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Crehan, Barstein, & Stephens have no conflicts to report. Ms. Dufresne and Ms. Yang have no conflicts to report. Drs. Dekker & Greaves-Lord developed the original TTT materials, for which they receive no renumeration; they have no conflicts to report.\u00a0Dr. Dekker\u2019s time was partially supported by the KNAW Ter Meulen Grant\/KNAW Medical Sciences Fund, Royal Netherlands Academy of Arts & Sciences. No other funds, grants, or other support was received.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This research study was conducted retrospectively from data obtained for clinical purposes. We consulted extensively with the IRB of Tufts University who determined that our study did not need ethical approval.\u00a0 An IRB official waiver of ethical approval was granted from the Tufts SBER (STUDY00002117) on November 3, 2021.\u00a0","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}}]}}