I am on the process of developing a primary care assessment tool an doe

1.items generation

2. Initial draft with expert validation

3.construct validity

4.cognitive interviews

5. Modifying draft and first pilot test

Now I have done a factor analysis with principal component analysis and tested internal consistency with cronbach alpha. Alpha value was o..4 for this 26 itemed, 5 likert scaled tool. 8 factors were identified. Please enlighten me of the processes I need to with these results and next steps? Do I need to do a pilot test 2 as well?

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