{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T10:58:02Z","timestamp":1740135482199,"version":"3.37.3"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T00:00:00Z","timestamp":1731283200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T00:00:00Z","timestamp":1731283200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["IK1RX003904"],"award-info":[{"award-number":["IK1RX003904"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R34MH111852"],"award-info":[{"award-number":["R34MH111852"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Psychiatry"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Exercise is beneficial for persons with schizophrenia; however, high dropout rates limit the impact of interventions. Virtual exercise programs have the potential to improve engagement; however, few intervention studies of virtual programs have been conducted in this population.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This study examined qualitative data from 15 adults with schizophrenia who participated in a pilot randomized controlled trial of Virtual PACE-Life, a live, video-delivered group walking intervention guided by self-determination theory. Interviews elicited feedback on the intervention, barriers and facilitators to engagement, recommendations for intervention refinement, and preferences for exercise programming modality. Rapid qualitative analysis was used to explore similarities and differences between completers (i.e., those that attended\u2009<jats:italic>\u2265<\/jats:italic>\u200950% of virtual walking sessions; <jats:italic>n<\/jats:italic>\u2009=\u20099) and non-completers (i.e., those that attended\u2009&lt;\u200950% of virtual walking sessions; <jats:italic>n<\/jats:italic>\u2009=\u20096).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Both groups viewed Virtual PACE-Life positively but found the virtual exercise sessions challenging and inadequate for facilitating social interaction. Work obligations impacted completers\u2019 attendance whereas technological issues and forgetting impacted non-completers\u2019 attendance at virtual walking sessions. Completers preferred virtual exercise programs and non-completers preferred in-person exercise programs.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>These findings suggest that future virtual group-based walking programs should prioritize enhancing the social aspect, offering scheduling choices, and regularly assessing the perceived difficulty of exercise sessions. These modifications not only have the potential to improve intervention engagement but they also may increase participant autonomy and relatedness, core components of self-determination theory.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12888-024-06250-9","type":"journal-article","created":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T14:36:25Z","timestamp":1731335785000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Engagement in a virtual group-based walking intervention for persons with schizophrenia: a qualitative study"],"prefix":"10.1186","volume":"24","author":[{"given":"Julia","family":"Browne","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudio","family":"Battaglini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aslihan","family":"Imamoglu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryan","family":"Stiles","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. Fredrik","family":"Jarskog","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paschal","family":"Sheeran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana M.","family":"Abrantes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tonya","family":"Elliott","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oscar","family":"Gonzalez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David L.","family":"Penn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,11,11]]},"reference":[{"key":"6250_CR1","doi-asserted-by":"publisher","first-page":"453","DOI":"10.1016\/j.schres.2015.09.029","volume":"169","author":"D Vancampfort","year":"2015","unstructured":"Vancampfort D, Rosenbaum S, Ward PB, Stubbs B. Exercise improves cardiorespiratory fitness in people with schizophrenia: a systematic review and meta-analysis. Schizophr Res. 2015;169:453\u20137.","journal-title":"Schizophr Res"},{"key":"6250_CR2","doi-asserted-by":"publisher","first-page":"588","DOI":"10.1093\/schbul\/sbv164","volume":"42","author":"M Dauwan","year":"2016","unstructured":"Dauwan M, Begemann MJH, Heringa SM, Sommer IE. Exercise improves clinical symptoms, quality of life, global functioning, and depression in schizophrenia: a systematic review and meta-analysis. Schizophr Bull. 2016;42:588\u201399.","journal-title":"Schizophr Bull"},{"key":"6250_CR3","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1093\/schbul\/sbx024.102","volume":"43","author":"J Firth","year":"2017","unstructured":"Firth J, Stubbs B, Rosenbaum S, Vancampfort D, Malchow B, Schuch F, et al. Aerobic exercise improves cognitive functioning in people with schizophrenia: a systematic review and meta-analysis. Schizophr Bull. 2017;43:546\u201356.","journal-title":"Schizophr Bull"},{"key":"6250_CR4","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1016\/j.schres.2016.01.034","volume":"171","author":"B Stubbs","year":"2016","unstructured":"Stubbs B, Williams J, Gaughran F, Craig T. How sedentary are people with psychosis? A systematic review and meta-analysis. Schizophr Res. 2016;171:103\u20139.","journal-title":"Schizophr Res"},{"key":"6250_CR5","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1002\/wps.20458","volume":"16","author":"D Vancampfort","year":"2017","unstructured":"Vancampfort D, Firth J, Schuch FB, Rosenbaum S, Mugisha J, Hallgren M, et al. Sedentary behavior and physical activity levels in people with schizophrenia, bipolar disorder and major depressive disorder: a global systematic review and meta-analysis. World Psychiatry. 2017;16:308\u201315.","journal-title":"World Psychiatry"},{"key":"6250_CR6","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1002\/wps.20420","volume":"16","author":"CU Correll","year":"2017","unstructured":"Correll CU, Solmi M, Veronese N, Bortolato B, Rosson S, Santonastaso P, et al. Prevalence, incidence and mortality from cardiovascular disease in patients with pooled and specific severe mental illness: a large-scale meta-analysis of 3,211,768 patients and 113,383,368 controls. World Psychiatry. 2017;16:163\u201380.","journal-title":"World Psychiatry"},{"key":"6250_CR7","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1111\/acps.12443","volume":"132","author":"RIG Holt","year":"2015","unstructured":"Holt RIG. The prevention of diabetes and cardiovascular disease in people with schizophrenia. Acta Psychiatr Scand. 2015;132:86\u201396.","journal-title":"Acta Psychiatr Scand"},{"key":"6250_CR8","doi-asserted-by":"publisher","first-page":"425","DOI":"10.1146\/annurev-clinpsy-032813-153657","volume":"10","author":"TM Laursen","year":"2014","unstructured":"Laursen TM, Nordentoft M, Mortensen PB. Excess early mortality in schizophrenia. Annu Rev Clin Psychol. 2014;10:425\u201348.","journal-title":"Annu Rev Clin Psychol"},{"key":"6250_CR9","doi-asserted-by":"publisher","first-page":"964","DOI":"10.4088\/JCP.13r08765","volume":"75","author":"S Rosenbaum","year":"2014","unstructured":"Rosenbaum S, Tiedemann A, Sherrington C, Curtis J, Ward PB. Physical activity interventions for people with Mental Illness. J Clin Psychiatry. 2014;75:964\u201374.","journal-title":"J Clin Psychiatry"},{"key":"6250_CR10","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1016\/j.genhosppsych.2015.11.008","volume":"39","author":"D Vancampfort","year":"2016","unstructured":"Vancampfort D, Rosenbaum S, Schuch FB, Ward PB, Probst M, Stubbs B. Prevalence and predictors of treatment dropout from physical activity interventions in schizophrenia: a meta-analysis. Gen Hosp Psychiatry. 2016;39:15\u201323.","journal-title":"Gen Hosp Psychiatry"},{"key":"6250_CR11","doi-asserted-by":"publisher","first-page":"457","DOI":"10.1016\/j.jad.2015.10.019","volume":"190","author":"B Stubbs","year":"2016","unstructured":"Stubbs B, Vancampfort D, Rosenbaum S, Ward PB, Richards J, Soundy A, et al. Dropout from exercise randomized controlled trials among people with depression: a meta-analysis and meta regression. J Affect Disord. 2016;190:457\u201366.","journal-title":"J Affect Disord"},{"key":"6250_CR12","doi-asserted-by":"publisher","first-page":"996","DOI":"10.1016\/j.jad.2021.01.003","volume":"282","author":"D Vancampfort","year":"2021","unstructured":"Vancampfort D, S\u00e1nchez CPR, Hallgren M, Schuch F, Firth J, Rosenbaum S, et al. Dropout from exercise randomized controlled trials among people with anxiety and stress-related disorders: a meta-analysis and meta-regression. J Affect Disord. 2021;282:996\u20131004.","journal-title":"J Affect Disord"},{"key":"6250_CR13","doi-asserted-by":"publisher","first-page":"2869","DOI":"10.1017\/S0033291716001732","volume":"46","author":"J Firth","year":"2016","unstructured":"Firth J, Rosenbaum S, Stubbs B, Gorczynski P, Yung AR, Vancampfort D. Motivating factors and barriers towards exercise in severe mental illness: a systematic review and meta-analysis. Psychol Med. 2016;46:2869\u201381.","journal-title":"Psychol Med"},{"key":"6250_CR14","doi-asserted-by":"publisher","first-page":"4879","DOI":"10.1080\/09638288.2021.1916627","volume":"44","author":"M Chen","year":"2022","unstructured":"Chen M, De IJH, Pellegrini CA, Chen HF, Su CY, Chang YC. The facilitators and barriers to physical activity scale for people with mental illness in Taiwan: development and validation. Disabil Rehabil. 2022;44:4879\u201387.","journal-title":"Disabil Rehabil"},{"key":"6250_CR15","doi-asserted-by":"publisher","first-page":"651","DOI":"10.1097\/NMD.0000000000000556","volume":"204","author":"J Browne","year":"2016","unstructured":"Browne J, Penn DL, Battaglini CL, Ludwig K. Work out by walking: a pilot exercise program for individuals with schizophrenia spectrum disorders. J Nerv Ment Dis. 2016;204:651\u20137.","journal-title":"J Nerv Ment Dis"},{"key":"6250_CR16","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1016\/j.mhpa.2017.09.004","volume":"13","author":"M Chen","year":"2017","unstructured":"Chen M, De IJH, Pellegrini CA, Tang TC, Kuo CC. A qualitative exploration of facilitators and barriers to physical activity participation in people with severe mental illness in Taiwan. Ment Health Phys Act. 2017;13:100\u20137.","journal-title":"Ment Health Phys Act"},{"key":"6250_CR17","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1177\/1039856213510575","volume":"22","author":"B Bassilios","year":"2013","unstructured":"Bassilios B, Judd F, Pattison P. Why don\u2019t people diagnosed with schizophrenia spectrum disorders (SSDs) get enough exercise? Australas Psychiatry. 2013;22:71\u20137.","journal-title":"Australas Psychiatry"},{"key":"6250_CR18","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1016\/j.scispo.2020.03.005","volume":"35","author":"AJ Romain","year":"2020","unstructured":"Romain AJ, Longpr\u00e9-Poirier C, Tannous M, Abdel-Baki A. Physical activity for patients with severe mental illness: preferences, barriers and perceptions of counselling. Sci Sport. 2020;35:289\u201399.","journal-title":"Sci Sport"},{"key":"6250_CR19","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1016\/j.psychres.2014.07.083","volume":"220","author":"A Soundy","year":"2014","unstructured":"Soundy A, Freeman P, Stubbs B, Probst M, Coffee P, Vancampfort D. The transcending benefits of physical activity for individuals with schizophrenia: a systematic review and meta-ethnography. Psychiatry Res. 2014;220:11\u20139.","journal-title":"Psychiatry Res"},{"key":"6250_CR20","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1080\/21679169.2020.1776386","volume":"24","author":"V Karlsson","year":"2022","unstructured":"Karlsson V, Danielsson L. Motivators for patients with schizophrenia spectrum disorders to start and maintain exercising: a qualitative interview study. Eur J Physiother. 2022;24:30\u20138.","journal-title":"Eur J Physiother"},{"key":"6250_CR21","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1007\/s10597-015-9896-y","volume":"52","author":"J Browne","year":"2016","unstructured":"Browne J, Mihas P, Penn DL. Focus on Exercise: client and clinician perspectives on Exercise in individuals with Serious Mental illness. Community Ment Health J. 2016;52:387\u201394.","journal-title":"Community Ment Health J"},{"key":"6250_CR22","doi-asserted-by":"crossref","unstructured":"Browne J, Battaglini C, Jarskog LF, Sheeran P, Abrantes A, Elliott T et al. Virtual group-based walking intervention for persons with schizophrenia: a pilot randomized controlled trial. Ment Health Phys Act. 2023;100515.","DOI":"10.1016\/j.mhpa.2023.100515"},{"key":"6250_CR23","doi-asserted-by":"publisher","first-page":"100393","DOI":"10.1016\/j.mhpa.2021.100393","volume":"20","author":"J Browne","year":"2021","unstructured":"Browne J, Battaglini C, Jarskog LF, Sheeran P, Abrantes A, McDermott J, et al. Targeting physical health in schizophrenia: results from the physical activity can enhance life (PACE-Life) 24-week open trial. Ment Health Phys Act. 2021;20:100393.","journal-title":"Ment Health Phys Act"},{"key":"6250_CR24","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1037\/0003-066X.55.1.68","volume":"55","author":"RM Ryan","year":"2000","unstructured":"Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000;55:68\u201378.","journal-title":"Am Psychol"},{"key":"6250_CR25","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1186\/1479-5868-9-78","volume":"9","author":"PJ Teixeira","year":"2012","unstructured":"Teixeira PJ, Carra\u00e7a EV, Markland D, Silva MN, Ryan RM. Exercise, physical activity, and self-determination theory: a systematic review. Int J Behav Nutr Phys Act. 2012;9:78.","journal-title":"Int J Behav Nutr Phys Act"},{"key":"6250_CR26","doi-asserted-by":"publisher","first-page":"1474","DOI":"10.1177\/2047487313500214","volume":"21","author":"I D\u00edaz-Buschmann","year":"2014","unstructured":"D\u00edaz-Buschmann I, Jaureguizar KV, Calero MJ, Aquino RS. Programming exercise intensity in patients on beta-blocker treatment: the importance of choosing an appropriate method. J Prev Cardiol. 2014;21:1474\u201380.","journal-title":"J Prev Cardiol"},{"key":"6250_CR27","first-page":"90","volume":"5","author":"GA Borg","year":"1973","unstructured":"Borg GA. Perceived exertion: a note on history and methods. Med Sci Sports. 1973;5:90\u20133.","journal-title":"Med Sci Sports"},{"key":"6250_CR28","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1016\/S0065-2601(06)38002-1","volume":"38","author":"PM Gollwitzer","year":"2006","unstructured":"Gollwitzer PM, Sheeran P. Implementation intentions and goal achievement: a meta-analysis of effects and processes. Adv Exp Soc Psychol. 2006;38:69\u2013119.","journal-title":"Adv Exp Soc Psychol"},{"key":"6250_CR29","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13012-019-0853-y","volume":"14","author":"RC Gale","year":"2019","unstructured":"Gale RC, Wu J, Erhardt T, Bounthavong M, Reardon CM, Damschroder LJ, et al. Comparison of rapid vs in-depth qualitative analytic methods from a process evaluation of academic detailing in the Veterans Health Administration. Implement Sci. 2019;14:1\u201312.","journal-title":"Implement Sci"},{"key":"6250_CR30","doi-asserted-by":"publisher","first-page":"S242","DOI":"10.1097\/MLR.0000000000001553","volume":"59","author":"AA Lewinski","year":"2021","unstructured":"Lewinski AA, Crowley MJ, Miller C, Bosworth HB, Jackson GL, Steinhauser K, et al. Applied Rapid Qualitative Analysis to develop a contextually appropriate intervention and increase the likelihood of Uptake. Med Care. 2021;59:S242\u201351.","journal-title":"Med Care"},{"key":"6250_CR31","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1136\/bmjopen-2017-019993","volume":"8","author":"B Taylor","year":"2018","unstructured":"Taylor B, Henshall C, Kenyon S, Litchfield I, Greenfield S. Can rapid approaches to qualitative analysis deliver timely, valid findings to clinical leaders? A mixed methods study comparing rapid and thematic analysis. BMJ Open. 2018;8:5\u20137.","journal-title":"BMJ Open"},{"key":"6250_CR32","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12888-023-05233-6","volume":"23","author":"SH Roberts","year":"2023","unstructured":"Roberts SH, Bailey J. Exergaming (physically active video gaming) for mental health service users in a community mental health care setting: an ethnographic observational feasibility study. BMC Psychiatry. 2023;23:1\u201312.","journal-title":"BMC Psychiatry"},{"key":"6250_CR33","doi-asserted-by":"publisher","first-page":"100230","DOI":"10.1016\/j.scog.2021.100230","volume":"28","author":"D Mendelson","year":"2022","unstructured":"Mendelson D, Thibaudeau \u00c9, Sauv\u00e9 G, Lavigne KM, Bowie CR, Menon M, et al. Remote group therapies for cognitive health in schizophrenia-spectrum disorders: feasible, acceptable, engaging. Schizophr Res Cogn. 2022;28:100230.","journal-title":"Schizophr Res Cogn"},{"key":"6250_CR34","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3390\/ijerph18052235","volume":"18","author":"J Wilke","year":"2021","unstructured":"Wilke J, Mohr L, Tenforde AS, Edouard P, Fossati C, Gonz\u00e1lez-Gross M, et al. A pandemic within the pandemic? Physical activity levels substantially decreased in countries affected by covid-19. Int J Environ Res Public Health. 2021;18:1\u201312.","journal-title":"Int J Environ Res Public Health"},{"key":"6250_CR35","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3389\/fpsyt.2013.00035","volume":"4","author":"G Orellana","year":"2013","unstructured":"Orellana G, Slachevsky A. Executive functioning in schizophrenia. Front Psychiatry. 2013;4:1\u201315.","journal-title":"Front Psychiatry"},{"key":"6250_CR36","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1016\/S0920-9964(99)00198-X","volume":"45","author":"SR McGurk","year":"2000","unstructured":"McGurk SR, Meltzer HY. The role of cognition in vocational functioning in schizophrenia. Schizophr Res. 2000;45:175\u201384.","journal-title":"Schizophr Res"},{"key":"6250_CR37","first-page":"2543541","volume":"2020","author":"B Afshari","year":"2020","unstructured":"Afshari B, Shiri N, Ghoreishi FS, Valianpour M. Examination and comparison of cognitive and executive functions in clinically stable Schizophrenia disorder, bipolar disorder, and major depressive disorder. Depress Res Treat. 2020;2020:2543541.","journal-title":"Depress Res Treat"},{"key":"6250_CR38","doi-asserted-by":"publisher","first-page":"239","DOI":"10.4236\/ape.2021.112019","volume":"11","author":"LEM Koomen","year":"2021","unstructured":"Koomen LEM, Velasquez P, D\u2019Agata F, Deenik J, Cahn W. Exercise via Videoconferencing for people with severe Mental illness during COVID-19 Times: a feasibility study. Adv Phys Educ. 2021;11:239\u201345.","journal-title":"Adv Phys Educ"}],"container-title":["BMC Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12888-024-06250-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12888-024-06250-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12888-024-06250-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T08:04:04Z","timestamp":1731485044000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpsychiatry.biomedcentral.com\/articles\/10.1186\/s12888-024-06250-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,11]]},"references-count":38,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["6250"],"URL":"https:\/\/doi.org\/10.1186\/s12888-024-06250-9","relation":{},"ISSN":["1471-244X"],"issn-type":[{"type":"electronic","value":"1471-244X"}],"subject":[],"published":{"date-parts":[[2024,11,11]]},"assertion":[{"value":"26 June 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 November 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 November 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All participants provided written informed consent and the study was approved by the Institutional Review Board at the University of North Carolina at Chapel Hill.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"790"}}