“…A mixed method approach is used frequently in instrument development and validation, particularly when a psychological construct is shaped by cultural factors, with qualitative methods used to gather data for instrument development, and quantitative methods to validate the instrument (Nastasi et al., 2007). This approach has been reported in previous research to develop instruments in various settings, including general health contexts (Klosinski & Farin, 2015; Kuk, Zijlstra, Bours, Hamers, & Kempen, 2016; P. C. Liu, Gau, & Hung, 2015; Tashiro, 2002) and education (Meijer, Verloop, & Beijaard, 2001; Yeung, Woods, Dubrowski, Hodges, & Carnahan, 2015), This mixed method approach has also been employed in the development of mental health scales among woman in India and Haiti (Weaver & Kaiser, 2015), mothers of children with disabilities (Bourke-Taylor, Law, Howie, & Pallant, 2010) and Thai elders (Praditsathaporn, Chandanasotthi, Amnatsatsuee, Nityasudd, & Sunsern, 2011). Elaboration of the current study's approach is outlined below.…”