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The study will be conducted in accordance with the principles of the Declaration of Helsinki. All study patients will sign the written informed consent form before participation. Participation in the study is completely voluntary. Patients will be able to withdraw at any time. The decision to participate or withdraw will not affect their existing treatment or service received. Caregivers who are found to have significant depressive symptoms or other mental health problems will be referred to appropriate health services for follow-up. All personal information collected will be kept strictly confidential and used for research purposes only. Research team members will be responsible for safekeeping the confidential data. Only the PI and designated research staff will have access to the final trial dataset. 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