{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T17:02:11Z","timestamp":1774285331421,"version":"3.50.1"},"reference-count":45,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T00:00:00Z","timestamp":1771027200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T00:00:00Z","timestamp":1774224000000},"content-version":"vor","delay-in-days":37,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Eat Disord"],"DOI":"10.1186\/s40337-026-01548-3","type":"journal-article","created":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T07:46:43Z","timestamp":1771055203000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bridging inpatient and community treatment: feasibility, acceptability, and short-term outcomes of step care, a virtual CBT-E pathway for adults with severe eating disorders"],"prefix":"10.1186","volume":"14","author":[{"given":"Lucy","family":"Gardner","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Ryan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriela","family":"Tomkova","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ro","family":"Moreton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Layla","family":"Hamadi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justyna","family":"Fila","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnes","family":"Ayton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,2,14]]},"reference":[{"key":"1548_CR1","doi-asserted-by":"publisher","first-page":"694223","DOI":"10.3389\/fpsyt.2021.694223","volume":"12","author":"E Marzola","year":"2021","unstructured":"Marzola E, Longo P, Sardella F, Delsedime N, Abbate-Daga G. Rehospitalization and revolving door in anorexia nervosa: are there any predictors of time to readmission? Front Psychiatry. 2021;12:694223.","journal-title":"Front Psychiatry"},{"issue":"3","key":"1548_CR2","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1002\/erv.2824","volume":"29","author":"DC Bryan","year":"2021","unstructured":"Bryan DC, Cardi V, Willmott D, Teehan EE, Rowlands K, Treasure J. A systematic review of interventions to support transitions from intensive treatment for adults with anorexia nervosa and\/or their carers. Eur Eat Disord Rev. 2021;29(3):355\u201370.","journal-title":"Eur Eat Disord Rev"},{"key":"1548_CR3","doi-asserted-by":"publisher","first-page":"398","DOI":"10.1192\/bjp.187.5.398","volume":"187","author":"J Treasure","year":"2005","unstructured":"Treasure J, Schmidt U, Hugo P. Mind the gap: service transition and interface problems for patients with eating disorders. Br J Psychiatry. 2005;187:398\u2013400.","journal-title":"Br J Psychiatry"},{"key":"1548_CR4","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1186\/1471-244X-13-287","volume":"13","author":"E Goddard","year":"2013","unstructured":"Goddard E, Hibbs R, Raenker S, Salerno L, Arcelus J, Boughton N, Connan F, Goss K, Laszlo B, Morgan J, et al. A multi-centre cohort study of short term outcomes of hospital treatment for anorexia nervosa in the UK. BMC Psychiatry. 2013;13:287.","journal-title":"BMC Psychiatry"},{"issue":"1","key":"1548_CR5","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1002\/cpp.1865","volume":"22","author":"J Morris","year":"2015","unstructured":"Morris J, Simpson AV, Voy SJ. Length of stay of inpatients with eating disorders. Clin Psychol Psychother. 2015;22(1):45\u201353.","journal-title":"Clin Psychol Psychother"},{"key":"1548_CR6","doi-asserted-by":"publisher","first-page":"102645","DOI":"10.1016\/j.eclinm.2024.102645","volume":"73","author":"V Cardi","year":"2024","unstructured":"Cardi V, Rowlands K, Ambwani S, Lord J, Clark-Bryan D, McDaid D, Schmidt U, Macdonald P, Arcelus J, Landau S, et al. Efficacy and cost-effectiveness of a digital guided self-management intervention to support transition from intensive care to community care in anorexia nervosa (TRIANGLE): pragmatic multicentre randomised controlled trial and economic evaluation. EClinicalMedicine. 2024;73:102645.","journal-title":"EClinicalMedicine"},{"key":"1548_CR7","unstructured":"Benchmarking NHS. NHS Benchmarking annual benchmarking results 2022\/23 for Adults and CYP, October 2023. In.: NHS Benchmarking; 2023."},{"issue":"9","key":"1548_CR8","doi-asserted-by":"publisher","first-page":"848","DOI":"10.1176\/appi.ajp.2021.21010026","volume":"178","author":"BT Walsh","year":"2021","unstructured":"Walsh BT, Xu T, Wang Y, Attia E, Kaplan AS. Time course of relapse following acute treatment for anorexia nervosa. Am J Psychiatry. 2021;178(9):848\u201353.","journal-title":"Am J Psychiatry"},{"issue":"1","key":"1548_CR9","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1186\/s40337-021-00487-5","volume":"9","author":"KE Giel","year":"2021","unstructured":"Giel KE, Behrens SC, Schag K, Martus P, Herpertz S, Hofmann T, Skoda EM, Voderholzer U, von Wietersheim J, Wild B, et al. Efficacy of post-inpatient aftercare treatments for anorexia nervosa: a systematic review of randomized controlled trials. J Eat Disord. 2021;9(1):129.","journal-title":"J Eat Disord"},{"issue":"3","key":"1548_CR10","doi-asserted-by":"publisher","first-page":"499","DOI":"10.1002\/erv.2822","volume":"29","author":"F Fernandez-Aranda","year":"2021","unstructured":"Fernandez-Aranda F, Treasure J, Paslakis G, Aguera Z, Gimenez M, Granero R, Sanchez I, Serrano-Troncoso E, Gorwood P, Herpertz-Dahlmann B, et al. The impact of duration of illness on treatment nonresponse and drop-out: exploring the relevance of enduring eating disorder concept. Eur Eat Disord Rev. 2021;29(3):499\u2013513.","journal-title":"Eur Eat Disord Rev"},{"key":"1548_CR11","volume-title":"Multistep cognitive behavioral therapy for eating disorders","author":"R Dalle Grave","year":"2013","unstructured":"Dalle Grave R. Multistep cognitive behavioral therapy for eating disorders. Plymouth, UK: Jason Aronson; 2013."},{"issue":"6","key":"1548_CR12","doi-asserted-by":"publisher","first-page":"390","DOI":"10.1159\/000350058","volume":"82","author":"R Dalle Grave","year":"2013","unstructured":"Dalle Grave R, Calugi S, Conti M, Doll H, Fairburn CG. Inpatient cognitive behaviour therapy for anorexia nervosa: a randomized controlled trial. Psychother Psychosom. 2013;82(6):390\u20138.","journal-title":"Psychother Psychosom"},{"issue":"1","key":"1548_CR13","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1186\/s40337-022-00620-y","volume":"10","author":"A Ibrahim","year":"2022","unstructured":"Ibrahim A, Ryan S, Viljoen D, Tutisani E, Gardner L, Collins L, Ayton A. Integrated enhanced cognitive behavioural (I-CBTE) therapy significantly improves effectiveness of inpatient treatment of anorexia nervosa in real life settings. J Eat Disord. 2022;10(1):98.","journal-title":"J Eat Disord"},{"issue":"12","key":"1548_CR14","doi-asserted-by":"publisher","first-page":"e7","DOI":"10.1136\/bmjqs-2015-004480","volume":"25","author":"D Goodman","year":"2016","unstructured":"Goodman D, Ogrinc G, Davies L, Baker GR, Barnsteiner J, Foster TC, Gali K, Hilden J, Horwitz L, Kaplan HC, et al. Explanation and elaboration of the SQUIRE (Standards for quality improvement reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature. BMJ Qual Saf. 2016;25(12):e7\u20137.","journal-title":"BMJ Qual Saf"},{"key":"1548_CR15","volume-title":"Intensive cognitive behavior therapy for eating disorders","author":"R Dalle Grave","year":"2012","unstructured":"Dalle Grave R. Intensive cognitive behavior therapy for eating disorders. Hauppauge, NY: Nova Science; 2012."},{"issue":"2","key":"1548_CR16","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1002\/eat.20078","volume":"37","author":"R Sysko","year":"2005","unstructured":"Sysko R, Walsh BT, Fairburn CG. Eating disorder Examination-Questionnaire as a measure of change in patients with bulimia nervosa. Int J Eat Disord. 2005;37(2):100\u20136.","journal-title":"Int J Eat Disord"},{"issue":"10","key":"1548_CR17","doi-asserted-by":"publisher","first-page":"1105","DOI":"10.1016\/j.brat.2008.06.012","volume":"46","author":"K Bohn","year":"2008","unstructured":"Bohn K, Doll HA, Cooper Z, O\u2019Connor M, Palmer RL, Fairburn CG. The measurement of impairment due to eating disorder psychopathology. Behav Res Ther. 2008;46(10):1105\u201310.","journal-title":"Behav Res Ther"},{"issue":"9","key":"1548_CR18","doi-asserted-by":"publisher","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","volume":"16","author":"K Kroenke","year":"2001","unstructured":"Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606\u201313.","journal-title":"J Gen Intern Med"},{"issue":"10","key":"1548_CR19","doi-asserted-by":"publisher","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","volume":"166","author":"RL Spitzer","year":"2006","unstructured":"Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092\u20137.","journal-title":"Arch Intern Med"},{"key":"1548_CR20","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1186\/1477-7525-8-83","volume":"8","author":"CE Adair","year":"2010","unstructured":"Adair CE, Marcoux GC, Bischoff TF, Cram BS, Ewashen CJ, Pinzon J, Gusella JL, Geller J, Scattolon Y, Fergusson P, et al. Responsiveness of the eating disorders quality of life scale (EDQLS) in a longitudinal multi-site sample. Health Qual Life Outcomes. 2010;8:83.","journal-title":"Health Qual Life Outcomes"},{"key":"1548_CR21","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1016\/j.brat.2016.11.006","volume":"89","author":"S Calugi","year":"2017","unstructured":"Calugi S, El Ghoch M, Dalle Grave R. Intensive enhanced cognitive behavioural therapy for severe and enduring anorexia nervosa: A longitudinal outcome study. Behav Res Ther. 2017;89:41\u20138.","journal-title":"Behav Res Ther"},{"key":"1548_CR22","doi-asserted-by":"crossref","unstructured":"Dalle Grave R, Sartirana M, Dalle Grave A, Calugi S. Effectiveness of enhanced cognitive behaviour therapy for patients aged 14 to 25: A promising treatment for anorexia nervosa in transition-age youth. Eur Eat Disord Rev 2023.","DOI":"10.1002\/erv.3019"},{"issue":"1","key":"1548_CR23","doi-asserted-by":"publisher","first-page":"R2","DOI":"10.1016\/j.brat.2012.09.010","volume":"51","author":"CG Fairburn","year":"2013","unstructured":"Fairburn CG, Cooper Z, Doll HA, O\u2019Connor ME, Palmer RL, Dalle Grave R. Enhanced cognitive behaviour therapy for adults with anorexia nervosa: a UK-Italy study. Behav Res Ther. 2013;51(1):R2\u20138.","journal-title":"Behav Res Ther"},{"issue":"1","key":"1548_CR24","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1002\/eat.23765","volume":"56","author":"R Dalle Grave","year":"2023","unstructured":"Dalle Grave R, Dalle Grave A, Bani E, Oliosi A, Conti M, Dametti L, Calugi S. The impact of the COVID-19 pandemic on intensive cognitive behavioral therapy outcomes in patients with anorexia nervosa-a cohort study. Int J Eat Disord. 2023;56(1):216\u201324.","journal-title":"Int J Eat Disord"},{"key":"1548_CR25","doi-asserted-by":"publisher","first-page":"e76464","DOI":"10.2196\/76464","volume":"27","author":"JH Baker","year":"2025","unstructured":"Baker JH, Jones NM, Freestone D, Effland L, Bohon C. Remotely delivered cognitive behavioral therapy for adults with an eating disorder: retrospective analysis of a Real-World patient sample. J Med Internet Res. 2025;27:e76464.","journal-title":"J Med Internet Res"},{"issue":"10","key":"1548_CR26","doi-asserted-by":"publisher","first-page":"E327","DOI":"10.1503\/cmaj.230274","volume":"196","author":"S Zandieh","year":"2024","unstructured":"Zandieh S, Abdollahzadeh SM, Sadeghirad B, Wang L, McCabe RE, Yao L, Inness BE, Pathak A, Couban RJ, Crandon H, et al. Therapist-guided remote versus in-person cognitive behavioural therapy: a systematic review and meta-analysis of randomized controlled trials. CMAJ. 2024;196(10):E327\u201340.","journal-title":"CMAJ"},{"key":"1548_CR27","doi-asserted-by":"publisher","first-page":"e14","DOI":"10.1017\/S1754470X20000161","volume":"13","author":"R Murphy","year":"2020","unstructured":"Murphy R, Calugi S, Cooper Z, Dalle Grave R. Challenges and opportunities for enhanced cognitive behaviour therapy (CBT-E) in light of COVID-19. Cogn Behav Th. 2020;13:e14.","journal-title":"Cogn Behav Th"},{"key":"1548_CR28","unstructured":"BEAT. There\u2019s no place like home: The case for intensive community and day treatments for eating disorders. In. London: BEAT; 2024."},{"key":"1548_CR29","unstructured":"Anderson SO, Tan C. J: Scott Eat Disorder Serv Rev in; 2021."},{"key":"1548_CR30","doi-asserted-by":"crossref","unstructured":"Frostad S, Rozakou-Soumalia N, Darvariu S, Foruzesh B, Azkia H, Larsen MP, Rowshandel E, Sjogren JM. BMI at discharge from treatment predicts relapse in anorexia nervosa: A systematic scoping review. J Pers Med 2022, 12(5).","DOI":"10.3390\/jpm12050836"},{"key":"1548_CR31","doi-asserted-by":"publisher","first-page":"641861","DOI":"10.3389\/fpsyt.2021.641861","volume":"12","author":"GW Redgrave","year":"2021","unstructured":"Redgrave GW, Schreyer CC, Coughlin JW, Fischer LK, Pletch A, Guarda AS. Discharge body mass Index, not illness Chronicity, predicts 6-Month weight outcome in patients hospitalized with anorexia nervosa. Front Psychiatry. 2021;12:641861.","journal-title":"Front Psychiatry"},{"issue":"1","key":"1548_CR32","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1007\/s40519-024-01649-5","volume":"29","author":"L Maurel","year":"2024","unstructured":"Maurel L, MacKean M, Lacey JH. Factors predicting long-term weight maintenance in anorexia nervosa: a systematic review. Eat Weight Disord. 2024;29(1):24.","journal-title":"Eat Weight Disord"},{"key":"1548_CR33","doi-asserted-by":"crossref","unstructured":"Ince B, Phillips MD, Zenasni Z, Shearer J, Dalton B, Irish M, Mercado D, Webb H, McCombie C, Au K et al. Autopsy of a failed trial part 2: Outcomes, challenges, and lessons learnt from the DAISIES trial. Eur Eat Disord Rev 2023.","DOI":"10.1002\/erv.3058"},{"issue":"6","key":"1548_CR34","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1097\/YCO.0000000000001036","volume":"38","author":"P Hay","year":"2025","unstructured":"Hay P, Dann KM, Touyz S. Longstanding eating disorders: insights and innovations in severe and enduring illness. Curr Opin Psychiatry. 2025;38(6):395\u2013401.","journal-title":"Curr Opin Psychiatry"},{"issue":"1","key":"1548_CR35","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1186\/s40337-024-01116-7","volume":"12","author":"D Viljoen","year":"2024","unstructured":"Viljoen D, Ayton A, Roberts L, Twitchell M, Collins L. Applying integrated enhanced cognitive behaviour therapy (I-CBTE) to severe and longstanding eating disorders (SEED) paper 2: an in-depth case study for clinicians. J Eat Disord. 2024;12(1):172.","journal-title":"J Eat Disord"},{"issue":"1","key":"1548_CR36","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1186\/s40337-024-01089-7","volume":"12","author":"L Collins","year":"2024","unstructured":"Collins L. Applying integrated enhanced cognitive behaviour therapy (I-CBTE) to severe and longstanding eating disorders (SEED) paper 1: I am no longer a SEED patient. J Eat Disorders. 2024;12(1):139.","journal-title":"J Eat Disorders"},{"key":"1548_CR37","doi-asserted-by":"crossref","unstructured":"Murphy R, Bailey-Straebler S, Dalle Grave R, Calugi S, Osborne EL, Cooper Z. Evolving perspectives on CBT-E for eating disorders: clarifying ten key points \u2013 misconceptions and communication gaps explored. Cogn Behav Therapist 2025, 18.","DOI":"10.1017\/S1754470X25100299"},{"key":"1548_CR38","doi-asserted-by":"crossref","unstructured":"Dalle Grave R, Sartirana M, Calugi S. Complex cases and comorbidity in eating disorders. Springer; 2021.","DOI":"10.1007\/978-3-030-69341-1"},{"issue":"8","key":"1548_CR39","doi-asserted-by":"publisher","first-page":"1644","DOI":"10.1002\/eat.23968","volume":"56","author":"AML Ortiz","year":"2023","unstructured":"Ortiz AML, Cusack CE, Billman MG, Essayli JH. Baseline symptomatology and treatment outcomes of young adults in a virtual versus in-person partial hospitalization and intensive outpatient program for eating disorders. Int J Eat Disord. 2023;56(8):1644\u20139.","journal-title":"Int J Eat Disord"},{"issue":"1","key":"1548_CR40","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1002\/eat.23866","volume":"56","author":"JL Van Huysse","year":"2023","unstructured":"Van Huysse JL, Prohaska N, Miller C, Jary J, Sturza J, Etsell K, Bravender T. Adolescent eating disorder treatment outcomes of an in-person partial hospital program versus a virtual intensive outpatient program. Int J Eat Disord. 2023;56(1):192\u2013202.","journal-title":"Int J Eat Disord"},{"key":"1548_CR41","doi-asserted-by":"publisher","first-page":"e66465","DOI":"10.2196\/66465","volume":"27","author":"DV Blalock","year":"2025","unstructured":"Blalock DV, Mehler PS, Michel DM, Duffy A, Le Grange D, O\u2019Melia AM, Rienecke RD. Virtual versus In-Person intensive outpatient treatment for eating disorders during the COVID-19 pandemic in united States-Based treatment facilities: naturalistic study. J Med Internet Res. 2025;27:e66465.","journal-title":"J Med Internet Res"},{"issue":"3","key":"1548_CR42","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1080\/10640266.2022.2099606","volume":"31","author":"L Hamadi","year":"2023","unstructured":"Hamadi L, Hilson R, Lunn A, Ralph E, Rodrigues E, Sohail R. Can CBT-E be delivered in an online group format? A pilot study of the body image module in a child and adolescent eating disorder service. Eat Disord. 2023;31(3):225\u201341.","journal-title":"Eat Disord"},{"issue":"5","key":"1548_CR43","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1080\/10640266.2024.2325296","volume":"32","author":"RD Rienecke","year":"2024","unstructured":"Rienecke RD, Blalock DV, Tallent CN, Duffy A, Mehler PS. Eating disorder virtual intensive outpatient program: patient satisfaction according to age group. Eat Disord. 2024;32(5):493\u2013508.","journal-title":"Eat Disord"},{"issue":"1","key":"1548_CR44","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1186\/s40337-025-01224-y","volume":"13","author":"R Brown","year":"2025","unstructured":"Brown R, Murphy-Morgan C, Downs J, Branley-Bell D. A call for strategy on eating disorders: the need for a comprehensive eating disorder strategy in England and specific guidance for the remote delivery of eating disorder services. J Eat Disord. 2025;13(1):54.","journal-title":"J Eat Disord"},{"issue":"1","key":"1548_CR45","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1186\/s40337-021-00418-4","volume":"9","author":"PL Brothwood","year":"2021","unstructured":"Brothwood PL, Baudinet J, Stewart CS, Simic M. Moving online: young people and parents\u2019 experiences of adolescent eating disorder day programme treatment during the COVID-19 pandemic. J Eat Disord. 2021;9(1):62.","journal-title":"J Eat Disord"}],"container-title":["Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40337-026-01548-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40337-026-01548-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40337-026-01548-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T16:13:30Z","timestamp":1774282410000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s40337-026-01548-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,14]]},"references-count":45,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["1548"],"URL":"https:\/\/doi.org\/10.1186\/s40337-026-01548-3","relation":{},"ISSN":["2050-2974"],"issn-type":[{"value":"2050-2974","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,14]]},"assertion":[{"value":"25 October 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 February 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 February 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"No generative AI was used to create or interpret the study data, research findings, or conclusions of this study. Preliminary areas of key feedback were generated using ChatGPT (OpenAI, 2025) to illustrate the range and richness of qualitative data. The research team reviewed and refined these summaries to ensure their accuracy and contextual relevance. A full qualitative analysis using the established frameworks will be reported separately.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"AI use statement"}}],"article-number":"65"}}