“…Four studies did not report participant engagement in the intervention [25,29,32,40]. In addition, 14 studies were classified as high engagement [9,21,23,24,26,28,31,[34][35][36]38,46,48,49], 7 studies were classified as medium engagement [26,27,30,[43][44][45][46][47], and 5 studies were classified as low engagement [20,22,37,39,41]. Among studies that reported high engagement and an intervention development description [23,24,31,34,35,38,47,48], 3 studies included a real-world effectiveness assessment (not efficacy).…”