Dana Tischler, PT, DPT, PhD, MS, PCS Rocky Mountain University of Health Professions, Provo, UT 84606 (USA). [email protected]

Janine Wood, PT, DPT Primary Children's Hospital, Salt Lake City, Utah.

Mary Shotwell, PhD, OTR/L, FAOTA Rocky Mountain University of Health Professions, Provo, Utah.

William A. Pitney, EdD, ATC, FNATA Rocky Mountain University of Health Professions, Provo, Utah.

Cade Mooney, PT, DPT Rocky Mountain University of Health Professions, Provo, Utah.

The Office of Research & Sponsored Projects at Rocky Mountain University of Health Professions supported this study through the Graduate Research Support and Travel Fund.

Dana Tischler conducted this research as a PhD student at Rocky Mountain University of Health Professions, PhD in Health Sciences, Integrated Health Sciences Track, Provo, Utah.

This study was approved by the Institutional Review Board (IRB) at Rocky Mountain University of Health Professions (IRB #2022-122), and participants provided informed consent.

The authors have no conflicts of interest and no source of funding to declare.

Submitted for publication: October 17, 2022; accepted for publication June 3, 2023; published online August 14, 2023.