{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"institution":[{"name":"medRxiv"}],"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T08:16:08Z","timestamp":1778141768375,"version":"3.51.4"},"posted":{"date-parts":[[2026,5,4]]},"group-title":"Neurology","reference-count":100,"publisher":"openRxiv","license":[{"start":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:00:00Z","timestamp":1777852800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.medrxiv.org\/about\/FAQ#license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"accepted":{"date-parts":[[2026,5,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Although Blood Pressure (BP) self-management and physical activity (PA) are secondary stroke preventive behaviors, adherence gaps exist. This study explored factors influencing these behaviors after telemonitoring experience among patients in an underserved urban community.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We conducted semi-structured interviews with purposive sampling of patients discharged home after mild stroke who had hypertension and participated in the Telehealth After Stroke Care (TASC) trial. Self-reported short form (SF) surveys included Patient Reported Outcomes Measurement Information System-Physical Function-SF, International Physical Activity Questionnaire-SF, and University of Rhode Island Change Assessment. The first interview assessed knowledge of BP and PA guidelines with perceived barriers, facilitators and BP telemonitoring experience, while the second was after PA monitoring for one month. We performed open (inductive) and social cognitive theory-based (deductive) coding.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>We included 14 participants: mean age 59 \u00b1 9.6 years; 7 women (50%); 57% Black, 29% Hispanic; 29% \u2264 high school education, 43% Medicaid or no insurance. Mean daily step count was 5147 \u00b1 2534. Three themes interpreted included: 1) positive outcome expectations; 2) self-efficacy; and 3) agency. Participants associated BP control with reduced recurrence risk and PA to functional recovery (1) but lacked knowledge of specific targets (2). High self-efficacy individuals (2) used action planning to navigate environmental constraints. Both BP and PA monitoring with feedback facilitated self-regulation, goal setting and problem solving (3).<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Gaps between knowledge of and participation in health behaviors after stroke persist. Targeting outcome expectations, self-efficacy, and agency through educated training, tailored support, and telemonitored feedback may promote sustained positive health behaviors.<\/jats:p>\n                <\/jats:sec>","DOI":"10.64898\/2026.04.28.26352004","type":"posted-content","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T16:05:21Z","timestamp":1777910721000},"source":"Crossref","is-referenced-by-count":0,"title":["Influences on Preventive Health Behaviors After Stroke with Telemonitoring: Patient Perceptions and Practices in an Urban Underserved Population"],"prefix":"10.64898","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4228-7500","authenticated-orcid":false,"given":"Imama A.","family":"Naqvi","sequence":"first","affiliation":[{"name":"Department of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keri","family":"Fisher","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Strobino","sequence":"additional","affiliation":[{"name":"Department of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4773-7195","authenticated-orcid":false,"given":"Adriana","family":"Arcia","sequence":"additional","affiliation":[{"name":"Hahn School of Nursing and Health Science, University of San Diego, San Diego, CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clare","family":"Bassile","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation and Regenerative Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sapana R.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY and the New York State Psychiatric Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8530-035X","authenticated-orcid":false,"given":"Ying Kuen","family":"Cheung","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5527-025X","authenticated-orcid":false,"given":"Joel","family":"Stein","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation and Regenerative Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY"},{"name":"Department of Rehabilitation Medicine, Weill Cornell Medical College, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0210-0078","authenticated-orcid":false,"given":"Olajide A.","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2562-1156","authenticated-orcid":false,"given":"Mitchell S.V.","family":"Elkind","sequence":"additional","affiliation":[{"name":"Department of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY"},{"name":"Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0945-2380","authenticated-orcid":false,"given":"Ian M.","family":"Kronish","sequence":"additional","affiliation":[{"name":"Department of Medicine, Center for Behavioral Cardiovascular Health, Columbia University, New York, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lori","family":"Quinn","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY"},{"name":"Department of Rehabilitation and Regenerative Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"54368","reference":[{"key":"2026050701001232000_2026.04.28.26352004v1.1","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000375"},{"key":"2026050701001232000_2026.04.28.26352004v1.2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000006467"},{"key":"2026050701001232000_2026.04.28.26352004v1.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2016.04.012"},{"key":"2026050701001232000_2026.04.28.26352004v1.4","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.30.2.338"},{"key":"2026050701001232000_2026.04.28.26352004v1.5","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.106.475525"},{"key":"2026050701001232000_2026.04.28.26352004v1.6","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000152"},{"key":"2026050701001232000_2026.04.28.26352004v1.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2009.07.001"},{"key":"2026050701001232000_2026.04.28.26352004v1.8","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/hpt076"},{"key":"2026050701001232000_2026.04.28.26352004v1.9","doi-asserted-by":"publisher","DOI":"10.2147\/vhrm.1.1.9.58940"},{"key":"2026050701001232000_2026.04.28.26352004v1.10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2010.07.003"},{"key":"2026050701001232000_2026.04.28.26352004v1.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jash.2011.06.001"},{"key":"2026050701001232000_2026.04.28.26352004v1.12","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/hpt076"},{"key":"2026050701001232000_2026.04.28.26352004v1.13","doi-asserted-by":"publisher","DOI":"10.2196\/25591"},{"key":"2026050701001232000_2026.04.28.26352004v1.14","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000022"},{"key":"2026050701001232000_2026.04.28.26352004v1.15","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzx038"},{"key":"2026050701001232000_2026.04.28.26352004v1.16","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20130175"},{"key":"2026050701001232000_2026.04.28.26352004v1.17","doi-asserted-by":"crossref","unstructured":"Grady PA , Gough LL . Self-Management: A Comprehensive Approach to Management of Chronic Conditions. American Journal of Public Health. 2014;104.","DOI":"10.2105\/AJPH.2014.302041"},{"key":"2026050701001232000_2026.04.28.26352004v1.18","doi-asserted-by":"publisher","DOI":"10.1007\/s12529-016-9582-7"},{"key":"2026050701001232000_2026.04.28.26352004v1.19","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2810"},{"key":"2026050701001232000_2026.04.28.26352004v1.20","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD011398.pub2"},{"key":"2026050701001232000_2026.04.28.26352004v1.21","doi-asserted-by":"publisher","DOI":"10.3138\/ptc.2016-40-cc"},{"key":"2026050701001232000_2026.04.28.26352004v1.22","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD012543.pub2"},{"key":"2026050701001232000_2026.04.28.26352004v1.23","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-021-01221-2"},{"key":"2026050701001232000_2026.04.28.26352004v1.24","doi-asserted-by":"publisher","DOI":"10.1111\/ijs.12195"},{"key":"2026050701001232000_2026.04.28.26352004v1.25","doi-asserted-by":"publisher","DOI":"10.1159\/000531138"},{"key":"2026050701001232000_2026.04.28.26352004v1.26","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-017-0895-1"},{"key":"2026050701001232000_2026.04.28.26352004v1.27","doi-asserted-by":"publisher","DOI":"10.1161\/strokeaha.122.040891"},{"key":"2026050701001232000_2026.04.28.26352004v1.28","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.122.041020"},{"key":"2026050701001232000_2026.04.28.26352004v1.29","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.122.039565"},{"key":"2026050701001232000_2026.04.28.26352004v1.30","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2012.05.005"},{"key":"2026050701001232000_2026.04.28.26352004v1.31","doi-asserted-by":"publisher","DOI":"10.1177\/0269215510375901"},{"key":"2026050701001232000_2026.04.28.26352004v1.32","doi-asserted-by":"publisher","DOI":"10.1186\/s40814-022-01025-z"},{"key":"2026050701001232000_2026.04.28.26352004v1.33","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-1772679"},{"key":"2026050701001232000_2026.04.28.26352004v1.34","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-0597.2008.00341.x"},{"key":"2026050701001232000_2026.04.28.26352004v1.35","doi-asserted-by":"publisher","DOI":"10.1177\/1357633x241238779"},{"key":"2026050701001232000_2026.04.28.26352004v1.36","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.117.015909"},{"key":"2026050701001232000_2026.04.28.26352004v1.37","unstructured":"Bandura A. Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ, US: Prentice-Hall, Inc; 1986."},{"key":"2026050701001232000_2026.04.28.26352004v1.38","doi-asserted-by":"publisher","DOI":"10.1038\/srep27627"},{"key":"2026050701001232000_2026.04.28.26352004v1.39","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.2002.1064"},{"key":"2026050701001232000_2026.04.28.26352004v1.40","doi-asserted-by":"publisher","DOI":"10.11648\/j.ajtas.20160501.11"},{"key":"2026050701001232000_2026.04.28.26352004v1.41","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.a1035"},{"key":"2026050701001232000_2026.04.28.26352004v1.42","doi-asserted-by":"publisher","DOI":"10.1002\/nur.4770180211"},{"key":"2026050701001232000_2026.04.28.26352004v1.43","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.122.041020"},{"key":"2026050701001232000_2026.04.28.26352004v1.44","unstructured":"Support Z. HIPAA Business Associate Agreement (BAA). https:\/\/support.zoom.com\/hc\/en\/article?id=zm_kb&sysparm_article=KB0067751. 2025. Accessed 1\/15\/2025."},{"key":"2026050701001232000_2026.04.28.26352004v1.45","unstructured":"Microsoft. Microsoft Stream. https:\/\/support.microsoft.com\/en-us\/office\/learn-more-about-stream-on-sharepoint-cf4c10c8-5ed3-4229-9e2a-60d31b31575d. 2025. Accessed 1\/15\/25."},{"key":"2026050701001232000_2026.04.28.26352004v1.46","doi-asserted-by":"publisher","DOI":"10.2196\/14494"},{"key":"2026050701001232000_2026.04.28.26352004v1.47","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20120525"},{"key":"2026050701001232000_2026.04.28.26352004v1.48","doi-asserted-by":"publisher","DOI":"10.3138\/ptc.2016-40.ep"},{"key":"2026050701001232000_2026.04.28.26352004v1.49","doi-asserted-by":"publisher","DOI":"10.1212\/wnl.0000000000002652"},{"key":"2026050701001232000_2026.04.28.26352004v1.50","unstructured":"HealthMeasures Scoring Service powered by Assessment Center. An application to score PROMIS\u00ae, NIH Toolbox\u00ae, and Neuro-QoL\u2122 instruments. https:\/\/www.assessmentcenter.net\/ac_scoringservice."},{"key":"2026050701001232000_2026.04.28.26352004v1.51","doi-asserted-by":"publisher","DOI":"10.1177\/17474930231184108"},{"key":"2026050701001232000_2026.04.28.26352004v1.52","doi-asserted-by":"publisher","DOI":"10.1249\/01.MSS.0000078924.61453.FB"},{"key":"2026050701001232000_2026.04.28.26352004v1.53","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2008.04842.x"},{"key":"2026050701001232000_2026.04.28.26352004v1.54","unstructured":"Fitabase. https:\/\/www.fitabase.com\/. Accessed 12\/05\/2024."},{"key":"2026050701001232000_2026.04.28.26352004v1.55","doi-asserted-by":"publisher","DOI":"10.3390\/informatics8020039"},{"key":"2026050701001232000_2026.04.28.26352004v1.56","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2022.104696"},{"key":"2026050701001232000_2026.04.28.26352004v1.57","doi-asserted-by":"publisher","DOI":"10.1002\/acr2.11099"},{"key":"2026050701001232000_2026.04.28.26352004v1.58","unstructured":"9.2.22 DV. Cloud application for managing, analyzing, and presenting qualitative and mixed method research data SocioCultural Research Consultants, LLC. www.dedoose.com. 2024. Accessed 12\/05\/2024."},{"key":"2026050701001232000_2026.04.28.26352004v1.59","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0232076"},{"key":"2026050701001232000_2026.04.28.26352004v1.60","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04306.x"},{"key":"2026050701001232000_2026.04.28.26352004v1.61","doi-asserted-by":"publisher","DOI":"10.1007\/BF02766777"},{"key":"2026050701001232000_2026.04.28.26352004v1.62","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"2026050701001232000_2026.04.28.26352004v1.63","doi-asserted-by":"publisher","DOI":"10.1097\/acm.0000000000000388"},{"key":"2026050701001232000_2026.04.28.26352004v1.64","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.122.061288"},{"key":"2026050701001232000_2026.04.28.26352004v1.65","doi-asserted-by":"publisher","DOI":"10.1111\/ijs.12392"},{"key":"2026050701001232000_2026.04.28.26352004v1.66","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychsport.2018.11.009"},{"key":"2026050701001232000_2026.04.28.26352004v1.67","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2021.041780"},{"key":"2026050701001232000_2026.04.28.26352004v1.68","doi-asserted-by":"publisher","DOI":"10.1177\/237946151600200109"},{"key":"2026050701001232000_2026.04.28.26352004v1.69","doi-asserted-by":"publisher","DOI":"10.3389\/fnbeh.2023.1151918"},{"key":"2026050701001232000_2026.04.28.26352004v1.70","doi-asserted-by":"publisher","DOI":"10.1177\/1559827617745479"},{"key":"2026050701001232000_2026.04.28.26352004v1.71","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009103.pub3"},{"key":"2026050701001232000_2026.04.28.26352004v1.72","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-020-01730-3"},{"key":"2026050701001232000_2026.04.28.26352004v1.73","unstructured":"Bandura A. Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ, US: Prentice-Hall, Inc; 1986."},{"key":"2026050701001232000_2026.04.28.26352004v1.74","doi-asserted-by":"publisher","DOI":"10.4081\/jphia.2022.2121"},{"key":"2026050701001232000_2026.04.28.26352004v1.75","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2015.1035460"},{"key":"2026050701001232000_2026.04.28.26352004v1.76","doi-asserted-by":"publisher","DOI":"10.1177\/15459683221115409"},{"key":"2026050701001232000_2026.04.28.26352004v1.77","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2012.01.020"},{"key":"2026050701001232000_2026.04.28.26352004v1.78","doi-asserted-by":"publisher","DOI":"10.1177\/15459683221115409"},{"key":"2026050701001232000_2026.04.28.26352004v1.79","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2016.05.001"},{"key":"2026050701001232000_2026.04.28.26352004v1.80","doi-asserted-by":"publisher","DOI":"10.1177\/0269215521993690"},{"key":"2026050701001232000_2026.04.28.26352004v1.81","doi-asserted-by":"publisher","DOI":"10.1080\/10749357.2015.1110306"},{"key":"2026050701001232000_2026.04.28.26352004v1.82","doi-asserted-by":"publisher","DOI":"10.1111\/psyg.12217"},{"key":"2026050701001232000_2026.04.28.26352004v1.83","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20150184"},{"key":"2026050701001232000_2026.04.28.26352004v1.84","doi-asserted-by":"publisher","DOI":"10.1007\/s40614-020-00260-0"},{"key":"2026050701001232000_2026.04.28.26352004v1.85","doi-asserted-by":"crossref","unstructured":"Bandura A . Human Agency in Social Cognitive Theory. American Psychologist. 1989.","DOI":"10.1037\/0003-066X.44.9.1175"},{"key":"2026050701001232000_2026.04.28.26352004v1.86","doi-asserted-by":"publisher","DOI":"10.1080\/1047840X.2022.2037999"},{"key":"2026050701001232000_2026.04.28.26352004v1.87","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19073941"},{"key":"2026050701001232000_2026.04.28.26352004v1.88","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001919.pub4"},{"key":"2026050701001232000_2026.04.28.26352004v1.89","doi-asserted-by":"publisher","DOI":"10.1007\/s12529-016-9582-7"},{"key":"2026050701001232000_2026.04.28.26352004v1.90","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.012809.103604"},{"key":"2026050701001232000_2026.04.28.26352004v1.91","unstructured":"Bandura A. Self-efficacy: The exercise of control. New York, NY, US: W H Freeman\/Times Books\/ Henry Holt & Co; 1997."},{"key":"2026050701001232000_2026.04.28.26352004v1.92","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.114.4.843"},{"key":"2026050701001232000_2026.04.28.26352004v1.93","doi-asserted-by":"publisher","DOI":"10.1901\/jeab.2011.96-363"},{"key":"2026050701001232000_2026.04.28.26352004v1.94","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.167.11.1152"},{"key":"2026050701001232000_2026.04.28.26352004v1.95","doi-asserted-by":"publisher","DOI":"10.1037\/a0019596"},{"key":"2026050701001232000_2026.04.28.26352004v1.96","doi-asserted-by":"publisher","DOI":"10.1037\/a0032626"},{"key":"2026050701001232000_2026.04.28.26352004v1.97","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2008.11.002"},{"key":"2026050701001232000_2026.04.28.26352004v1.98","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1123\/jsep.32.1.84","article-title":"Habit in the physical activity domain: Integration with intention temporal stability and action control","volume":"32","year":"2010","journal-title":"Journal of Sport and Exercise Psychology"},{"key":"2026050701001232000_2026.04.28.26352004v1.99","unstructured":"Stroke Patient & Family Support Services. Stroke Warriors Group. NewYork-Presbyterian\/Columbia University Irving Medical Center. https:\/\/www.neurology.columbia.edu\/patient-care\/specialties\/stroke-and-cerebrovascular-disease\/stroke-patient-family-support-services. Accessed 12\/16\/2024."},{"key":"2026050701001232000_2026.04.28.26352004v1.100","doi-asserted-by":"publisher","DOI":"10.1111\/aphw.12348"}],"container-title":[],"original-title":[],"link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.64898\/2026.04.28.26352004","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T08:00:28Z","timestamp":1778140828000},"score":1,"resource":{"primary":{"URL":"http:\/\/medrxiv.org\/lookup\/doi\/10.64898\/2026.04.28.26352004"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,4]]},"references-count":100,"URL":"https:\/\/doi.org\/10.64898\/2026.04.28.26352004","relation":{},"subject":[],"published":{"date-parts":[[2026,5,4]]},"subtype":"preprint"}}