highly significantp < 0.001
This represents a mean improvement of 32.3 points (95% CI: 29.8–34.8) in the EBI group compared with 13.4 points (95% CI: 11.2–15.6) in the standard care group, with the between-group difference being highly significant ( p < 0.001) and demonstrating a large effect size (Cohen’s d = 1.34).