Limitations
Several limitations of this cross-sectional study should be noted. Participants were heterogeneous regarding gender, race, and ethnicity, and our practices were spread across the state of Massachusetts, including in urban, suburban, and rural settings. Nonetheless, participants were predominantly White, non-Hispanic, and from higher-income backgrounds recruited entirely from Massachusetts, which may limit generalizability. Furthermore, we note that participants were recruited during the COVID-19 pandemic, which may have affected the results. However, our findings were similar to studies with these tools conducted before 2020, including a study conducted in a different geographic region.