{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T14:06:44Z","timestamp":1779890804479,"version":"3.53.1"},"reference-count":49,"publisher":"BMJ","issue":"5","license":[{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"content-version":"unspecified","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"crossref","award":["NIHR302530"],"award-info":[{"award-number":["NIHR302530"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,5,7]]},"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To develop a core information set for induction of labour. Rates of induction of labour for childbirth are rising in many high-income countries. In England, a third of women have their labours induced. National guidelines recommend women receive information to make informed decisions about induction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Two-stage consensus study using modified Delphi.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>UK.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Pregnant people, parents and professionals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes<\/jats:title>\n                    <jats:p>Stage 1: A long list of information points was identified through a systematic review of reviews, reviewing patient leaflets, qualitative interviews and a stakeholder survey, with ongoing patient, public and professional involvement. Stage 2: Think-aloud interviews were undertaken to refine the Delphi survey before a two-round modified Delphi process where participants voted on the importance of the information items. Pre-specified criteria were used to select items taken forward to a consensus meeting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>199 information points were identified through systematic review (110), patient information leaflets (162), qualitative interviews (58) and a survey (93). 46 unique information items entered the first Delphi round after four think-aloud interviews, 2 items were added following round 2. 368 people (310 parents\/58 professionals) participated in round 1 and 177 people (154 parents\/23 professionals) in round 2. 44 items met inclusion criteria; one item excluded, and three items were carried forward for consensus meeting discussion where 12 overarching information points were agreed on.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study has established a consensus-based core information set for induction of labour from a sample of the birthing population and staff providing their care. The resultant set has been populated with evidence in line with national guidelines. It can be used by women and clinicians as a standardised starting point from which to personalise discussions about birth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>COMET Initiative registration 2600: Developing a core information set for induction of labour.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2026-118024","type":"journal-article","created":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T12:01:10Z","timestamp":1779883270000},"page":"e118024","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["What should be discussed when considering an induction of labour? A UK-wide, multi-centre Delphi study to develop a core information set for induction of labour"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4991-3728","authenticated-orcid":false,"given":"Eve","family":"Bunni","sequence":"first","affiliation":[{"name":"Department of Women's and Children\u2019s Health, Institute of Life Course and Medical Sciences, University of Liverpool, Faculty of Health and Life Sciences, Liverpool, UK"},{"name":"NIHR Applied Research Collaborative, North West Coast, Liverpool, UK"},{"name":"Liverpool Women\u2019s University Hospital, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5958-9257","authenticated-orcid":false,"given":"Carol","family":"Kingdon","sequence":"additional","affiliation":[{"name":"NIHR Applied Research Collaborative, North West Coast, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicky","family":"Bradley","sequence":"additional","affiliation":[{"name":"Department of Women's and Children\u2019s Health, Institute of Life Course and Medical Sciences, University of Liverpool, Faculty of Health and Life Sciences, Liverpool, UK"},{"name":"NIHR Applied Research Collaborative, North West Coast, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Hunt","sequence":"additional","affiliation":[{"name":"NIHR Applied Research Collaborative, North West Coast, Liverpool, UK"},{"name":"Health Data Science, Institute of Populaton Health, University of Liverpool, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Mahdi","sequence":"additional","affiliation":[{"name":"Liverpool Women\u2019s University Hospital, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Axcell","sequence":"additional","affiliation":[{"name":"Department of Women's and Children\u2019s Health, Institute of Life Course and Medical Sciences, University of Liverpool, Faculty of Health and Life Sciences, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ria","family":"Jagadish","sequence":"additional","affiliation":[{"name":"Department of Women's and Children\u2019s Health, Institute of Life Course and Medical Sciences, University of Liverpool, Faculty of Health and Life Sciences, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Fox","sequence":"additional","affiliation":[{"name":"Department of Women's and Children\u2019s Health, Institute of Life Course and Medical Sciences, University of Liverpool, Faculty of Health and Life Sciences, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Millie","family":"O\u2019Dair","sequence":"additional","affiliation":[{"name":"Box Hill Hospital, Eastern Health, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"Simms","sequence":"additional","affiliation":[{"name":"Royal Liverpool University Hospital, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yee Tan","family":"Munn","sequence":"additional","affiliation":[{"name":"Department of Women's and Children\u2019s Health, Institute of Life Course and Medical Sciences, University of Liverpool, Faculty of Health and Life Sciences, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Bonnett","sequence":"additional","affiliation":[{"name":"Health Data Science, Institute of Populaton Health, University of Liverpool, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Greenfield","sequence":"additional","affiliation":[{"name":"Department of Women's and Children\u2019s Health, Institute of Life Course and Medical Sciences, University of Liverpool, Faculty of Health and Life Sciences, Liverpool, UK"},{"name":"NIHR Applied Research Collaborative, North West Coast, Liverpool, UK"},{"name":"Liverpool Women\u2019s University Hospital, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Cunningham","sequence":"additional","affiliation":[{"name":"Liverpool Women\u2019s University Hospital, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siobhan","family":"Holt","sequence":"additional","affiliation":[{"name":"Liverpool Women\u2019s University Hospital, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christy","family":"Burden","sequence":"additional","affiliation":[{"name":"Academic Women's Health Unit, University of Bristol Faculty of Health Sciences, Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Ficquet","sequence":"additional","affiliation":[{"name":"Royal United Hospitals Bath NHS Foundation Trust, Bath, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Otero-Romero","sequence":"additional","affiliation":[{"name":"Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Parry-Smith","sequence":"additional","affiliation":[{"name":"Shrewsbury and Telford Hospital NHS Trust, Shrewsbury, UK"},{"name":"Keele University, Keele, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mairead","family":"Black","sequence":"additional","affiliation":[{"name":"Aberdeen Centre for Women\u2019s Health Research, University of Aberdeen, Aberdeen, UK"},{"name":"Directorate of Women and Children, NHS Grampian, Aberdeen, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0352-2106","authenticated-orcid":false,"given":"Abi","family":"Merriel","sequence":"additional","affiliation":[{"name":"Department of Women's and Children\u2019s Health, Institute of Life Course and Medical Sciences, University of Liverpool, Faculty of Health and Life Sciences, Liverpool, UK"},{"name":"NIHR Applied Research Collaborative, North West Coast, Liverpool, UK"},{"name":"Liverpool Women\u2019s University Hospital, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,5,27]]},"reference":[{"key":"2026052706302995000_16.5.e118024.1","unstructured":"WHO Guidelines Approved by the Guidelines Review Committee . WHO recommendations on induction of labour, at or beyond term. Geneva: World Health Organization, 2022."},{"key":"2026052706302995000_16.5.e118024.2","doi-asserted-by":"crossref","first-page":"e170","DOI":"10.1016\/j.wombi.2020.02.020","article-title":"Women\u2019s experiences of decision-making and attitudes in relation to induction of labour: A survey study","volume":"34","author":"Coates","year":"2021","journal-title":"Women Birth"},{"key":"2026052706302995000_16.5.e118024.3","unstructured":"NHS England Digital . NHS Maternity Statistics, 2024-25, 2026. Available: https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/nhs-maternity-statistics\/2024-25"},{"key":"2026052706302995000_16.5.e118024.4","unstructured":"National Maternity & Perinatal Audit 2025 Induction of labour Snapshot Audit, 2025. Available: https:\/\/maternityaudit.org.uk"},{"key":"2026052706302995000_16.5.e118024.5","unstructured":"National Institute for Health and Care Excellence (NICE) . Guidelines. Inducing labour. London: National Institute for Health and Care Excellence, 2021."},{"key":"2026052706302995000_16.5.e118024.6","article-title":"Induction of labour for improving birth outcomes for women at or beyond term","volume":"5","author":"Middleton","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"2026052706302995000_16.5.e118024.7","doi-asserted-by":"crossref","first-page":"1656","DOI":"10.1016\/S0140-6736(22)02082-7","article-title":"Induction of labour: first, do no harm","volume":"400","author":"Weeks","year":"2022","journal-title":"Lancet"},{"key":"2026052706302995000_16.5.e118024.8","article-title":"Induction of labour at or beyond 37 weeks\u2019 gestation","volume":"7","author":"Middleton","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"key":"2026052706302995000_16.5.e118024.9","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12328"},{"key":"2026052706302995000_16.5.e118024.10","doi-asserted-by":"crossref","DOI":"10.1186\/s12906-015-0663-y","article-title":"Watchful waiting or induction of labour--a matter of informed choice: identification, analysis and critical appraisal of decision aids and patient information regarding care options for women with uncomplicated singleton late and post term pregnancies: a review","volume":"15","author":"Berger","year":"2015","journal-title":"BMC Complement Altern Med"},{"key":"2026052706302995000_16.5.e118024.11","doi-asserted-by":"publisher","DOI":"10.1111\/bioe.12852"},{"key":"2026052706302995000_16.5.e118024.12","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1111\/aogs.12211","article-title":"Women\u2019s experience of induction of labor: a mixed methods study","volume":"92","author":"Henderson","year":"2013","journal-title":"Acta Obstet Gynecol Scand"},{"key":"2026052706302995000_16.5.e118024.13","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1034\/j.1600-0412.1999.780808.x","article-title":"Women\u2019s anticipations of and experiences with induction of labor","volume":"78","author":"Nuutila","year":"1999","journal-title":"Acta Obstet Gynecol Scand"},{"key":"2026052706302995000_16.5.e118024.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.wombi.2009.06.002"},{"key":"2026052706302995000_16.5.e118024.15","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.ejogrb.2005.03.004","article-title":"Women\u2019s perceptions, expectations and satisfaction with induced labour\u2014A questionnaire-based study","volume":"123","author":"Shetty","year":"2005","journal-title":"Europ J Obstet Gynecol Reproduct Biol"},{"key":"2026052706302995000_16.5.e118024.16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.1990.tb00004.x"},{"key":"2026052706302995000_16.5.e118024.17","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2018.10.013"},{"key":"2026052706302995000_16.5.e118024.18","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2018-028623","article-title":"Development of a core information set for colorectal cancer surgery: a consensus study","volume":"9","author":"McNair","year":"2019","journal-title":"BMJ Open"},{"key":"2026052706302995000_16.5.e118024.19","doi-asserted-by":"crossref","DOI":"10.1186\/s13063-017-1978-4","article-title":"The COMET Handbook: version 1.0","volume":"18","author":"Williamson","year":"2017","journal-title":"Trials"},{"key":"2026052706302995000_16.5.e118024.20","unstructured":"Abi Merriel UoL, Options Collaborative Working Group . Developing a core information set for induction of labour: COMET database; April 2023 - March 2024, Available: https:\/\/comet-initiative.org\/Studies\/Details\/2600"},{"key":"2026052706302995000_16.5.e118024.21","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1002148","article-title":"Core Outcome Set-STAndards for Reporting: The COS-STAR Statement","volume":"13","author":"Kirkham","year":"2016","journal-title":"PLoS Med"},{"key":"2026052706302995000_16.5.e118024.22","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2022-070215","article-title":"Vaginal birth core information set: study protocol for a Delphi study to achieve a consensus on a \u201ccore information set\u201d for vaginal birth","volume":"13","author":"Demetri","year":"2023","journal-title":"BMJ Open"},{"key":"2026052706302995000_16.5.e118024.23","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000032829","article-title":"Use of Delphi in health sciences research: A narrative review","volume":"102","author":"Shang","year":"2023","journal-title":"Medicine (Baltimore)"},{"key":"2026052706302995000_16.5.e118024.24","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181b48ef5"},{"key":"2026052706302995000_16.5.e118024.25","unstructured":"Inducing Labour Tommy\u2019s: The pregnancy and baby charity, Available: https:\/\/www.tommys.org\/pregnancy-information\/giving-birth\/inducing-labour"},{"key":"2026052706302995000_16.5.e118024.26","unstructured":"NCT . Induced labour: reasons, pros and cons, 2022. Available: https:\/\/www.nct.org.uk\/information\/labour-birth\/what-happens-labour-birth\/induced-labour-reasons-pros-and-cons"},{"key":"2026052706302995000_16.5.e118024.27","doi-asserted-by":"crossref","DOI":"10.1136\/bmjoq-2023-002731","article-title":"Codesign and refinement of an optimised antenatal education session to better inform women and prepare them for labour and birth","volume":"13","author":"Merriel","year":"2024","journal-title":"BMJ Open Qual"},{"key":"2026052706302995000_16.5.e118024.28","doi-asserted-by":"crossref","DOI":"10.1186\/s12884-024-07066-x","article-title":"A qualitative exploration of women\u2019s expectations of birth and knowledge of birth interventions following antenatal education","volume":"24","author":"Davies","year":"2024","journal-title":"BMC Pregnancy Childbirth"},{"key":"2026052706302995000_16.5.e118024.29","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2023-080961","article-title":"Maternity healthcare professionals\u2019 experiences of supporting women in decision-making for labour and birth: a qualitative study","volume":"14","author":"Hardman","year":"2024","journal-title":"BMJ Open"},{"key":"2026052706302995000_16.5.e118024.30","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1111\/1471-0528.70071","article-title":"What Should Be Discussed When Considering a Vaginal Birth? A Delphi Consensus Study","volume":"133","author":"Demetri","year":"2026","journal-title":"BJOG"},{"key":"2026052706302995000_16.5.e118024.31","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2024-096171","article-title":"Women\u2019s perspectives of decision-making for labour and birth: a qualitative antenatal-postnatal paired interview study","volume":"15","author":"White","year":"2025","journal-title":"BMJ Open"},{"key":"2026052706302995000_16.5.e118024.32","doi-asserted-by":"publisher","DOI":"10.4258\/hir.2021.27.4.341"},{"key":"2026052706302995000_16.5.e118024.33","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.cptl.2020.09.005","article-title":"Using cognitive interviews and think-aloud protocols to understand thought processes","volume":"13","author":"Wolcott","year":"2021","journal-title":"Curr Pharm Teach Learn"},{"key":"2026052706302995000_16.5.e118024.34","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000001812"},{"key":"2026052706302995000_16.5.e118024.35","doi-asserted-by":"crossref","DOI":"10.2196\/68092","article-title":"Increasing Rigor in Online Health Surveys Through the Reduction of Fraudulent Data","volume":"27","author":"Ng","year":"2025","journal-title":"J Med Internet Res"},{"key":"2026052706302995000_16.5.e118024.36","unstructured":"Rezniczek GA . NedCAPTCHA (redcap external module) [computer software]. version 1.4.2 ed."},{"key":"2026052706302995000_16.5.e118024.37","doi-asserted-by":"crossref","first-page":"S41","DOI":"10.4103\/0253-7613.193313","article-title":"Effectiveness of flipped classroom with Poll Everywhere as a teaching-learning method for pharmacy students","volume":"48","author":"Gubbiyappa","year":"2016","journal-title":"Indian J Pharmacol"},{"key":"2026052706302995000_16.5.e118024.38","doi-asserted-by":"crossref","first-page":"2024","DOI":"10.1111\/1471-0528.18269","article-title":"Informing Decision\u2010Making About Caesarean Birth: A Delphi Study to Develop a Core Information Set","volume":"132","author":"Kingdon","year":"2025","journal-title":"BJOG"},{"key":"2026052706302995000_16.5.e118024.39","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2023-071703","article-title":"Experience of induction of labour: a cross-sectional postnatal survey of women at UK maternity units","volume":"13","author":"Harkness","year":"2023","journal-title":"BMJ Open"},{"key":"2026052706302995000_16.5.e118024.40","doi-asserted-by":"crossref","first-page":"100796","DOI":"10.1016\/j.srhc.2022.100796","article-title":"Health literacy levels among women in the prenatal period: A systematic review","volume":"34","author":"Meldgaard","year":"2022","journal-title":"Sex Reprod Healthc"},{"key":"2026052706302995000_16.5.e118024.41","doi-asserted-by":"crossref","first-page":"2177","DOI":"10.1111\/1471-0528.18314","article-title":"How Should We Communicate Information Regarding Birth Choices to Women?: An Online Randomised Survey","volume":"132","author":"Bradley","year":"2025","journal-title":"BJOG"},{"key":"2026052706302995000_16.5.e118024.42","doi-asserted-by":"publisher","DOI":"10.1111\/j.1539-6053.2008.00033.x"},{"key":"2026052706302995000_16.5.e118024.43","unstructured":"NHS Document Readability Tool 2026, Available: https:\/\/readability.ncldata.dev"},{"key":"2026052706302995000_16.5.e118024.44","doi-asserted-by":"crossref","unstructured":"Profillidis VA , Botzoris GN . Chapter 4 - executive judgment, delphi, scenario writing, and survey methods. In: Profillidis VA , Botzoris GN , eds. Modeling of transport demand. Elsevier, 2019: 125\u201361.","DOI":"10.1016\/B978-0-12-811513-8.00004-2"},{"key":"2026052706302995000_16.5.e118024.45","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1108\/JHOM-12-2021-0436","article-title":"Research engagement and research capacity building: a priority for healthcare organisations in the UK","volume":"ahead-of-print","author":"Peckham","year":"2023","journal-title":"J Health Organ Manag"},{"key":"2026052706302995000_16.5.e118024.46","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2020.100867"},{"key":"2026052706302995000_16.5.e118024.47","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000002436"},{"key":"2026052706302995000_16.5.e118024.48","doi-asserted-by":"crossref","first-page":"100108","DOI":"10.1016\/j.ssmqr.2022.100108","article-title":"Inducing labour in the United Kingdom: A feminist critical discourse analysis of policy and guidance","volume":"2","author":"Yuill","year":"2022","journal-title":"SSM - Qualitative Research in Health"},{"key":"2026052706302995000_16.5.e118024.49","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1111\/birt.70039","article-title":"Decision-Making and Knowledge Around Inductions of Labor: A Survey Study in Ireland","volume":"53","author":"Panaro","year":"2026","journal-title":"Birth"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2026-118024","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T13:31:47Z","timestamp":1779888707000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2026-118024"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":49,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,5,27]]},"published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1136\/bmjopen-2026-118024"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2026-118024","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]}}}