{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:22:33Z","timestamp":1792783353767,"version":"4.5.0"},"reference-count":48,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universidade de Vigo","id":[{"id":"https:\/\/ror.org\/05rdf8595","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Med Biol Eng Comput"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1007\/s11517-026-03640-x","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T09:39:15Z","timestamp":1786095555000},"page":"3511-3528","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Large Intestine Model Editor (LIME): Design and pilot evaluation of an editor for parameterized large intestine 3D models"],"prefix":"10.1007","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2174-7918","authenticated-orcid":false,"given":"Adri\u00e1n","family":"Lugilde-L\u00f3pez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando-Ariel","family":"Mikic-Fonte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Caeiro-Rodr\u00edguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mart\u00edn","family":"Llamas-Nistal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Rodr\u00edguez-D\u2019Jes\u00fas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,7]]},"reference":[{"key":"3640_CR1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aei.2022.101837","volume":"55","author":"P Adami","year":"2023","unstructured":"Adami P, Singh R, Borges Rodrigues P et al (2023) Participants matter: Effectiveness of VR-based training on the knowledge, trust in the robot, and self-efficacy of construction workers and university students. Adv Eng Inform 55:101837. https:\/\/doi.org\/10.1016\/j.aei.2022.101837","journal-title":"Adv Eng Inform"},{"key":"3640_CR2","doi-asserted-by":"publisher","DOI":"10.3389\/fspor.2025.1497161","volume":"7","author":"I Cariati","year":"2025","unstructured":"Cariati I, Bonanni R, Cifelli P et al (2025) Virtual reality and sports performance: a systematic review of randomized controlled trials exploring balance. Front Sports Act Living 7:1497161. https:\/\/doi.org\/10.3389\/fspor.2025.1497161","journal-title":"Front Sports Act Living"},{"key":"3640_CR3","doi-asserted-by":"publisher","first-page":"166","DOI":"10.2307\/1421493","volume":"92","author":"LS Vygotsky","year":"1979","unstructured":"Vygotsky LS, Cole M, John-Steiner V et al (1979) L. S. Vygotsky: Mind in society. The development of higher psychological processes. Am J Psychol 92:166. https:\/\/doi.org\/10.2307\/1421493","journal-title":"Am J Psychol"},{"key":"3640_CR4","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1007\/s00268-007-9374-y","volume":"32","author":"RM Satava","year":"2008","unstructured":"Satava RM (2008) Historical review of surgical simulation\u2013a personal perspective. World J Surg 32:141\u2013148. https:\/\/doi.org\/10.1007\/s00268-007-9374-y","journal-title":"World J Surg"},{"key":"3640_CR5","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1016\/j.lers.2021.09.002","volume":"4","author":"W Zhang","year":"2021","unstructured":"Zhang W, Liu X, Zheng B (2021) Virtual reality simulation in training endoscopic skills: a systematic review. Laparosc Endosc Robot Surg 4:97\u2013104. https:\/\/doi.org\/10.1016\/j.lers.2021.09.002","journal-title":"Laparosc Endosc Robot Surg"},{"key":"3640_CR6","unstructured":"Hutchins M, Adcock M, Stevenson D, Gunn\u00a0C, Krumpholz\u00a0A (2005) The design of perceptual representations for practical networked multimodal virtual training environments. In: 11th International conference on human\u2013computer interaction. Taylor & Francis Group LLC, Las Vegas, USA, Philadelphia"},{"key":"3640_CR7","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1016\/s0002-9610(98)00289-x","volume":"177","author":"M Bridges","year":"1999","unstructured":"Bridges M, Diamond DL (1999) The financial impact of teaching surgical residents in the operating room. Am J Surg 177:28\u201332. https:\/\/doi.org\/10.1016\/s0002-9610(98)00289-x","journal-title":"Am J Surg"},{"key":"3640_CR8","doi-asserted-by":"publisher","first-page":"477","DOI":"10.1016\/B978-012440905-7\/50313-3","volume-title":"Principles of gender-specific medicine","author":"MI Canto","year":"2004","unstructured":"Canto MI, Cruz-Correa M, Early D (2004) Gender difference in gastrointestinal endoscopy. Principles of gender-specific medicine. Elsevier, pp 477\u2013489"},{"key":"3640_CR9","doi-asserted-by":"publisher","first-page":"630","DOI":"10.1016\/j.gie.2014.09.014","volume":"81","author":"AD Koch","year":"2015","unstructured":"Koch AD, Ekkelenkamp VE, Haringsma J et al (2015) Simulated colonoscopy training leads to improved performance during patient-based assessment. Gastrointest Endosc 81:630\u2013636. https:\/\/doi.org\/10.1016\/j.gie.2014.09.014","journal-title":"Gastrointest Endosc"},{"key":"3640_CR10","doi-asserted-by":"publisher","first-page":"374","DOI":"10.1159\/000520237","volume":"29","author":"R Morato","year":"2022","unstructured":"Morato R, Tom\u00e9 L, Dinis-Ribeiro M, Rolanda C (2022) Endoscopic skills training: the impact of virtual exercises on simulated colonoscopy. GE Port J Gastroenterol 29:374\u2013384. https:\/\/doi.org\/10.1159\/000520237","journal-title":"GE Port J Gastroenterol"},{"key":"3640_CR11","doi-asserted-by":"publisher","first-page":"1060","DOI":"10.1007\/s00464-009-0726-6","volume":"24","author":"R Fayez","year":"2010","unstructured":"Fayez R, Feldman LS, Kaneva P, Fried GM (2010) Testing the construct validity of the Simbionix GI Mentor II virtual reality colonoscopy simulator metrics: module matters. Surg Endosc 24:1060\u20131065. https:\/\/doi.org\/10.1007\/s00464-009-0726-6","journal-title":"Surg Endosc"},{"key":"3640_CR12","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1080\/01421590500046924","volume":"27","author":"SB Issenberg","year":"2005","unstructured":"Issenberg SB, McGaghie WC, Petrusa ER et al (2005) Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach 27:10\u201328. https:\/\/doi.org\/10.1080\/01421590500046924","journal-title":"Med Teach"},{"key":"3640_CR13","unstructured":"Endo VR colonoscopy simulator. In: promamec.com. https:\/\/promamec.com\/en\/produits\/endo-vr. Accessed 5 Mar 2025"},{"key":"3640_CR14","unstructured":"GI Mentor colonoscopy simulator. In: Simbionix.com. https:\/\/simbionix.com\/simulators\/gi-mentor\/. Accessed 5 Mar 2025"},{"key":"3640_CR15","unstructured":"EndoSim colonoscopy simulator. In: Surgical Science. https:\/\/surgicalscience.com\/simulators\/endosim\/. Accessed 5 Mar 2025"},{"key":"3640_CR16","unstructured":"Donaire C\u00f3nsul S (2021) Reconstrucci\u00f3 i modelat 3d de l\u00famens per a la simulaci\u00f3 virtual interactiva de colonosc\u00f2pies. Universitat Polit\u00e8cnica de Catalunya"},{"key":"3640_CR17","doi-asserted-by":"crossref","unstructured":"Lopez AL, Fonte FAM, Rodriguez MC et al (2022) Work-in-progress\u2014towards a virtual training environment for lower gastrointestinal endoscopy. In: 2022 8th International conference of the immersive learning research network (iLRN). IEEE","DOI":"10.23919\/iLRN55037.2022.9815991"},{"key":"3640_CR18","unstructured":"Download Archive, Beta Program, Unity QA Unity real-time development platform. In: Unity. https:\/\/unity.com\/. Accessed 5 Mar 2025"},{"key":"3640_CR19","unstructured":"R ZERO INC (2024) Next generation medical simulator. In: R ZERO INC. https:\/\/rzero.jp\/projects\/mikoto_en\/. Accessed 18 July 2025"},{"key":"3640_CR20","unstructured":"Further training in endoscopy using virtual reality: the Virtual Gastro Tutor (VIGATU). In: Endoscopy-campus.com. https:\/\/www.endoscopy-campus.com\/en\/literature\/vigatu\/. Accessed 18 July 2025"},{"key":"3640_CR21","doi-asserted-by":"publisher","first-page":"186","DOI":"10.20517\/ais.2023.17","volume":"3","author":"T Shakir","year":"2023","unstructured":"Shakir T, Kader R, Bhan C, Chand M (2023) AI in colonoscopy-detection and characterisation of malignant polyps. Artif Intell Surg 3:186\u2013194","journal-title":"Artif Intell Surg"},{"key":"3640_CR22","doi-asserted-by":"publisher","first-page":"1060","DOI":"10.1002\/jmri.27744","volume":"55","author":"VR Talanki","year":"2022","unstructured":"Talanki VR, Peng Q, Shamir SB et al (2022) Three-dimensional printed anatomic models derived from magnetic resonance imaging data: current state and image acquisition recommendations for appropriate clinical scenarios. J Magn Reson Imaging 55:1060\u20131081. https:\/\/doi.org\/10.1002\/jmri.27744","journal-title":"J Magn Reson Imaging"},{"key":"3640_CR23","doi-asserted-by":"publisher","first-page":"7384","DOI":"10.3390\/app15137384","volume":"15","author":"J Lei","year":"2025","unstructured":"Lei J, Tee LBG, Ragunath K, Sun Z (2025) Three-dimensional-printed gastrointestinal tract models for surgical planning and medical education: a systematic review. Appl Sci (Basel) 15:7384. https:\/\/doi.org\/10.3390\/app15137384","journal-title":"Appl Sci (Basel)"},{"key":"3640_CR24","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1007\/s00384-024-04695-8","volume":"39","author":"AC Habermann","year":"2024","unstructured":"Habermann AC, Timmerman WR, Cohen SM et al (2024) Clinical applications of 3D printing in colorectal surgery: a systematic review. Int J Colorectal Dis 39:127. https:\/\/doi.org\/10.1007\/s00384-024-04695-8","journal-title":"Int J Colorectal Dis"},{"key":"3640_CR25","doi-asserted-by":"publisher","first-page":"448","DOI":"10.20517\/ais.2025.04","volume":"5","author":"M Salavracos","year":"2025","unstructured":"Salavracos M, Danse E, Michoux N et al (2025) Correction: contribution of 3D virtual modeling in locating hepatic metastases, particularly \u201cvanishing tumors\u201d: a pilot study. Artif Intell Surg 5:448\u2013449. https:\/\/doi.org\/10.20517\/ais.2025.04","journal-title":"Artif Intell Surg"},{"key":"3640_CR26","doi-asserted-by":"publisher","first-page":"5577","DOI":"10.1038\/s41467-020-19303-w","volume":"11","author":"PD L\u00f6sel","year":"2020","unstructured":"L\u00f6sel PD, van de Kamp T, Jayme A et al (2020) Introducing Biomedisa as an open-source online platform for biomedical image segmentation. Nat Commun 11:5577. https:\/\/doi.org\/10.1038\/s41467-020-19303-w","journal-title":"Nat Commun"},{"key":"3640_CR27","unstructured":"Finocchiaro M, Stern R, Smith AG et al (2025) HQColon: a hybrid interactive machine learning pipeline for high quality colon labeling and segmentation. arXiv"},{"key":"3640_CR28","doi-asserted-by":"publisher","DOI":"10.1148\/ryai.230024","volume":"5","author":"J Wasserthal","year":"2023","unstructured":"Wasserthal J, Breit H-C, Meyer MT et al (2023) TotalSegmentator: robust segmentation of 104 anatomic structures in CT images. Radiol Artif Intell 5:e230024. https:\/\/doi.org\/10.1148\/ryai.230024","journal-title":"Radiol Artif Intell"},{"key":"3640_CR29","doi-asserted-by":"publisher","DOI":"10.1007\/s13534-025-00484-6","author":"JS Ryu","year":"2025","unstructured":"Ryu JS, Kang H, Chu Y, Yang S (2025) Vision-language foundation models for medical imaging: a review of current practices and innovations. Biomed Eng Lett. https:\/\/doi.org\/10.1007\/s13534-025-00484-6","journal-title":"Biomed Eng Lett"},{"key":"3640_CR30","doi-asserted-by":"crossref","unstructured":"Akter S, Shihab IF, Sharma A (2025) Image segmentation with large language models: a survey with perspectives for intelligent transportation systems. arXiv","DOI":"10.1109\/TITS.2026.3695429"},{"key":"3640_CR31","doi-asserted-by":"publisher","first-page":"1450","DOI":"10.1109\/TMI.2002.806409","volume":"21","author":"M Wan","year":"2002","unstructured":"Wan M, Liang Z, Ke Q et al (2002) Automatic centerline extraction for virtual colonoscopy. IEEE Trans Med Imaging 21:1450\u20131460. https:\/\/doi.org\/10.1109\/TMI.2002.806409","journal-title":"IEEE Trans Med Imaging"},{"key":"3640_CR32","doi-asserted-by":"publisher","DOI":"10.1002\/mp.17855","volume":"52","author":"S Liu","year":"2025","unstructured":"Liu S, Su R, Su J et al (2025) Segmentation-assisted vessel centerline extraction from cerebral CT angiography. Med Phys 52:e17855. https:\/\/doi.org\/10.1002\/mp.17855","journal-title":"Med Phys"},{"key":"3640_CR33","doi-asserted-by":"publisher","first-page":"200","DOI":"10.1002\/acm2.13003","volume":"21","author":"OI Alirr","year":"2020","unstructured":"Alirr OI (2020) Deep learning and level set approach for liver and tumor segmentation from CT scans. J Appl Clin Med Phys 21:200\u2013209. https:\/\/doi.org\/10.1002\/acm2.13003","journal-title":"J Appl Clin Med Phys"},{"key":"3640_CR34","doi-asserted-by":"publisher","DOI":"10.1016\/j.birob.2024.100149","volume":"4","author":"Z Wan","year":"2024","unstructured":"Wan Z, Lan H, Lin S, Dai H (2024) Defect detection and repair algorithm for structures generated by topology optimization based on 3D hierarchical fully convolutional network. Biomim Intell Robot 4:100149. https:\/\/doi.org\/10.1016\/j.birob.2024.100149","journal-title":"Biomim Intell Robot"},{"key":"3640_CR35","doi-asserted-by":"publisher","DOI":"10.1016\/j.birob.2023.100130","volume":"3","author":"W Kou","year":"2023","unstructured":"Kou W, He Y, Cheng X et al (2023) Preoperative virtual reduction method for pelvic fractures based on statistical shape models and partial surface data. Biomim Intell Robot 3:100130. https:\/\/doi.org\/10.1016\/j.birob.2023.100130","journal-title":"Biomim Intell Robot"},{"key":"3640_CR36","doi-asserted-by":"crossref","unstructured":"Lin F, Zakeri A, Xue Y et al (2025) From pixels to polygons: a survey of deep learning approaches for medical image-to-mesh reconstruction. arXiv","DOI":"10.1016\/j.media.2026.104153"},{"key":"3640_CR37","doi-asserted-by":"publisher","first-page":"484","DOI":"10.1136\/flgastro-2019-101266","volume":"11","author":"MC Choy","year":"2020","unstructured":"Choy MC, Matharoo M, Thomas-Gibson S (2020) Diagnostic ileocolonoscopy: getting the basics right. Frontline Gastroenterol 11:484\u2013490. https:\/\/doi.org\/10.1136\/flgastro-2019-101266","journal-title":"Frontline Gastroenterol"},{"key":"3640_CR38","doi-asserted-by":"publisher","first-page":"171","DOI":"10.2147\/mder.s146934","volume":"11","author":"M Bruce","year":"2018","unstructured":"Bruce M, Choi J (2018) Detection of endoscopic looping during colonoscopy procedure by using embedded bending sensors. Med Devices (Auckl) 11:171\u2013191. https:\/\/doi.org\/10.2147\/mder.s146934","journal-title":"Med Devices (Auckl)"},{"key":"3640_CR39","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1177\/1046878109355683","volume":"42","author":"G Alinier","year":"2011","unstructured":"Alinier G (2011) Developing high-fidelity health care simulation scenarios: a guide for educators and professionals. Simul Gaming 42:9\u201326. https:\/\/doi.org\/10.1177\/1046878109355683","journal-title":"Simul Gaming"},{"key":"3640_CR40","doi-asserted-by":"publisher","first-page":"1308","DOI":"10.1007\/s00455-023-10556-3","volume":"38","author":"J Marshall","year":"2023","unstructured":"Marshall J, Raatz M, Ward EC et al (2023) Development and pilot testing of telesimulation for pediatric feeding: a feasibility study. Dysphagia 38:1308\u20131322. https:\/\/doi.org\/10.1007\/s00455-023-10556-3","journal-title":"Dysphagia"},{"key":"3640_CR41","doi-asserted-by":"publisher","unstructured":"Logan DE, Khanna K, Randall E et al (2023) Centering patient and clinician voices in developing tools to address pain related school impairment: a phase I study of a virtual reality school simulation for children and adolescents with chronic pain. Children (Basel) 10. https:\/\/doi.org\/10.3390\/children10101644","DOI":"10.3390\/children10101644"},{"key":"3640_CR42","doi-asserted-by":"publisher","first-page":"464","DOI":"10.3390\/biomimetics9080464","volume":"9","author":"MD Cin","year":"2024","unstructured":"Cin MD, Koka K, Darragh J et al (2024) Pilot evaluation of silicone surrogates for oral mucosa simulation in craniofacial surgical training. Biomimetics (Basel) 9:464. https:\/\/doi.org\/10.3390\/biomimetics9080464","journal-title":"Biomimetics (Basel)"},{"key":"3640_CR43","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1136\/bmjstel-2016-000138","volume":"3","author":"M Davison","year":"2017","unstructured":"Davison M, Kinnear FB, Fulbrook P (2017) Evaluation of a multiple-encounter in situ simulation for orientation of staff to a new paediatric emergency service: a single-group pretest\/post-test study. BMJ Simul Technol Enhanc Learn 3:149\u2013153. https:\/\/doi.org\/10.1136\/bmjstel-2016-000138","journal-title":"BMJ Simul Technol Enhanc Learn"},{"key":"3640_CR44","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1136\/bmjstel-2018-000370","volume":"6","author":"G Lam\u00e9","year":"2020","unstructured":"Lam\u00e9 G, Dixon-Woods M (2020) Using clinical simulation to study how to improve quality and safety in healthcare. BMJ Simul Technol Enhanc Learn 6:87\u201394. https:\/\/doi.org\/10.1136\/bmjstel-2018-000370","journal-title":"BMJ Simul Technol Enhanc Learn"},{"key":"3640_CR45","doi-asserted-by":"publisher","first-page":"240","DOI":"10.1007\/s13126-013-0047-z","volume":"85","author":"IG Papanikolaou","year":"2013","unstructured":"Papanikolaou IG (2013) Assessment of medical simulators as a training programme for current surgical education. Hell Cheirourgike 85:240\u2013248. https:\/\/doi.org\/10.1007\/s13126-013-0047-z","journal-title":"Hell Cheirourgike"},{"key":"3640_CR46","doi-asserted-by":"publisher","first-page":"631","DOI":"10.1016\/j.gie.2011.10.030","volume":"75","author":"A Hill","year":"2012","unstructured":"Hill A, Horswill MS, Plooy AM et al (2012) Assessing the realism of colonoscopy simulation: the development of an instrument and systematic comparison of 4 simulators. Gastrointest Endosc 75:631\u2013640. https:\/\/doi.org\/10.1016\/j.gie.2011.10.030","journal-title":"Gastrointest Endosc"},{"key":"3640_CR47","doi-asserted-by":"publisher","first-page":"3008","DOI":"10.1007\/s00464-010-1077-z","volume":"24","author":"S Kim","year":"2010","unstructured":"Kim S, Spencer G, Makar GA et al (2010) Lack of a discriminatory function for endoscopy skills on a computer-based simulator. Surg Endosc 24:3008\u20133015. https:\/\/doi.org\/10.1007\/s00464-010-1077-z","journal-title":"Surg Endosc"},{"key":"3640_CR48","doi-asserted-by":"publisher","first-page":"993","DOI":"10.1016\/j.gie.2012.07.024","volume":"76","author":"RA McConnell","year":"2012","unstructured":"McConnell RA, Kim S, Ahmad NA et al (2012) Poor discriminatory function for endoscopic skills on a computer-based simulator. Gastrointest Endosc 76:993\u20131002. https:\/\/doi.org\/10.1016\/j.gie.2012.07.024","journal-title":"Gastrointest Endosc"}],"container-title":["Medical & Biological Engineering & Computing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11517-026-03640-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11517-026-03640-x","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11517-026-03640-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T16:02:55Z","timestamp":1791129775000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11517-026-03640-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,7]]},"references-count":48,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["3640"],"URL":"https:\/\/doi.org\/10.1007\/s11517-026-03640-x","relation":{},"ISSN":["0140-0118","1741-0444"],"issn-type":[{"value":"0140-0118","type":"print"},{"value":"1741-0444","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,7]]},"assertion":[{"value":"22 October 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable, the study involved voluntary participation of adult professionals in a non-clinical pilot evaluation.","order":1,"name":"Ethics","label":"Ethics approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no competing interests.","order":2,"name":"Ethics","label":"Conflict of interests","group":{"name":"EthicsHeading","label":"Declarations"}}]}}