Table 3 Exploratory and confirmatory factor analysis matrix for the ACN: SDH provider competency scale

Factor 1: Action Toward Addressing SDOH (AC 1–6)

 b4 I have reviewed policy to address SDOH

.752

.112

.128

.102

.168

-.044

.819^*

 a6 I am aware of national grants to support SDOH R, IN, P

.709

.190

-.045

-.018

-.057

-.037

.594^*

 a7 I am aware of a questionnaire I can use to screen a client for SDOH needs

.683

.027

.087

.152

.138

-.011

.643^*

 b5 I have built relationships with community partners to address SDOH

.659

.114

.230

.012

.136

.087

.675^*

 s4 I am competent in tracking a clients health outcomes that are influenced by SDOH

.647

.161

.165

.089

.258

.118

.775^*

 b3 I have used the SDOH framework to address SDOH with clients

.624

.071

.252

.173

.213

.044

.661

Factor 2: SDOH Knowledge (KN 7–12)

 k4 I am knowledgeable about the relationship b/w SDOH & Behav. Health

.105

.791

.290

.132

.154

.082

.839^*

 k2 I am knowledgeable about the relationship b/w SDOH & health

.182

.782

.166

.134

.115

.010

.865^*

 k3 I am knowledgeable about the relationship b/w SDOH & chronic diseases

.264

.779

.106

.180

.043

-.003

.840^*

 k6 I am knowledgeable about the relationship b/w SDOH & health promotion

.257

.775

.133

.208

.060

.025

.903^*

 k1 I am knowledgeable about the drivers of health and mental health

.068

.774

.155

.165

.167

.017

.880^*

 k7 I am knowledgeable about the relationship between SDOH and resiliency

.314

.719

.168

.084

.104

-.006

.841

Factor 3: Negative Attitude toward Addressing SDOH (NA 13–15)

 att2r It is not my role to address SDOH in practice^a

.091

.059

.726

.083

-.095

-.152

.921^*

 att7r Unmet SDOH needs does not impact the work I do with clients^a

-.098

.115

.639

.115

-.182

-.146

.859^*

 att1r It is not practical for me to address SDOH in practice^a

.208

.022

.612

.010

-.045

-.131

.515

Factor 4: Systemic Accountability (SA 16–18)

 att9 I think SDOH should be addressed at the societal level (i.e. policy)

.064

.350

.116

.738

.054

-.015

––

 ap1 The shortage of government assistance is a cause of adverse SDOH

.209

-.012

-.032

.735

.068

-.038

.779^*

 ap2 Unequal educational opportunities is a cause of adverse SDOH

.103

.073

.129

.766

-.015

-.054

.884

Factor 5: Perception of the cause of SDOH (PC 19–22)

 ap3r Irresponsible behavior on the part of individual people is a cause of adverse SDOH^a

.098

-.055

.178

.355

-.707

-.162

––

 ap4r Poor decision making on the part of individual people is a cause of adverse SDOH^a

.080

-.018

.205

.343

-.738

-.169

––

 ap5 Mental illness and or substance abuse is a cause of adverse SDOH

.212

.000

.090

.187

.776

-.212

.950^*

 ap6 Physical illness and disability is a cause of adverse SDOH

.226

.009

.129

.316

.728

-.172

.932

Factor 6: Preparation (WK 23–25)

 p2 Practicum and internship prepared me to address SDOH in practice

.198

.152

.053

.061

-.056

.826

.825^*

 p1 The coursework in my program prepared me to address SDOH in practice

.233

.191

-.022

.003

-.029

.791

.844^*

 p3 Interprofessional collaboration training during my degree program

.303

.074

-.006

.105

-.002

.743

.803