{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T12:59:14Z","timestamp":1781614754480,"version":"3.54.5"},"reference-count":62,"publisher":"BMJ","issue":"6","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"unspecified","delay-in-days":15,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100013342","name":"NIHR Imperial Biomedical Research Centre","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100013342","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute of Health Research","doi-asserted-by":"crossref","award":["ICA-CDRF-2017-03-070"],"award-info":[{"award-number":["ICA-CDRF-2017-03-070"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100013842","name":"Imperial Health Charity","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013842","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/P006493\/1"],"award-info":[{"award-number":["MR\/P006493\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,5,15]]},"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Traumatic brain injury commonly causes dizziness and balance problems. Benign paroxysmal positional vertigo (BPPV) is the most frequent cause of inner-ear related post-traumatic vestibular dysfunction. However, optimal assessment and treatment practices are poorly evidenced. Using a mixed methods approach, we aimed to explore the feasibility of managing post-traumatic BPPV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A mixed-methods randomised feasibility study. In this paper, quantitative and qualitative data relating to key feasibility targets around recruitment, randomisation and assessment and treatment were selected and integrated to provide an in-depth understanding of BPPV management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Three UK major trauma centres<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Hospitalised adults with post-traumatic BPPV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Patients were randomised to one of three interventions (repositioning manoeuvres, Brandt-Daroff exercises and advice).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Screening and recruitment varied between sites due to individual and site-specific factors. Randomisation to advice was experienced differently by healthcare professionals and patients, suggesting that changes to the study design of a future effectiveness trial may be required. Assessment and treatment were acceptable to participants, supporting advancement to an effectiveness trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Integration of qualitative and quantitative data revealed new findings relating to the primary outcomes of the feasibility study, while strengths and weaknesses of the trial design were also elucidated. Taken together, such data will influence and enhance the design of a future trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"isrctn\" xlink:href=\"ISRCTN91943864\">ISRCTN91943864<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2026-117657","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T12:26:32Z","timestamp":1781612792000},"page":"e117657","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Data from a UK-based multicentre randomised feasibility study investigating the management of post-traumatic benign paroxysmal positional vertigo: mixed-methods analyses"],"prefix":"10.1136","volume":"16","clinical-trial-number":[{"clinical-trial-number":"isrctn91943864","registry":"10.18810\/isrctn"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2628-9861","authenticated-orcid":false,"given":"Rebecca M","family":"Smith","sequence":"first","affiliation":[{"name":"Centre of Vestibular Neurology, Imperial College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bithi","family":"Sahu","sequence":"additional","affiliation":[{"name":"Centre of Vestibular Neurology, Imperial College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Burgess","sequence":"additional","affiliation":[{"name":"Population Health Sciences, King\u2019s College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenna","family":"Beattie","sequence":"additional","affiliation":[{"name":"Imperial College Healthcare NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abby","family":"Newdick","sequence":"additional","affiliation":[{"name":"St. George\u2019s Hospital NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vassilios","family":"Tahtis","sequence":"additional","affiliation":[{"name":"Centre of Vestibular Neurology, Imperial College London, London, UK"},{"name":"Kings\u2019 College Hospital NHS FoundationTrust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0803-1739","authenticated-orcid":false,"given":"Jeremy","family":"Corcoran","sequence":"additional","affiliation":[{"name":"Guy's and St Thomas\u2019 NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Marsden","sequence":"additional","affiliation":[{"name":"School of Health Professions, University of Plymouth, Plymouth, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barry M","family":"Seemungal","sequence":"additional","affiliation":[{"name":"Centre of Vestibular Neurology, Imperial College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,6,16]]},"reference":[{"key":"2026061605252295000_16.6.e117657.1","unstructured":"NICE . Head injury: triage, assessment, investigation and early management of head injury in children, young people and adults. 2014."},{"key":"2026061605252295000_16.6.e117657.2","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-019-09403-z"},{"key":"2026061605252295000_16.6.e117657.3","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.clineuro.2017.01.021","article-title":"Patients with chronic dizziness following traumatic head injury typically have multiple diagnoses involving combined peripheral and central vestibular dysfunction","volume":"155","author":"Arshad","year":"2017","journal-title":"Clin Neurol Neurosurg"},{"key":"2026061605252295000_16.6.e117657.4","doi-asserted-by":"crossref","first-page":"1436","DOI":"10.1080\/02699052.2017.1377348","article-title":"Dizziness-related disability following mild-moderate traumatic brain injury","volume":"31","author":"Kleffelgaard","year":"2017","journal-title":"Brain Inj"},{"key":"2026061605252295000_16.6.e117657.5","doi-asserted-by":"crossref","first-page":"1864","DOI":"10.1080\/09638288.2016.1212112","article-title":"An examination of patient characteristics that contribute to falls in the inpatient traumatic brain injury rehabilitation setting","volume":"39","author":"McKechnie","year":"2017","journal-title":"Disabil Rehabil"},{"key":"2026061605252295000_16.6.e117657.6","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1001\/jamaneurol.2022.5024","article-title":"Head Injury and Long-term Mortality Risk in Community-Dwelling Adults","volume":"80","author":"Elser","year":"2023","journal-title":"JAMA Neurol"},{"key":"2026061605252295000_16.6.e117657.7","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181f6f5e5"},{"key":"2026061605252295000_16.6.e117657.8","doi-asserted-by":"crossref","DOI":"10.1136\/bmjno-2023-000598","article-title":"Treating benign paroxysmal positional vertigo in acute traumatic brain injury: a prospective, randomised clinical trial assessing safety, feasibility, and efficacy","volume":"6","author":"Smith","year":"2024","journal-title":"BMJ Neurol Open"},{"key":"2026061605252295000_16.6.e117657.9","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1093\/brain\/awaa386","article-title":"Vestibular agnosia in traumatic brain injury and its link to imbalance","volume":"144","author":"Calzolari","year":"2021","journal-title":"Brain (Bacau)"},{"key":"2026061605252295000_16.6.e117657.10","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816689667"},{"key":"2026061605252295000_16.6.e117657.11","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000003770"},{"key":"2026061605252295000_16.6.e117657.12","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2022-067967","article-title":"Why are patients with acute traumatic brain injury not routinely assessed or treated for vestibular dysfunction in the UK? A qualitative study","volume":"13","author":"Smith","year":"2023","journal-title":"BMJ Open"},{"key":"2026061605252295000_16.6.e117657.13","doi-asserted-by":"crossref","first-page":"490","DOI":"10.3109\/02699052.2014.995226","article-title":"Quality-of-life for individuals with a vestibular impairment following an acquired brain injury (ABI); the clients\u2019 perspective","volume":"29","author":"Killington","year":"2015","journal-title":"Brain Inj"},{"key":"2026061605252295000_16.6.e117657.14","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1097\/NPT.0000000000000438","article-title":"Gait and Falls in Benign Paroxysmal Positional Vertigo: A Systematic Review and Meta-analysis","volume":"47","author":"Pauwels","year":"2023","journal-title":"J Neurol Phys Ther"},{"key":"2026061605252295000_16.6.e117657.15","doi-asserted-by":"crossref","first-page":"3157","DOI":"10.1007\/s00405-016-3947-z","article-title":"Residual dizziness after the first BPPV episode: role of otolithic function and of a delayed diagnosis","volume":"273","author":"Faralli","year":"2016","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"2026061605252295000_16.6.e117657.16","article-title":"The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo","volume":"2014","author":"Hilton","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"2026061605252295000_16.6.e117657.17","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20090071"},{"key":"2026061605252295000_16.6.e117657.18","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2018.08.007"},{"key":"2026061605252295000_16.6.e117657.19","doi-asserted-by":"crossref","DOI":"10.1186\/s40814-020-00669-z","article-title":"A mixed methods randomised feasibility trial investigating the management of benign paroxysmal positional vertigo in acute traumatic brain injury","volume":"6","author":"Smith","year":"2020","journal-title":"Pilot Feasibility Stud"},{"key":"2026061605252295000_16.6.e117657.20","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1080\/02699052.2024.2435952","article-title":"What are the views of those participating in a trial investigating acute post-traumatic benign paroxysmal positional vertigo? A qualitative study","volume":"39","author":"Smith","year":"2025","journal-title":"Brain Inj"},{"key":"2026061605252295000_16.6.e117657.21","doi-asserted-by":"crossref","DOI":"10.1186\/s40814-022-01178-x","article-title":"Applying mixed methods to pilot feasibility studies to inform intervention trials","volume":"8","author":"Aschbrenner","year":"2022","journal-title":"Pilot Feasibility Stud"},{"key":"2026061605252295000_16.6.e117657.22","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1186\/s40814-023-01291-5","article-title":"Recommendations for progression criteria during external randomised pilot trial design, conduct, analysis and reporting","volume":"9","author":"Mellor","year":"2023","journal-title":"Pilot Feasibility Stud"},{"key":"2026061605252295000_16.6.e117657.23","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n2061"},{"key":"2026061605252295000_16.6.e117657.24","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1177\/1558689809334443","article-title":"Editorial: Integrating Data Analyses in Mixed Methods Research","volume":"3","author":"Bazeley","year":"2009","journal-title":"J Mix Methods Res"},{"key":"2026061605252295000_16.6.e117657.25","doi-asserted-by":"crossref","unstructured":"O\u2019Cathain A , Murphy E , Nicholl J . Integration and Publications as Indicators of \u201cYield\u201d From Mixed Methods Studies. J Mix Methods Res 2007;147\u201363.","DOI":"10.1177\/1558689806299094"},{"key":"2026061605252295000_16.6.e117657.26","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2006.0245"},{"key":"2026061605252295000_16.6.e117657.27","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1990.01870040046011"},{"key":"2026061605252295000_16.6.e117657.28","first-page":"595","article-title":"Quantitative evaluation of dizziness characteristics and impact on quality of life","volume":"17","author":"Honrubia","year":"1996","journal-title":"Am J Otol"},{"key":"2026061605252295000_16.6.e117657.29","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/50A.1.M28"},{"key":"2026061605252295000_16.6.e117657.30","doi-asserted-by":"publisher","DOI":"10.1016\/0168-8510(90)90421-9"},{"key":"2026061605252295000_16.6.e117657.31","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2011.2137"},{"key":"2026061605252295000_16.6.e117657.32","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"key":"2026061605252295000_16.6.e117657.33","doi-asserted-by":"crossref","first-page":"1747","DOI":"10.1016\/j.apmr.2015.04.003","article-title":"Measurement Characteristics and Clinical Utility of the Clinical Test of Sensory Interaction on Balance (CTSIB) and Modified CTSIB in Individuals With Vestibular Dysfunction","volume":"96","author":"Horn","year":"2015","journal-title":"Arch Phys Med Rehabil"},{"key":"2026061605252295000_16.6.e117657.34","first-page":"1","article-title":"Modified Dynamic Gait Index (mDGI)","volume":"93","author":"Shumway-Cook","year":"2013","journal-title":"Phys Ther"},{"key":"2026061605252295000_16.6.e117657.35","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-7-38"},{"key":"2026061605252295000_16.6.e117657.36","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1186\/s13012-017-0616-6","article-title":"Development of a theory-informed implementation intervention to improve the triage, treatment and transfer of stroke patients in emergency departments using the Theoretical Domains Framework (TDF): the T3 Trial","volume":"12","author":"Craig","year":"2017","journal-title":"Implement Sci"},{"key":"2026061605252295000_16.6.e117657.37","unstructured":"Ritchie J , Lewis J . Qualitative Research Practice: A Guide for Social Science Students and Researchers. London: SAGE Publications, 2003."},{"key":"2026061605252295000_16.6.e117657.38","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.12117"},{"key":"2026061605252295000_16.6.e117657.39","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.c4587","article-title":"Three techniques for integrating data in mixed methods studies","volume":"341","author":"O\u2019Cathain","year":"2010","journal-title":"BMJ"},{"key":"2026061605252295000_16.6.e117657.40","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2019-032081","article-title":"Integrating quantitative and qualitative data and findings when undertaking randomised controlled trials","volume":"9","author":"Richards","year":"2019","journal-title":"BMJ Open"},{"key":"2026061605252295000_16.6.e117657.41","doi-asserted-by":"crossref","first-page":"100080","DOI":"10.1016\/j.metip.2021.100080","article-title":"Visuals in joint displays to represent integration in mixed methods research: A methodological review","volume":"5","author":"Guetterman","year":"2021","journal-title":"Methods Psychol"},{"key":"2026061605252295000_16.6.e117657.42","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1865"},{"key":"2026061605252295000_16.6.e117657.43","doi-asserted-by":"crossref","unstructured":"Keung EZ , McElroy LM , Ladner DP , et al . Defining the Study Cohort: Inclusion and Exclusion Criteria BT - Clinical Trials. Cham: Springer International Publishing, 2020:47\u201358.","DOI":"10.1007\/978-3-030-35488-6_5"},{"key":"2026061605252295000_16.6.e117657.44","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.11.1233"},{"key":"2026061605252295000_16.6.e117657.45","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2013-002819"},{"key":"2026061605252295000_16.6.e117657.46","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2009.02.023"},{"key":"2026061605252295000_16.6.e117657.47","doi-asserted-by":"crossref","unstructured":"Morgan SE , Finn A , Raley J , et al . Assessing communication practice during clinical trial recruitment and consent: The Clinical Trial Communication Inventory (CTCI). Clin Trials Vulnerable Popul 2017;199\u2013213. doi:10.5772\/intechopen.70192","DOI":"10.5772\/intechopen.70192"},{"key":"2026061605252295000_16.6.e117657.48","doi-asserted-by":"crossref","unstructured":"Morgan SE , Occa A , Peng W , et al . Evidence\u2010based communication in clinical, mass media, and social media contexts to enhance informed consent for participation in clinical trials and precision medicine initiatives. Handb Appl Commun Res 2020;897\u2013915.","DOI":"10.1002\/9781119399926.ch49"},{"key":"2026061605252295000_16.6.e117657.49","doi-asserted-by":"publisher","DOI":"10.1177\/0269215510380824"},{"key":"2026061605252295000_16.6.e117657.50","doi-asserted-by":"crossref","DOI":"10.1186\/1745-6215-7-9","article-title":"What influences recruitment to randomised controlled trials? A review of trials funded by two UK funding agencies","volume":"7","author":"McDonald","year":"2006","journal-title":"Trials"},{"key":"2026061605252295000_16.6.e117657.51","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2288-14-10","article-title":"Factors influencing recruitment to research: qualitative study of the experiences and perceptions of research teams","volume":"14","author":"Newington","year":"2014","journal-title":"BMC Med Res Methodol"},{"key":"2026061605252295000_16.6.e117657.52","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.jclinepi.2019.07.002","article-title":"A systematic review describes models for recruitment prediction at the design stage of a clinical trial","volume":"115","author":"Gkioni","year":"2019","journal-title":"J Clin Epidemiol"},{"key":"2026061605252295000_16.6.e117657.53","doi-asserted-by":"crossref","unstructured":"Campbell M , Snowdon C , Francis D , et al . Recruitment to randomised trials: strategies for trial enrolment and participation study. The STEPS study. Health Technol Assess 2007;11. doi:10.3310\/hta11480","DOI":"10.3310\/hta11480"},{"key":"2026061605252295000_16.6.e117657.54","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2011-000496","article-title":"Improving the recruitment activity of clinicians in randomised controlled trials: a systematic review","volume":"2","author":"Fletcher","year":"2012","journal-title":"BMJ Open"},{"key":"2026061605252295000_16.6.e117657.55","doi-asserted-by":"crossref","unstructured":"Koppelaar-van Eijsden HM , Schermer TR , Bruintjes TD . Measurement Properties of the Dizziness Handicap Inventory: A Systematic Review. Otol Neurotol 2022;43.","DOI":"10.1097\/MAO.0000000000003448"},{"key":"2026061605252295000_16.6.e117657.56","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4733.2007.00182.x"},{"key":"2026061605252295000_16.6.e117657.57","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-018-1017-7"},{"key":"2026061605252295000_16.6.e117657.58","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2005.085894"},{"key":"2026061605252295000_16.6.e117657.59","doi-asserted-by":"publisher","DOI":"10.1212\/CPJ.0000000000000366"},{"key":"2026061605252295000_16.6.e117657.60","doi-asserted-by":"crossref","unstructured":"Burrows L . Successful management of benign paroxysmal positional vertigo (BPPV) in a patient who was ventilated with a C3 complete spinal injury on a regional spinal unit intensive care. BMJ Case Rep 2018.","DOI":"10.1136\/bcr-2017-223351"},{"key":"2026061605252295000_16.6.e117657.61","unstructured":"Kulcu DG , Yanik B , Boynukalin \u015e , et al . Efficacy of a home-based exercise program on benign paroxysmal positional vertigo compared with betahistine. J Otolaryngol Neck Surg 2008;37."},{"key":"2026061605252295000_16.6.e117657.62","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1016\/j.ejenta.2015.05.004","article-title":"Diagnosis and management of posterior semicircular canal benign paroxysmal positional vertigo: A practical approach","volume":"16","author":"Elsanadiky","year":"2015","journal-title":"Egypt J Ear Nose Throat Allied Sci"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2026-117657","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T12:26:48Z","timestamp":1781612808000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2026-117657"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":62,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026,6,16]]},"published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1136\/bmjopen-2026-117657"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2026-117657","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6]]}}}