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Participant rights were rigorously safeguarded, and research findings were used solely for academic purposes. The study protocol included comprehensive explanations of the research objectives, and informed consent was obtained from all eligible participants prior to their involvement to protect confidentiality and autonomy. Participants were informed that their interviews would be transcribed verbatim and that their identities would be anonymized using digital code names. All participants provided their informed consent before they participated in the study. Any personally identifiable information, such as names, was replaced with coded identifiers to ensure anonymity. Throughout the data analysis process, all data were securely stored in encrypted files, ensuring the confidentiality of participants and the integrity of the research.","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":"187"}}