Table 4.

Frequency and proportion of survey responses by category

Survey Item	Large impact	Some impact	Small impact	No impact	Don't know	No Answer	Total
Increase provider knowledge about diabetes management, n(%)	130(53.3)	74(30.3)	23(9.4)	13(5.4)	3(1.2)	1(0.4)	244(100)
Improve clinical practice guidelines, n(%)	92(37.7)	82(33.6)	35(14.3)	23(9.4)	8(3.3)	4(1.6)	244(100)
Provide specialized training to deal with diabetes related complications, n(%)	127(52.0)	84(34.4)	19(7.8)	5(2.0)	5(2.0)	4(1.6)	244(100)
Address staffing shortages, n(%)	149(61.1)	50(20.5)	14(5.7)	17(7.0)	11(4.5)	3(1.2)	244(100)
Help patients seek preventative care so they don't only seek acute care, n(%)	175(71.7)	48(198.7)	13(5.3)	2(0.8)	4(1.6)	2(0.8)	244(100)
Reduce frequency of missed appointments, n(%)	144(59.0)	67(27.5)	19(7.8)	4(1.6)	9(3.7)	1(0.4)	244(100)
Improve adherence to medication, n(%)	166(68.0)	56(23.0)	11(4.5)	2(0.8)	7(2.9)	2(0.8)	244(100)
Address environmental factors (e.g. type of food in store) that make it difficult for patients to adopt healthy lifestyles, n(%)	149(61.1)	58(23.8)	21(8.6)	6(2.5)	8(3.3)	2(0.8)	244(100)
Motivate patients to adopt healthy lifestyles, n(%)	184(75.4)	43(17.6)	12(4.9)	2(0.8)	2(0.8)	1(0.4)	244(100)
Address communication difficulties between healthcare staff and patients, n(%)	95(38.9)	87(35.7)	44(18.0)	8(3.3)	8(3.3)	2(0.8)	244(100)
Develop a system or improve the system for diabetes management and follow up, n(%)	123(50.4)	84(34.4)	20(8.2)	10(4.1)	4(1.6)	3(1.2)	244(100)
Extend the time healthcare staff are in the community, n(%)	85(34.8)	73(29.9)	33(13.5)	32(13.1)	18(7.4)	3(1.2)	244(100)
Ease access to post-clinical services (lab, referrals, medications), n(%)	86(35.2)	71(29.1)	30(12.3)	39(14.8)	14(5.7)	4(1.6)	244(100)
Advocate making diabetes care a priority for clinic staff, n(%)	99(40.6)	77(31.6)	40(16.4)	20(8.2)	4(1.6)	4(1.6)	244(100)
Advocate making diabetes care a priority for tribal leadership, n(%)	145(59.4)	50(20.5)	29(11.9)	7(2.9)	11(4.5)	2(0.8)	244(100)