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Records identified Additional records

through database identified through other


searching (n= 47) sources (n =20)

Records after duplicates removed


(n=33)

Records screened (n=33)

Record excluded n=11 Full-


text articles assessed for
eligibility (n=18)

Studies included in qualitative


synthesis (n= 18)
Among these n=3 are qualitative and
meta-analysis articles

Figure 1 - Flow diagram of selected articles that are reviewed in this study

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