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Four classes from the same selected grade(s) at each school were randomly chosen to join the study. The 4 selected classes were then randomized to the SIGMA condition, SIGMA-Booster condition, SSIGP condition, and the active control condition using random numbers. All students in those classes were invited to participate, with final participation contingent upon parental consent and students’ assent.
JMIR Pediatr Parent 2025;8:e63500
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