136 Chapter 6 (AP) or fourth (AdJ) author, leaving 37 articles for inclusion. Iterative searches for additional literature, resulted in the inclusion of 5 articles, one book, one newsletter and one unpublished dataset. The flow chart of the search and selection process is presented in Figure 2. Figure 2: Flow diagram detailing the search results of the realist review Diagram design guided by recommendations made by the PRISMA group.1 (Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372:n71. doi: 10.1136/bmj.n71 [published Online First: 20210329] Document characteristics The documents included in this review encompass a variety of sources, including peer-reviewed articles and grey literature, of which 16 originated from the UK and 14 from Australia. The remaining documents were from the Netherlands (4), Canada (3), Denmark (1), Sweden (1), Ireland (1), New Zealand (1), and the USA (1). The
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