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A more detailed description of the DA tool can be found in Li [9].
To reduce participant burden and enhance adherence, the principal researcher (HL) delivered 1 DA topic per week over 6 weeks in PDF (6 topics, 6 PDF files). Each PDF file was accompanied by a corresponding animated video, both sent to participants via We Chat (see Multimedia Appendix 3). Participants were encouraged to view the materials at their own pace using their personal mobile devices.
J Med Internet Res 2025;27:e60681
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