“…To develop a valid and reliable scale, this study followed Hinkin et al's scale development procedure, 46 consisting of seven steps: (a) generating the initial item, (b) assessing content adequacy, (c) developing a questionnaire, (d) conducting factor analysis, (e) evaluating reliability, (f) determining construct validity, and (g) repeating the previous process with a new data set. More specifically, first, we developed 27 initial items based on relevant studies in OWA and safety, [47][48][49][50][51][52][53][54][55][56][57][58][59] subjective knowledge, 10,14,20,21,23,27,59,60 and leisure participation. [61][62][63][64][65][66][67][68][69][70] Second, this study assessed the adequacy of the item contents.…”