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of  stressors  by  evaluating  the  utility  of  a  new   trollable, and overloaded respondents find their
             measure for missionary stress and comparing it    lives. The questions in the PSS ask about fee-
             to an established stress measure.                 lings and thoughts during the last month, and
                                                               respondents are asked how often they felt a cer-
             Methods                                           tain way in each situation (Cohen et al., 1983;
             In  a  survey-based  cross-sectional  design  con-  Cohen & Williamson, 1988). For example, one
             ducted via the internet, a newly adapted stress   question  asks,  “In  the  last  month  how  often
             measure specific for this population was com-     have  you  felt  nervous  or  ‘stressed?’”  Respon-
             pared to a known stress perception instrument.    dents can report 0 as “never” up to 4 “very of-
                                                               ten.” In a survey study conducted by Cohen and
             Participants                                      Janicki-Deverts  (2012),  psychological  stress
             Missionaries meeting the following criteria were   was assessed in three national surveys, the 1983
             included in the sampling: Evangelical missiona-   Harris Poll and the 2006 and 2009 eNation Sur-
             ries  currently  serving  cross-culturally  with  at   veys.  Internal  reliabilities  for  the  Chronbach’s
             least three months of service outside their home   alphas for the PSS-10 were .78 in the Harris Poll
             or passport country and who were at least 18      sample, and .91 in both the 2006 and 2009 eNa-
             years of age at the time of the study. Three main   tion samples.
             methods  of  selection  were  employed.  Several   Quantitative Stress Inventory. Stress perception
             evangelical  missionary  organizations  granted   was concurrently measured using the 17-item
             permission and agreed to send the link to their   CHOPS  Stress  Inventory  (O’Donnell,  Lewis
             constituents. Secondly, snowball sampling was     -O’Donnell,  &  Tone,  2015),  an  adapted  stress
             employed. The researcher forwarded the email      measurement tool designed for the study and
             link  to  known  missionaries  serving  in  cross-  specific for the population of interest. The ne-
             cultural settings and asked participants to com-  wly adapted CHOPS Stress Inventory (2015) is
             plete the survey and forward it to others in their   based on findings by O’Donnell and Lewis -O’
             organizations.  Additionally,  the  request  with   Donnell’s  (2012)  inventory  that  identifies  10
             the  link  to  the  survey  was  sent  to  several  list   areas of stress known to be an issue with cross
             serves  including  Brigada  Today  and  Member    cultural workers. The inventory provides a con-
             Care Associates. In an effort to protect partici-  venient checklist to identify the level of stress
             pants who may serve in restricted countries, the   in each of the 10 areas along with possible ex-
             wording on all correspondence and surveys was     periences  related  to  that  area  (see  Appendix
             changed  from  “missionary”  to  “cross-cultural   A). In the quantitative version, participants are
             worker.”  Participants  who  received  the  survey   asked to rate their level of stress over the past
             through multiple sources were asked to comple-    month in the 10 categories along with an over-
             te it only one time. Participants were provided   all  summary  of  stress  in  a  Likert-style  rating
             a time-sensitive link (30 days) to complete the   system from 1 “minimal” to 5 “extreme.” There
             anonymous survey through the Survey Monkey        is an additional question to rate the top three
             website. Their responses remained anonymous,      stressors as well as write in 3-5 specific stressors
             data was not linked to the email addresses and    that caused distress regardless of being one of
             results  were  only  viewed  by  the  principal  re-  the 10. The new quantitative measure designed
             searcher and statistics consultant. Participants   with  permission  and  consultation  with  the
             were given an opportunity to win one of ten gift   O’Donnells  (personal  communication  August
             cards. Winners were chosen by random selec-       6, 2014), lacked psychometric testing, therefore
             tion and notified.                                it was analyzed alongside the psychometrically
                                                               supported PSS (Cohen et al., 1983) instrument.
             Instruments                                       Marlowe  -Crowne  Social  Desirability  Scale.
             Perception  of  Stress  Scale.  Stress  perception   Previous research suggests that missionaries are
             was measured using the 10-item Perception of      reluctant to share vulnerabilities (Chester, 1983;
             Stress Scale (PSS; Cohen et al., 1983). Items are   Eenigenburg & Bliss, 2010; Mills, 2008). There-
             designed to tap into how unpredictable, uncon-    fore,  a  social  desirability  scale  was  utilized  to


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