{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T12:37:28Z","timestamp":1776343048992,"version":"3.51.2"},"reference-count":50,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:00:00Z","timestamp":1755216000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:00:00Z","timestamp":1755216000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"DOI":"10.1186\/s12913-025-13273-9","type":"journal-article","created":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T13:56:54Z","timestamp":1755266214000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Implementing modified constraint-induced movement therapy after stroke in an early-supported discharge rehabilitation service: a process evaluation using RE-AIM QuEST"],"prefix":"10.1186","volume":"25","author":[{"given":"Ashan","family":"Weerakkody","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin","family":"Godecke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barby","family":"Singer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,8,15]]},"reference":[{"issue":"6","key":"13273_CR1","doi-asserted-by":"publisher","first-page":"464","DOI":"10.1016\/S1474-4422(23)00150-3","volume":"22","author":"KS Hayward","year":"2023","unstructured":"Hayward KS, Bernhardt J. Aspiring to restore arm and hand function after stroke. Lancet Neurol. 2023;22(6):464\u20135.","journal-title":"Lancet Neurol"},{"key":"13273_CR2","doi-asserted-by":"publisher","first-page":"939748","DOI":"10.3389\/fneur.2022.939748","volume":"13","author":"L Boccuni","year":"2022","unstructured":"Boccuni L, Marinelli L, Trompetto C, Pascual-Leone A, Tormos Munoz JM. Time to reconcile research findings and clinical practice on upper limb neurorehabilitation. Front Neurol. 2022;13:939748.","journal-title":"Front Neurol"},{"key":"13273_CR3","doi-asserted-by":"crossref","unstructured":"Pollock A, Farmer SE, Brady MC, Langhorne P, Mead GE, Mehrholz J et al. Interventions for improving upper limb function after stroke. Cochrane Database Syst Reviews. 2014(11):Cd010820.","DOI":"10.1002\/14651858.CD010820.pub2"},{"issue":"2","key":"13273_CR4","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1016\/j.apmr.2017.06.014","volume":"99","author":"KA Wattchow","year":"2018","unstructured":"Wattchow KA, McDonnell MN, Hillier SL. Rehabilitation interventions for upper limb function in the first four weeks following stroke: A systematic review and meta-analysis of the evidence. Arch Phys Med Rehabil. 2018;99(2):367\u201382.","journal-title":"Arch Phys Med Rehabil"},{"key":"13273_CR5","doi-asserted-by":"crossref","unstructured":"Corbetta D, Sirtori V, Castellini G, Moja L, Gatti R. Constraint-induced movement therapy for upper extremities in people with stroke. Cochrane Database Syst Reviews. 2015(10):CD004433.","DOI":"10.1002\/14651858.CD004433.pub3"},{"issue":"4","key":"13273_CR6","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1310\/tsr2104-319","volume":"24","author":"A Fleet","year":"2014","unstructured":"Fleet A, Page SJ, Mackay-Lyons M, Boe SG. Modified constraint-induced movement therapy for upper extremity recovery post stroke: what is the evidence? Top Stroke Rehabil. 2014;24(4):319\u201331.","journal-title":"Top Stroke Rehabil"},{"key":"13273_CR7","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1016\/S1474-4422(14)70160-7","volume":"14","author":"G Kwakkel","year":"2015","unstructured":"Kwakkel G, Veerbeek JM, van Wegen EEH, Wolf SL. Constraint-induced movement therapy after stroke. Lancet Neurol. 2015;14:224\u201334.","journal-title":"Lancet Neurol"},{"key":"13273_CR8","unstructured":"Intercollegiate Stroke Working Party. National Clinical Guideline for Stroke for the UK and Ireland. London2023."},{"key":"13273_CR9","unstructured":"Stroke Foundation. Living Clinical Guidelines for Stroke Management. 2024."},{"key":"13273_CR10","doi-asserted-by":"crossref","unstructured":"Teasell R, Salbach NM, Foley N, Mountain A, Cameron JI, Jong A et al. Canadian Stroke Best Practice Recommendations: Rehabilitation, Recovery, and Community Participation following Stroke. Part One: Rehabilitation and recovery following stroke; 6th Edition Update. 2019. International Journal of Stroke. 2020;15(7):763\u2013\u200988.","DOI":"10.1177\/1747493019897843"},{"issue":"3","key":"13273_CR11","doi-asserted-by":"publisher","first-page":"401","DOI":"10.1111\/1440-1630.12567","volume":"66","author":"LJ Christie","year":"2019","unstructured":"Christie LJ, McCluskey A, Lovarini M. Constraint-induced movement therapy for upper limb recovery in adult neurorehabilitation: an international survey of current knowledge and experience. Aust Occup Ther J. 2019;66(3):401\u201312.","journal-title":"Aust Occup Ther J"},{"issue":"1","key":"13273_CR12","doi-asserted-by":"publisher","first-page":"60","DOI":"10.3138\/ptc.2012-61","volume":"66","author":"A Fleet","year":"2014","unstructured":"Fleet A, Che M, Mackay-Lyons M, Mackenzie D, Page S, Eskes G, et al. Examining the use of constraint-induced movement therapy in Canadian neurological occupational and physical therapy. Physiotherapy Can. 2014;66(1):60\u201371.","journal-title":"Physiotherapy Can"},{"issue":"22","key":"13273_CR13","doi-asserted-by":"publisher","first-page":"3265","DOI":"10.1080\/09638288.2019.1587013","volume":"42","author":"J Morris","year":"2019","unstructured":"Morris J, Bernhardsson S, Bird ML, Connell L, Lynch E, Jarvis K, et al. Implementation in rehabilitation: A roadmap for practitioners and researchers. Disabil Rehabil. 2019;42(22):3265\u201374.","journal-title":"Disabil Rehabil"},{"issue":"9","key":"13273_CR14","doi-asserted-by":"publisher","first-page":"751","DOI":"10.1177\/1545968318777844","volume":"32","author":"EA Lynch","year":"2018","unstructured":"Lynch EA, Chesworth BM, Connell LA. Implementation-The missing link in the research translation pipeline: is it any Wonder no one ever implements evidence-based practice? Neurorehabilit Neural Repair. 2018;32(9):751\u201361.","journal-title":"Neurorehabilit Neural Repair"},{"issue":"3","key":"13273_CR15","first-page":"257","volume":"42","author":"D Morris","year":"2006","unstructured":"Morris D, Taub E, Mark VW. Constraint-induced movement therapy: characterizing the intervention protocol. Europa Medicophysica. 2006;42(3):257\u201368.","journal-title":"Europa Medicophysica"},{"issue":"3","key":"13273_CR16","first-page":"299","volume":"31","author":"SJ Page","year":"2013","unstructured":"Page SJ, Boe S, Levine P. What are the ingredients of modified constraint-induced therapy? An evidence-based review, recipe, and recommendations. Restor Neurol Neurosci. 2013;31(3):299\u2013309.","journal-title":"Restor Neurol Neurosci"},{"issue":"2","key":"13273_CR17","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1007\/BF03392276","volume":"35","author":"E Taub","year":"2012","unstructured":"Taub E. The behavior-analytic origins of constraint-induced movement therapy: an example of behavioral neurorehabilitation. Behav Analyst. 2012;35(2):155\u201378.","journal-title":"Behav Analyst"},{"issue":"5","key":"13273_CR18","doi-asserted-by":"publisher","first-page":"1383","DOI":"10.1161\/STROKEAHA.111.000559","volume":"44","author":"E Taub","year":"2013","unstructured":"Taub E, Uswatte G, Mark VW, Morris DM, Barman J, Bowman MH, et al. Method for enhancing real-world use of a more affected arm in chronic stroke: transfer package of constraint-induced movement therapy. Stroke. 2013;44(5):1383\u20138.","journal-title":"Stroke"},{"issue":"6","key":"13273_CR19","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1111\/1440-1630.12488","volume":"65","author":"CR Baldwin","year":"2018","unstructured":"Baldwin CR, Harry AJ, Power LJ, Pope KL, Harding KE. Modified Constraint-Induced movement therapy is a feasible and potentially useful addition to the community rehabilitation tool kit after stroke: A pilot randomised control trial. Aust Occup Ther J. 2018;65(6):503\u201311.","journal-title":"Aust Occup Ther J"},{"issue":"9","key":"13273_CR20","doi-asserted-by":"publisher","first-page":"804","DOI":"10.1177\/1545968315624784","volume":"30","author":"G Kwakkel","year":"2016","unstructured":"Kwakkel G, Winters C, van Wegen EE, Nijland RH, van Kuijk AA, Visser-Meily A, et al. Effects of unilateral upper limb training in two distinct prognostic groups early after stroke: the EXPLICIT-Stroke randomized clinical trial. Neurorehabil Neural Repair. 2016;30(9):804\u201316.","journal-title":"Neurorehabil Neural Repair"},{"key":"13273_CR21","doi-asserted-by":"crossref","unstructured":"Carey LM, Cahill LS, Blennerhassett JM, Nilsson M, Lannin NA, Thijs V et al. A Network of Sites and Upskilled Therapists to Deliver Best-Practice Stroke Rehabilitation of the Arm: Protocol for a Knowledge Translation Study. Healthcare (Basel). 2023;11(23).","DOI":"10.3390\/healthcare11233080"},{"key":"13273_CR22","doi-asserted-by":"crossref","unstructured":"Christie LJ, Rendell R, McCluskey A, Fearn N, Hunter A, Lovarini M. Development of a behaviour change intervention to increase the delivery of upper limb constraint-induced movement therapy programs to people with stroke and traumatic brain injury. Disabil Rehabil. 2023;46(21):1\u201312.","DOI":"10.1080\/09638288.2023.2290686"},{"issue":"4","key":"13273_CR23","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1016\/j.jphys.2023.08.007","volume":"69","author":"A Weerakkody","year":"2023","unstructured":"Weerakkody A, White J, Hill C, Godecke E, Singer B. Delivering constraint-induced movement therapy in stroke rehabilitation requires informed stakeholders, sufficient resources and organisational buy-in: A mixed-methods systematic review. J Physiotherapy. 2023;69(4):249\u201359.","journal-title":"J Physiotherapy"},{"issue":"6","key":"13273_CR24","doi-asserted-by":"publisher","first-page":"661","DOI":"10.1111\/1440-1630.12896","volume":"70","author":"A Weerakkody","year":"2023","unstructured":"Weerakkody A, Emmanuel R, White J, Godecke E, Singer B. Unlocking the restraint-Development of a behaviour change intervention to increase the provision of modified constraint-induced movement therapy in stroke rehabilitation. Aust Occup Ther J. 2023;70(6):661\u201377.","journal-title":"Aust Occup Ther J"},{"issue":"24","key":"13273_CR25","doi-asserted-by":"publisher","first-page":"3516","DOI":"10.1080\/09638288.2019.1597178","volume":"42","author":"C Stewart","year":"2020","unstructured":"Stewart C, Power E, McCluskey A, Kuys S. Development of a participatory, tailored behaviour change intervention to increase active practice during inpatient stroke rehabilitation. Disabil Rehabil. 2020;42(24):3516\u201324.","journal-title":"Disabil Rehabil"},{"issue":"37","key":"13273_CR26","first-page":"1","volume":"7","author":"J Cane","year":"2012","unstructured":"Cane J, O\u2019Connor D, Michie S. Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci. 2012;7(37):1\u201317.","journal-title":"Implement Sci"},{"key":"13273_CR27","volume-title":"The behaviour change wheel: A guide to designing interventions","author":"S Michie","year":"2014","unstructured":"Michie S, Atkins L, West R. The behaviour change wheel: A guide to designing interventions. Great Britain: Silverback Publishing; 2014."},{"issue":"4","key":"13273_CR28","doi-asserted-by":"publisher","first-page":"949","DOI":"10.1080\/09638288.2024.2361808","volume":"47","author":"A Weerakkody","year":"2024","unstructured":"Weerakkody A, Godecke E, Singer B. Investigating the acceptability of modified constraint-induced movement therapy among stroke survivors and carers: A qualitative study. Disabil Rehabil. 2024;47(4):949\u201357.","journal-title":"Disabil Rehabil"},{"key":"13273_CR29","doi-asserted-by":"crossref","unstructured":"Weerakkody A, Godecke E, Singer B. Translating acceptability to sustained delivery: clinician and manager perspectives on implementing modified constraint-induced movement therapy in an early-supported discharge rehabilitation service. Aust Occup Ther J. 2024;72(1).","DOI":"10.1111\/1440-1630.12993"},{"issue":"9","key":"13273_CR30","doi-asserted-by":"publisher","first-page":"1322","DOI":"10.2105\/AJPH.89.9.1322","volume":"89","author":"RE Glasgow","year":"1999","unstructured":"Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999;89(9):1322\u20137.","journal-title":"Am J Public Health"},{"key":"13273_CR31","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1016\/j.pmedr.2017.04.002","volume":"6","author":"J Forman","year":"2017","unstructured":"Forman J, Heisler M, Damschroder LJ, Kaselitz E, Kerr EA. Development and application of the RE-AIM quest mixed methods framework for program evaluation. Prev Med Rep. 2017;6:322\u20138.","journal-title":"Prev Med Rep"},{"issue":"4","key":"13273_CR32","doi-asserted-by":"publisher","first-page":"e013318","DOI":"10.1136\/bmjopen-2016-013318","volume":"7","author":"H Pinnock","year":"2017","unstructured":"Pinnock H, Barwick M, Carpenter CR, Eldridge S, Grandes G, Griffiths CJ, et al. Standards for reporting implementation studies (StaRI): explanation and elaboration document. BMJ Open. 2017;7(4):e013318.","journal-title":"BMJ Open"},{"key":"13273_CR33","doi-asserted-by":"publisher","first-page":"g1687","DOI":"10.1136\/bmj.g1687","volume":"348","author":"TC Hoffmann","year":"2014","unstructured":"Hoffmann TC, Glasziou PP, Boutron I, Milne R, Perera R, Moher D, et al. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014;348:g1687.","journal-title":"BMJ"},{"key":"13273_CR34","doi-asserted-by":"crossref","unstructured":"Christie LJ, Rendell R, Fearn N, Descallar J, McCluskey A, Pearce A et al. Increasing the delivery of upper limb constraint-induced movement therapy programs for stroke and brain injury survivors: evaluation of the activearm project. Disabil Rehabil. 2023;46(21):1\u201313.","DOI":"10.1080\/09638288.2023.2290687"},{"key":"13273_CR35","unstructured":"QSR International Pty Ltd. NVivo qualitative data analysis software. 12 ed. London2018."},{"key":"13273_CR36","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-69909-7_3470-2","volume-title":"Thematic analysis: A practical guide","author":"V Braun","year":"2022","unstructured":"Braun V, Clarke V. Thematic analysis: A practical guide. London: Sage; 2022."},{"issue":"1","key":"13273_CR37","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1186\/s43058-022-00315-0","volume":"3","author":"WJ Santos","year":"2022","unstructured":"Santos WJ, Graham ID, Lalonde M, Demery Varin M, Squires JE. The effectiveness of champions in implementing innovations in health care: A systematic review. Implement Sci Commun. 2022;3(1):80.","journal-title":"Implement Sci Commun"},{"key":"13273_CR38","doi-asserted-by":"crossref","unstructured":"Baker A, Cornwell P, Gustafsson L, Lannin NA. Implementing a tailored, co-designed goal-setting implementation package in rehabilitation services: A process evaluation. Disabil Rehabil. 2023;46(14):1\u201312.","DOI":"10.1080\/09638288.2023.2243589"},{"key":"13273_CR39","doi-asserted-by":"crossref","unstructured":"Bird ML, Miller T, Connell LA, Eng JJ. Moving stroke rehabilitation evidence into practice: a systematic review of randomized controlled trials. Clin Rehabil. 2019;33(10):1586-1595.","DOI":"10.1177\/0269215519847253"},{"issue":"7","key":"13273_CR40","doi-asserted-by":"publisher","first-page":"609","DOI":"10.2340\/16501977-1848","volume":"46","author":"L Poltawski","year":"2014","unstructured":"Poltawski L, Norris M, Dean S. Intervention fidelity: developing an experience-based model for rehabilitation research. J Rehabil Med. 2014;46(7):609\u201315.","journal-title":"J Rehabil Med"},{"issue":"5","key":"13273_CR41","first-page":"505","volume":"50","author":"S Fabbrini","year":"2014","unstructured":"Fabbrini S, Casati G, Bonaiuti D. Is CIMT a rehabilitative practice for everyone? Predictive factors and feasibility. Eur J Phys Rehabil Med. 2014;50(5):505\u201314.","journal-title":"Eur J Phys Rehabil Med"},{"key":"13273_CR42","first-page":"CD000443","volume":"7","author":"P Langhorne","year":"2017","unstructured":"Langhorne P, Baylan S, Early Supported Discharge T. Early supported discharge services for people with acute stroke. Cochrane Database Syst Reviews. 2017;7:CD000443.","journal-title":"Cochrane Database Syst Reviews"},{"issue":"5","key":"13273_CR43","first-page":"603","volume":"66","author":"L Jolliffe","year":"2019","unstructured":"Jolliffe L, Hoffmann T, Lannin NA. Increasing the uptake of stroke upper limb guideline recommendations with occupational therapists and physiotherapists. A qualitative study using the theoretical domains framework Australian occupational. Therapy J. 2019;66(5):603\u201316.","journal-title":"Therapy J"},{"key":"13273_CR44","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1186\/s13012-015-0223-3","volume":"10","author":"LA Connell","year":"2015","unstructured":"Connell LA, McMahon NE, Redfern J, Watkins CL, Eng JJ. Development of a behaviour change intervention to increase upper limb exercise in stroke rehabilitation. Implement Sci. 2015;10:34.","journal-title":"Implement Sci"},{"key":"13273_CR45","doi-asserted-by":"crossref","unstructured":"Jolliffe L, Hoffmann T, Churilov L, Lannin NA. What is the feasibility and observed effect of two implementation packages for stroke rehabilitation therapists implementing upper limb guidelines? A cluster controlled feasibility study. BMJ Open Qual. 2020;9(2):e000954.","DOI":"10.1136\/bmjoq-2020-000954"},{"issue":"1","key":"13273_CR46","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1186\/s13643-022-02104-1","volume":"11","author":"K Dempsey","year":"2022","unstructured":"Dempsey K, Ferguson C, Walczak A, Middleton S, Levi C, Morton RL, et al. Which strategies support the effective use of clinical practice guidelines and clinical quality registry data to inform health service delivery? A systematic review. Syst Reviews. 2022;11(1):237.","journal-title":"Syst Reviews"},{"key":"13273_CR47","doi-asserted-by":"crossref","unstructured":"Nilsen P. Making sense of implementation theories, models and frameworks. Implement Sci. 2015;10(1):53.","DOI":"10.1186\/s13012-015-0242-0"},{"key":"13273_CR48","unstructured":"Jarvis K. Occupational therapy for the upper limb after stroke: implementing evidence-based constraint induced movement therapy into practice. Keele University; 2016."},{"issue":"3","key":"13273_CR49","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1111\/1440-1630.12647","volume":"67","author":"A McCluskey","year":"2020","unstructured":"McCluskey A, Massie L, Gibson G, Pinkerton L, Vandenberg A. Increasing the delivery of upper limb constraint-induced movement therapy post-stroke: A feasibility implementation study. Aust Occup Ther J. 2020;67(3):237\u201349.","journal-title":"Aust Occup Ther J"},{"key":"13273_CR50","volume-title":"National stroke Audit- rehabilitation services report 2024","author":"Stroke Foundation","year":"2024","unstructured":"Stroke Foundation. National stroke Audit- rehabilitation services report 2024. Australia: Melbourne; 2024."}],"container-title":["BMC Health Services Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-025-13273-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12913-025-13273-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-025-13273-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T14:41:15Z","timestamp":1757428875000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmchealthservres.biomedcentral.com\/articles\/10.1186\/s12913-025-13273-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,15]]},"references-count":50,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["13273"],"URL":"https:\/\/doi.org\/10.1186\/s12913-025-13273-9","relation":{},"ISSN":["1472-6963"],"issn-type":[{"value":"1472-6963","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,15]]},"assertion":[{"value":"20 February 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 July 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 August 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study fully adhered to the Declaration of Helsinki for research involving humans and human data. Ethics approval was obtained from the South Metropolitan Health Service (RGS0000003058) and Edith Cowan University Human Research Ethics Committees (2019\u2009\u2212\u200900989). Informed consent was obtained from all participants in the qualitative components of this study. For the quantitative data, which involved retrospective auditing of de-identified medical records, the South Metropolitan Health Service Human Research Ethics Committee granted a waiver of consent. All procedures were conducted with respect for privacy and data confidentiality.","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":"1086"}}