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Parents and guardians were notified of the process by written letter two weeks prior to the administration of the survey in the schools, and they had the option to opt their child(ren) out of the survey. Students had the option to participate or not in the survey, and this was explained at the start of each survey data collection session. Verbal informed consent was given by all participants. Survey participation was anonymous; participants were not asked for their names. After the data was collected, the anonymized data was made available for analysis by researchers from the University of Alberta. The analysis of the survey data was approved by the University of Alberta\u2019s Health Research Ethics Board on June 26th, 2017 (ethics protocol number Pro00072669).The data from Red Deer was collected through the previous EMPATHY project. The EMPATHY program was approved by the Health Research Ethics Committee of the University of Alberta on December 5th, 2013 (ethics protocol number Pro00041063).","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests in the presentation of these findings.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Publisher\u2019s Note"}}],"article-number":"18"}}