SAT Question a4ca92fd: Words In Context answer and explanation

English - Words In Context - Fill In Blank Single Word
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Beginning in the 1950s, Navajo Nation legislator Annie Dodge Wauneka continuously worked to promote public health; this ______ effort involved traveling throughout the vast Navajo homeland and writing a medical dictionary for speakers of Diné bizaad, the Navajo language.
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Difficulty:Easy
Which choice completes the text with the most logical and precise word or phrase?