeStat"},{"issue":"3","key":"11138_CR33","doi-asserted-by":"publisher","first-page":"286","DOI":"10.1001\/jamapediatrics.2020.5155","volume":"175","author":"A Kresovich","year":"2021","unstructured":"Kresovich A et al (2021) A content analysis of mental health discourse in popular rap music. JAMA Pediatr 175(3):286\u2013292","journal-title":"JAMA Pediatr"},{"key":"11138_CR34","unstructured":"IMDB. IMDBPro (2026) [accessed 2024]; Available from: https:\/\/pro.imdb.com. Accessed 15 Feb 2024"},{"key":"11138_CR35","unstructured":"Cancer movies and TV shows (2026) [accessed 2024]; Available from: https:\/\/bestsimilar.com\/tag\/7050-cancer. Accessed\u00a015 Feb 2024"},{"issue":"4","key":"11138_CR36","doi-asserted-by":"publisher","first-page":"595","DOI":"10.1093\/jnci\/djae252","volume":"117","author":"HM Parsons","year":"2025","unstructured":"Parsons HM et al (2025) The intersecting time, administrative, and financial burdens of a cancer diagnosis. J Natl Cancer Inst 117(4):595\u2013600","journal-title":"J Natl Cancer Inst"},{"issue":"12","key":"11138_CR37","doi-asserted-by":"publisher","first-page":"1670","DOI":"10.1093\/jnci\/djab192","volume":"113","author":"KR Yabroff","year":"2021","unstructured":"Yabroff KR et al (2021) Annual report to the nation on the status of cancer, part 2: patient economic burden associated with cancer care. J Natl Cancer Inst 113(12):1670\u20131682","journal-title":"J Natl Cancer Inst"},{"issue":"6","key":"11138_CR38","doi-asserted-by":"publisher","first-page":"630","DOI":"10.1200\/JCO.23.01367","volume":"42","author":"THM Keegan","year":"2024","unstructured":"Keegan THM, Abrahao R, Alvarez EM (2024) Survival trends among adolescents and young adults diagnosed with cancer in the United States: comparisons with children and older adults. J Clin Oncol 42(6):630\u2013641","journal-title":"J Clin Oncol"},{"issue":"18","key":"11138_CR39","doi-asserted-by":"publisher","first-page":"3508","DOI":"10.1002\/cam4.4708","volume":"11","author":"J Xie","year":"2022","unstructured":"Xie J et al (2022) Reproductive concerns among adolescent and young adult cancer survivors: a scoping review of current research situations. Cancer Med 11(18):3508\u20133517","journal-title":"Cancer Med"},{"issue":"3","key":"11138_CR40","doi-asserted-by":"publisher","first-page":"333","DOI":"10.1111\/hcre.12026","volume":"40","author":"JE Chung","year":"2014","unstructured":"Chung JE (2014) Medical dramas and viewer perception of health: testing cultivation effects. Hum Commun Res 40(3):333\u2013349","journal-title":"Hum Commun Res"},{"issue":"3","key":"11138_CR41","doi-asserted-by":"publisher","first-page":"477","DOI":"10.1111\/j.1360-0443.2012.04088.x","volume":"108","author":"MC Green","year":"2013","unstructured":"Green MC, Clark JL (2013) Transportation into narrative worlds: implications for entertainment media influences on tobacco use. Addiction 108(3):477\u2013484","journal-title":"Addiction"},{"issue":"3","key":"11138_CR42","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1207\/s1532785xmep0803_4","volume":"8","author":"MC Green","year":"2006","unstructured":"Green MC et al (2006) Fact versus fiction labeling: persuasion parity despite heightened scrutiny of fact. Media Psychol 8(3):267\u2013285","journal-title":"Media Psychol"},{"issue":"3","key":"11138_CR43","doi-asserted-by":"publisher","first-page":"280","DOI":"10.1080\/10410236.2019.1683952","volume":"36","author":"J Koenig Kellas","year":"2021","unstructured":"Koenig Kellas J et al (2021) Cancer as communal: understanding communication and relationships from the perspectives of survivors, family caregivers, and health care providers. Health Commun 36(3):280\u2013292","journal-title":"Health Commun"},{"key":"11138_CR44","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2021.114357","volume":"287","author":"T Thompson","year":"2021","unstructured":"Thompson T et al (2021) The dyadic cancer outcomes framework: a general framework of the effects of cancer on patients and informal caregivers. Soc Sci Med 287:114357","journal-title":"Soc Sci Med"},{"issue":"10","key":"11138_CR45","doi-asserted-by":"publisher","first-page":"1233","DOI":"10.1080\/10410236.2017.1350909","volume":"33","author":"NT Iannarino","year":"2018","unstructured":"Iannarino NT (2018) \u201cMy insides feel like Keith Richards\u2019 face\u201d: a narrative analysis of humor and biographical disruption in young adults\u2019 cancer blogs. Health Commun 33(10):1233\u20131242","journal-title":"Health Commun"}],"container-title":["Supportive Care in Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-11138-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00520-026-11138-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-11138-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T07:51:28Z","timestamp":1790322688000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00520-026-11138-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":45,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["11138"],"URL":"https:\/\/doi.org\/10.1007\/s00520-026-11138-3","relation":{},"ISSN":["0941-4355","1433-7339"],"issn-type":[{"value":"0941-4355","type":"print"},{"value":"1433-7339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,31]]},"assertion":[{"value":"27 May 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 August 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study did not involve human or animal subjects. Thus, no ethics approval was required.","order":1,"name":"Ethics","label":"Ethics approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"910"}}