The flowchart begins with a text box on the left labeled “Literature review”. Two rightward arrows extend from this box to two vertically stacked text boxes labeled “Self-regulated learning assessment” at the top and “Knowledge Assessment Methods” at the bottom. From both of these boxes, rightward arrows converge into a central text box labeled “Lean Learning Health Assessment instrument”. From this central box, two rightward arrows extend to two vertically stacked text boxes labeled “Face and Content Validity” at the top and “Instrument validation” at the bottom. A rightward arrow extends from “Face and Content Validity” to the text box labeled “5 subject matter expert interviews”. Similarly, a rightward arrow extends from “Instrument validation” and leads to the text box labeled “3 I P D projects, 123 participants”.Summary of steps adopted in the research process
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