Table 3.

Reliability Analysis of the Survey Items Composing the Three Factors

Factors	Survey Items	Cronbach's Alpha	Corrected item-Total correlation	Cronbach's Alpha if item Deleted
Patient	Improve adherence to medication	0.848	0.712	0.808
Patient	Reduce frequency of missed appointments	0.848	0.643	0.820
Patient	Help patients seek preventative care so they don't only seek acute care	0.848	0.712	0.811
Patient	Address staffing shortages	0.848	0.646	0.825
Patient	Address environmental factors (e.g. type of food in store) that make it difficult for patients to adopt healthy lifestyles	0.848	0.601	0.829
Patient	Motivate patients to adopt healthy lifestyles	0.848	0.531	0.841
Provider	Increase provider knowledge about diabetes management	0.852	0.682	0.817
Provider	Improve clinical practice guidelines	0.852	0.615	0.837
Provider	Provide specialized training to deal with diabetes related complications	0.852	0.733	0.806
Provider	Advocate making diabetes care a priority for clinic staff	0.852	0.686	0.815
Provider	Develop a system or improve the system for diabetes management and follow up	0.852	0.621	0.832
Systemic	Advocate making diabetes care a priority for tribal leadership	0.732	0.408	0.733
Systemic	Extend the time healthcare staff are in the community	0.732	0.591	0.630
Systemic	Ease access to post-clinical services (lab, referrals, medications)	0.732	0.568	0.645
Systemic	Address communication difficulties between healthcare staff and patients	0.732	0.543	0.667