Adherence
Among the 38 participants in the intervention group, 2 withdrew after the first session due to a loss of interest. At the end of the study, there were 36 active participants, and the average number of sessions attended was 5.89±2.15 (ranging from 4 to 8). Reasons for absence included illness, working overtime, and caring for family members. One month into the follow-up, three participants from the intervention group did not respond to the final questionnaire, while 33 participants from the comparison group completed all three assessments.