All procedures have been approved by the Queen’s University HSREB. For privacy purposes, participants are only identifiable by an ID number on the platform, and hard copies of the consent forms with participants’ identities are stored securely on site and will be destroyed 5 years after study completion. Participants’ data are only accessible by the care providers directly assigned to that participant, and only anonymized data are provided to the analysis team members. Participants have the option to withdraw from the study at any point and request for their data to be removed from the analysis. However, as the collected data are considered a medical record, it will not be permanently deleted for 10 years after treatment.

The web-based platform used for the study (OPTT) is Health Insurance Portability and Accountability Act, Personal Information Protection and Electronic Documents Act, and Service Organization Control-2 compliant. In addition, all servers and databases are hosted in the Amazon Web Service Canada cloud infrastructure, which is managed by Medstack to ensure that all provincial and federal privacy and security regulations are met. OPTT does not collect any identifiable personal information or internet protocol addresses for privacy purposes. OPTT only collects anonymized metadata to improve its service quality and provide advanced analytics to the clinician team. OPTT encrypts all data, and no employees have direct access to participants’ data. All encrypted backups are kept in the S3 storage that is dedicated to Queen’s University, located in Kingston, Ontario, Canada.

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