PRISMA Flow Diagram for Systematic Review Process Systematic reviews require a rigorous methodology to ensure comprehensive literature identification and screening. The flow diagram below illustrates our review process following PRISMA guidelines, capturing each stage from initial search to final synthesis. Identification Records identified through database searching (n = 45) Additional records identified through other sources (n = 5) Screening Records after duplicates removed (n = 40) Records screened based on title & abstract (n = 40) Records excluded (n = 20) Eligibility Full-text articles assessed for eligibility (n = 20) Full-text articles excluded with reasons (n = 10) Included Studies included in qualitative synthesis (n = 10) Studies included in final review (n = 5) K7 by Kelompok 7