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The study protocol received approval from the Ethics Committee of Shahid Bahonar University of Kerman (Approval Code: IR.KMU.REC.1404.274) and adhered to the principles of the Declaration of Helsinki. The trial was prospectively registered at the Iranian Registry of Clinical Trials (IRCT) (Identifier: IRCT20250818066901N1) on 24 September 2025, prior to the enrollment of the first participant. No identifiable images of participants were used. All graphical illustrations were schematic.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable. 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