highly significantP < 0.001
The revealed highly significant P < 0.001 for all within-group comparisons, including total QOL, mental health, and self-esteem from baseline to intermediate time points, and from baseline to the final time point.
The revealed highly significant P < 0.001 for all within-group comparisons, including total QOL, mental health, and self-esteem from baseline to intermediate time points, and from baseline to the final time point.
For the RSES, while the time effect (Wald χ 2 = 1657.572, df = 2, P < 0.001) was highly significant, suggesting changes in self-esteem scores over time, the interaction between group and time (Wald χ 2 = 4.911, df = 2, P = 0.086) showed a trend toward significance.