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Before formally determining the inclusion or exclusion of literature, 3 researchers (JZ, SL, and Xin Liu) randomly selected 30 studies for an initial screening to assess the reliability of the screening process. The final calculated Cohen κ value was 0.89, indicating high consistency, and no adjustments were made to the inclusion or exclusion criteria or the researchers involved. In the formal independent screening process, any disagreements were ultimately resolved through intervention by SS.
J Med Internet Res 2025;27:e79091
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