Fig. 1
![Fig. 1](http://media.springernature.com/full/springer-static/image/art%3A10.1186%2Fs12960-020-0453-6/MediaObjects/12960_2020_453_Fig1_HTML.png)
SMART development process. Cycles of participatory action research (PAR) activities occurred throughout the three phases of the SMART development process. In bold are PAR activities which were emphasized. Arrows point to the product of each phase