{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T11:05:29Z","timestamp":1793876729663,"version":"4.7.0"},"reference-count":60,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T00:00:00Z","timestamp":1715040000000},"content-version":"unspecified","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"crossref","award":["1158487"],"award-info":[{"award-number":["1158487"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100010164","name":"Australian Football League","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010164","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001778","name":"Deakin University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001778","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Sport Exerc Med"],"accepted":{"date-parts":[[2024,4,10]]},"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>This study aimed to compare talent development athletes to community-level athletes in Australian Rules Football across various markers of healthy youth development.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Survey data were collected from 363 youth athletes (126 women, 232 men, 5 not reported; Mage=18.69 years, SDage=2.62 years, age range 16\u201325 years) playing Australian Rules Football at a talent development (recruited from Australian Football League Talent Pathway, n=220) or community (n=143) level. Measures included markers of physical health (eg, general health, risk-taking behaviours), psychological and emotional well-being (eg, mental health symptoms, life satisfaction), family and social relationships (eg, social support, relationship status), educational and occupational attainment\/engagement (eg, career satisfaction, education), ethical behaviour (eg, moral self-image), civic engagement, life skills (eg, self-mastery, coping), and demographics.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Based on regression models, relative to community-level athletes, talent development athletes reported better physical health (d=0.51), lower injury rates (OR=0.50) and less problematic drug use (d=\u22120.46). Talent development athletes also reported better psychological and emotional well-being, evidenced by lower stress (d=\u22120.30), higher life satisfaction (d=0.47) and less problematic gambling (d=\u22120.34). Additionally, talent development athletes reported higher family support (d=0.49), lower likelihood of poor educational outcomes (less than expected educational stage; OR=0.37), lower intention to complete less than year 12 education (OR=0.18), higher career satisfaction (d=0.42), higher self-mastery (d=0.37) and higher perfectionistic striving (d=0.59).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Findings demonstrate markers of healthier development within talent development athletes relative to community athlete peers. Investment in community-level sports may be warranted to improve healthy development. However, further causal evidence is required.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjsem-2023-001799","type":"journal-article","created":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T08:59:09Z","timestamp":1715158749000},"page":"e001799","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Comparing the healthy development of youth Australian Rules Footballers across talent development and community settings"],"prefix":"10.1136","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4497-2103","authenticated-orcid":false,"given":"Liam G","family":"Graeme","sequence":"first","affiliation":[{"name":"School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8648-0313","authenticated-orcid":false,"given":"Kate","family":"Hall","sequence":"additional","affiliation":[{"name":"School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, Victoria, Australia"},{"name":"Australian Football League, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4643-8561","authenticated-orcid":false,"given":"Lisa S","family":"Olive","sequence":"additional","affiliation":[{"name":"School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, Victoria, Australia"},{"name":"Institute for Mental and Physical Health and Clinical Translation, Faculty of Health, Deakin University, Geelong, Victoria, Australia"},{"name":"Elite Sports Mental Health, Orygen, Parkville, Melbourne, Victoria, Australia"},{"name":"Centre for Youth Mental Health, University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9211-6312","authenticated-orcid":false,"given":"Christopher J","family":"Greenwood","sequence":"additional","affiliation":[{"name":"School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, Victoria, Australia"},{"name":"Centre for Adolescent Health, Murdoch Children\u2019s Research Institute, Melbourne, Victoria, Australia"},{"name":"Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicky","family":"Couston","sequence":"additional","affiliation":[{"name":"Australian Football League, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6115-6426","authenticated-orcid":false,"given":"Sophie","family":"Mattingley","sequence":"additional","affiliation":[{"name":"School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4050-5711","authenticated-orcid":false,"given":"Lauren M","family":"Francis","sequence":"additional","affiliation":[{"name":"School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Hoare","sequence":"additional","affiliation":[{"name":"Australian Football League, Melbourne, Victoria, Australia"},{"name":"Institute for Mental and Physical Health and Clinical Translation, Faculty of Health, Deakin University, Geelong, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4045-8553","authenticated-orcid":false,"given":"Simon","family":"Rice","sequence":"additional","affiliation":[{"name":"Elite Sports Mental Health, Orygen, Parkville, Melbourne, Victoria, Australia"},{"name":"Centre for Youth Mental Health, University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Bos","sequence":"additional","affiliation":[{"name":"School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Harris","sequence":"additional","affiliation":[{"name":"Australian Football League, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George J","family":"Youssef","sequence":"additional","affiliation":[{"name":"School of Psychology, Faculty of Health, SEED Lifespan Strategic Research Centre, Deakin University, Burwood, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,5,7]]},"reference":[{"key":"2025083112583243000_10.2.e001799.1","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1080\/00913847.2020.1850152","article-title":"The behavioral, psychological, and social impacts of team sports: a systematic review and meta-analysis","volume":"49","author":"Zuckerman","year":"2021","journal-title":"Phys Sportsmed"},{"key":"2025083112583243000_10.2.e001799.2","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1080\/1750984X.2019.1689574","article-title":"Risk and protective factors for mental health in elite athletes: a Scoping review","volume":"13","author":"Kuettel","year":"2020","journal-title":"Int Rev Sport Exer Psychol"},{"key":"2025083112583243000_10.2.e001799.3","doi-asserted-by":"crossref","first-page":"1683","DOI":"10.1007\/s40279-020-01266-z","article-title":"Rates and correlates of mental health symptoms in currently competing elite athletes from the Australian national high-performance sports system","volume":"50","author":"Purcell","year":"2020","journal-title":"Sports Med"},{"key":"2025083112583243000_10.2.e001799.4","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2019-100671"},{"key":"2025083112583243000_10.2.e001799.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychsport.2014.07.004"},{"key":"2025083112583243000_10.2.e001799.6","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.jsams.2021.08.016","article-title":"Injury profiles of Australian football players across five, women\u2019s and girls\u2019 competition levels","volume":"25","author":"Farley","year":"2022","journal-title":"J Sci Med Sport"},{"key":"2025083112583243000_10.2.e001799.7","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/S2352-4642(18)30022-1","article-title":"The age of adolescence","volume":"2","author":"Sawyer","year":"2018","journal-title":"Lancet Child Adolesc Health"},{"key":"2025083112583243000_10.2.e001799.8","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1080\/10888691.2015.1082429","article-title":"The dimensions of successful young adult development: A conceptual and measurement framework","volume":"20","author":"Scales","year":"2016","journal-title":"Appl Dev Sci"},{"key":"2025083112583243000_10.2.e001799.9","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2022-106352"},{"key":"2025083112583243000_10.2.e001799.10","doi-asserted-by":"crossref","first-page":"1387","DOI":"10.1080\/02640414.2020.1778354","article-title":"Psychosocial outcomes associated with soccer Academy involvement: longitudinal comparisons against aged matched school pupils","volume":"38","author":"Rongen","year":"2020","journal-title":"J Sports Sci"},{"key":"2025083112583243000_10.2.e001799.11","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2020.567776","article-title":"Youth football players\u2019 psychological well-being: the key role of relationships","volume":"11","author":"Reverberi","year":"2020","journal-title":"Front Psychol"},{"key":"2025083112583243000_10.2.e001799.12","unstructured":"Thomas G . Making sacrifices for the game; a case study of pre-elite athletes. Researcharchive.Lincoln.Ac.NZ. 2017. Available: https:\/\/researcharchive.lincoln.ac.nz\/bitstream\/10182\/1073\/7\/chittock_mps.pdf.txt"},{"key":"2025083112583243000_10.2.e001799.13","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.psychsport.2013.10.015","article-title":"All I have to do is pass\u201d: A Discursive analysis of student athletes\u2019 talk about Prioritising sport to the detriment of education to overcome stressors encountered in combining elite sport and tertiary education","volume":"15","author":"Cosh","year":"2014","journal-title":"Psychol Sport Exer"},{"key":"2025083112583243000_10.2.e001799.14","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2015-095756"},{"key":"2025083112583243000_10.2.e001799.15","doi-asserted-by":"crossref","unstructured":"Storch EA, Storch, Jason B, Killiany EM . Self-reported psychopathology in athletes: A comparison of intercollegiate student-athletes and non-athletes. J Sport Behav 2005.","DOI":"10.1023\/B:PASP.0000031527.02433.5b"},{"key":"2025083112583243000_10.2.e001799.16","doi-asserted-by":"crossref","unstructured":"Brevers D , V\u00f6gele C , Billieux J . The evolving landscape of sports betting: A risk for young people? Wohlbefinden Und Gesundh Im Jugendalter 2022;363\u201392. doi:10.1007\/978-3-658-35744-3","DOI":"10.1007\/978-3-658-35744-3_17"},{"key":"2025083112583243000_10.2.e001799.17","doi-asserted-by":"crossref","unstructured":"Wylleman P , Rosier N . Holistic perspective on the development of elite athletes. in: sport and exercise psychology research: from theory to practice. 2016.","DOI":"10.1016\/B978-0-12-803634-1.00013-3"},{"key":"2025083112583243000_10.2.e001799.18","doi-asserted-by":"crossref","first-page":"1879","DOI":"10.1007\/s40279-022-01664-5","article-title":"The impacts of sports schools on Holistic athlete development: A mixed methods systematic review","volume":"52","author":"Thompson","year":"2022","journal-title":"Sports Med"},{"key":"2025083112583243000_10.2.e001799.19","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1007\/s40279-020-01379-5","article-title":"Health consequences of an elite sporting career: long-term detriment or long-term gain? A meta-analysis of 165,000 former athletes","volume":"51","author":"Runacres","year":"2021","journal-title":"Sports Med"},{"key":"2025083112583243000_10.2.e001799.20","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.jsams.2019.10.010","article-title":"Concussion incidence and time-loss in Australian football: A systematic review","volume":"23","author":"McNeel","year":"2020","journal-title":"J Sci Med Sport"},{"key":"2025083112583243000_10.2.e001799.21","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-016-0650-6"},{"key":"2025083112583243000_10.2.e001799.22","first-page":"201","article-title":"How healthy is the behavior of young athletes? a systematic literature review and meta-analyses","volume":"11","author":"Diehl","year":"2012","journal-title":"J Sport Sci Med"},{"key":"2025083112583243000_10.2.e001799.23","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-200401000-00005"},{"key":"2025083112583243000_10.2.e001799.24","doi-asserted-by":"crossref","DOI":"10.1177\/2325967120907579","article-title":"Comparing burnout in sport-specializing versus sport-sampling adolescent athletes: A systematic review and meta-analysis","volume":"8","author":"Giusti","year":"2020","journal-title":"Orthop J Sports Med"},{"key":"2025083112583243000_10.2.e001799.25","doi-asserted-by":"publisher","DOI":"10.1249\/JSR.0b013e3181fe3166"},{"key":"2025083112583243000_10.2.e001799.26","doi-asserted-by":"crossref","unstructured":"Georgakis S , Wilson R , Ferguson J . The academic achievement of elite athletes at an Australian University: debunking the dumb Jock syndrome. IJHE 2014;3. doi:10.5430\/ijhe.v3n2p120","DOI":"10.5430\/ijhe.v3n2p120"},{"key":"2025083112583243000_10.2.e001799.27","unstructured":"Sohal D , Gervis M , Rhind D . Exploration of organizational stressors in Indian elite female athletes. Int J Sport Psychol 2013."},{"key":"2025083112583243000_10.2.e001799.28","doi-asserted-by":"crossref","first-page":"41","DOI":"10.2478\/pcssr-2019-0025","article-title":"Life skill development and transfer beyond sport","volume":"84","author":"Agnew","year":"2019","journal-title":"Phys Cult Sport Stud Res"},{"key":"2025083112583243000_10.2.e001799.29","first-page":"359","article-title":"Do youth soccer academies provide developmental experiences that prepare players for life beyond soccer? A retrospective account in the United Kingdom","volume":"10","author":"Rongen","year":"2021","journal-title":"Sport, Exer Perform Psychol"},{"key":"2025083112583243000_10.2.e001799.30","unstructured":"Romand P , Pantaleon N , D\u2019Arripe-Longueville F . Effects of age, competitive level and perceived moral atmosphere on moral functioning of soccer players. Int J Sport Psychol 2009."},{"key":"2025083112583243000_10.2.e001799.31","unstructured":"Australian Football League . 2022 annual report. 2022. Available: https:\/\/www.afl.com.au\/annual-reports"},{"key":"2025083112583243000_10.2.e001799.32","unstructured":"Australian Bureau of Statistics . Census of population and housing: socio-economic indexes for areas (SEIFA), Australia. 2016. Available: https:\/\/www.abs.gov.au\/ausstats\/abs@.nsf\/mf\/2033.0.55.001"},{"key":"2025083112583243000_10.2.e001799.33","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2022.856241","article-title":"Case report: an application of wellbeing science for the development of adolescent high-performance athletes in the Australian football League","volume":"13","author":"Hoare","year":"2022","journal-title":"Front Psychol"},{"key":"2025083112583243000_10.2.e001799.34","unstructured":"Couston N , Harris E , Hoare E . Australian Football League. AFL Talent Pathways Wellbeing Program Guide, 2024. Available: https:\/\/www.afl.com.au\/mental-health-wellbeing\/talent-pathway"},{"key":"2025083112583243000_10.2.e001799.35","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwp425"},{"key":"2025083112583243000_10.2.e001799.36","doi-asserted-by":"publisher","DOI":"10.1002\/sim.2619"},{"key":"2025083112583243000_10.2.e001799.37","first-page":"1372","article-title":"Evaluation of multiple imputation with large proportions of missing data: how much is too much","volume":"50","author":"Lee","year":"2021","journal-title":"Iran J Public Health"},{"key":"2025083112583243000_10.2.e001799.38","doi-asserted-by":"crossref","DOI":"10.1186\/s12874-022-01671-0","article-title":"The effect of high prevalence of missing data on estimation of the coefficients of a logistic regression model when using multiple imputation","volume":"22","author":"Austin","year":"2022","journal-title":"BMC Med Res Methodol"},{"key":"2025083112583243000_10.2.e001799.39","unstructured":"Rubin DB . Multiple imputation for Nonresponse in surveys. In: Rubin DB , ed. Wiley Ser Probab Stat. Available: https:\/\/onlinelibrary.wiley.com\/doi\/book\/10.1002\/9780470316696"},{"key":"2025083112583243000_10.2.e001799.40","doi-asserted-by":"publisher","DOI":"10.1007\/s11229-021-03276-4"},{"key":"2025083112583243000_10.2.e001799.41","unstructured":"Australian Football League . Australian Football League Rules, 2023. Available: https:\/\/www.afl.com.au\/policies"},{"key":"2025083112583243000_10.2.e001799.42","first-page":"235","article-title":"Multidimensional perfectionism in sport: A meta-Analytical review","volume":"7","author":"Hill","year":"2018","journal-title":"Sport Exer Perform Psychol"},{"key":"2025083112583243000_10.2.e001799.43","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2010.06.005"},{"key":"2025083112583243000_10.2.e001799.44","first-page":"161","article-title":"Changes in youth mental health, psychological wellbeing, and substance use during the COVID-19 pandemic: A rapid review","volume":"7","author":"Zolopa","year":"2022","journal-title":"Adolesc Res Rev"},{"key":"2025083112583243000_10.2.e001799.45","unstructured":"Babor TF , Higgins-Biddle JC , Saunders JB , et al . The Alcohol Use Disorders Identification Test Guidelines for Use in Primary Care, 2001. Available: https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/67205\/WHO_MSD_MSB_01.6a.pdf;jsessionid=3F4D39B15E9C95335913BE0F4A4F3579?sequence=1"},{"key":"2025083112583243000_10.2.e001799.46","doi-asserted-by":"crossref","unstructured":"Berman AH , Bergman H , Palmstierna T , et al . The Drug Use Disorders Identification Test MANUAL, 2003. Available: https:\/\/paihdelinkki.fi\/sites\/default\/files\/duditmanual.pdf","DOI":"10.1037\/t02890-000"},{"key":"2025083112583243000_10.2.e001799.47","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(89)90047-4"},{"key":"2025083112583243000_10.2.e001799.48","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-3797(18)30622-6"},{"key":"2025083112583243000_10.2.e001799.49","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"2025083112583243000_10.2.e001799.50","unstructured":"Cohen S , Williamson G . Perceived stress in a probability sample of the United States. Soc Psychol Health 1988."},{"key":"2025083112583243000_10.2.e001799.51","doi-asserted-by":"publisher","DOI":"10.1207\/s15327752jpa4901_13"},{"key":"2025083112583243000_10.2.e001799.52","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1007\/s11695-012-0840-8","article-title":"Eating disorder examination-questionnaire factor structure and construct validity in Bariatric surgery candidates","volume":"23","author":"Grilo","year":"2013","journal-title":"Obes Surg"},{"key":"2025083112583243000_10.2.e001799.53","unstructured":"Volberg RA , Williams RJ . Developing a short form of the PGSI: Report to the Gambling Commission, 2012. Available: https:\/\/opus.uleth.ca\/handle\/10133\/3129"},{"key":"2025083112583243000_10.2.e001799.54","first-page":"37","article-title":"The multidimensional scale of perceived social support the multidimensional scale of perceived social support","volume":"52","author":"Zimet","year":"2010","journal-title":"J Pers Assess"},{"key":"2025083112583243000_10.2.e001799.55","doi-asserted-by":"crossref","first-page":"64","DOI":"10.2307\/256352","article-title":"Effects of race on organizational experiences, job performance evaluations, and career outcomes","volume":"33","author":"Greenhaus","year":"1990","journal-title":"AMJ"},{"key":"2025083112583243000_10.2.e001799.56","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2015.01878","article-title":"The moral self-image scale: measuring and understanding the Malleability of the moral self","volume":"6","author":"Jordan","year":"2015","journal-title":"Front Psychol"},{"key":"2025083112583243000_10.2.e001799.57","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1177\/2167696817695133","article-title":"The structural stability of positive development across young adulthood: longitudinal findings from the Australian temperament project","volume":"5","author":"Hawkins","year":"2017","journal-title":"Emerg Adulthood"},{"key":"2025083112583243000_10.2.e001799.58","doi-asserted-by":"publisher","DOI":"10.2307\/2136319"},{"key":"2025083112583243000_10.2.e001799.59","doi-asserted-by":"publisher","DOI":"10.1007\/BF00844267"},{"key":"2025083112583243000_10.2.e001799.60","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1177\/0734282916651359","article-title":"Development and validation of the frost multidimensional perfectionism scale\u2013brief","volume":"34","author":"Burgess","year":"2016","journal-title":"J Psychoeducat Asses"}],"container-title":["BMJ Open Sport &amp; Exercise Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjsem-2023-001799","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T19:58:41Z","timestamp":1756670321000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopensem.bmj.com\/lookup\/doi\/10.1136\/bmjsem-2023-001799"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":60,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,5,7]]},"published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1136\/bmjsem-2023-001799"],"URL":"https:\/\/doi.org\/10.1136\/bmjsem-2023-001799","relation":{},"ISSN":["2055-7647"],"issn-type":[{"value":"2055-7647","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5]]}}}