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All participants provided written informed consent prior to enrollment. The study was conducted in accordance with the Declaration of Helsinki and relevant national regulations governing educational research in the People\u2019s Republic of China. Participants were informed of their right to withdraw from the study at any time without penalty, and all data were collected and stored in compliance with data protection regulations.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"All authors have reviewed the manuscript and consent to its publication. No identifiable information regarding participants has been included in this manuscript. All data have been reported in aggregate form to protect participant confidentiality. Since no identifying images or personal details of participants are presented that could compromise anonymity, individual consent for publication from participants is 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":"527"}}