Figure 3
The flowchart begins with the identification phase. Records identified through database searching total 42, and an additional 1 record is identified through other sources, resulting in 43 total records identified. In the screening phase, all 43 records are screened by title, with none excluded. Moving to the eligibility phase, 41 full-text articles are assessed for eligibility, with 41 excluded. Another round of full-text articles assessed for eligibility includes 41 articles, with 8 excluded. In the included phase, 33 studies are included in the qualitative synthesis and the final analysis.PRISMA flow chart. ChatGPT and author created