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of both HCP and those using PIEDs, and that careful consideration is given to the various factors that may act as a barrier to effective implementation. Providing credible evidence-based resources to support HCPs' knowledge development is important. Evidence-based and theory informed interventions are needed to equip HCPs with knowledge that can aid culturally sensitive interactions and effective engagement with people who use PIEDs. Reflecting on our study findings, it is important that the development of interventions should include

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