“…Third, extensive research is available regarding the CM identification instruments, [ 43 , 51 , 52 , 53 , 54 , 55 , 56 ]. The majority of the instruments are developed for clinical use for detecting the potential, substantiated, or recurrence of different types of CM [ 43 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 ] or its prevalence and depth, such as ICAST [ 61 , 62 , 63 ]. Many instruments are reported to have challenges with content validity, internal consistency, reliability, measurement error, structural validity, hypothesis testing, cross-cultural validity, or criterion validity [ 55 , 56 ].…”