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?