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This study was included in the approval of the ToyBox-study by Ethical Committees in all six European countries, in line with national regulations (i.e., the Ethical Committee of Ghent University Hospital (Belgium), Committee for the Ethics of the Scientific Studies (KENI) at the Medical University of Varna (Bulgaria), Ethikkommission der Ludwig- Maximilians-Universit\u00e4t M\u00fcnchen (Germany), the Ethics Committee of Harokopio University of Athens (Greece), Ethical Committee of Children\u2019s Memorial Health Institute (Poland), and CEICA (Comit\u00e9 \u00c9tico de Investigaci\u00f3n Cl\u00ednica de Arag\u00f3n (Spain)).","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":"3115"}}