**Appendix D**

**Reasons for not seeking full Ethics Review**

**The authors consider a full ethics (IRB) review to be not warranted given the study design. There are several reasons for our decision that we wish to expand upon here:**

• *Informed Consent*: The research participants were offered and agreed to provide informed consent three times in our data collection process—twice when completing

the ASI online, as consent is built into the inventory, and then verbally in the Zoom interviews (see Appendices D and E).

