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Written informed consent was obtained from all participating students and their parents or legal guardians, who were contacted through the school administration and the students themselves. The school administration and classroom teachers fully cooperated with the research team, facilitating the implementation of the project by arranging the school health room, providing necessary resources, and supporting other logistical needs throughout the study. The research was conducted in accordance with the principles of the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Authorization for the use of the Omaha System form was granted before conducting this study. Since the data from participants were collected anonymously, consent for publication is not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"During the development of this manuscript, the author utilized ChatGPT (ChatGPT-4o) for support with language editing, including grammar correction and sentence restructuring to enhance clarity.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Writing assistance use of AI assistance"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"203"}}