Assessing Face Validity of the HexCom Model for Capturing Complexity in Clinical Practice

Capturing complexity is both a conceptual and a practical challenge in palliative care. The HexCom model has proved to be an instrument with strong reliability and to be valid for describing the needs and strengths of patients in home care. In order to explore whether it is also perceived to be help...

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Detalhes bibliográficos
Autores: Busquet-Duran, Xavier|||0000-0003-2441-2651, Jiménez-Zafra, Eva Maria, Tura-Poma, Magda, Bosch-de la Rosa, Olga, Moragas-Roca, Anna, Martin-Moreno, Susana, Martínez-Losada, Emilio, Crespo-Ramírez, Silvia, Lestón-Lado, Lola, Salamero-Tura, Núria, Llobera-Estrany, Joana, Oriol-Peregrina, Núria, Moreno Gabriel, Eduard|||0000-0001-8184-6232, Manresa, J.M.|||0000-0001-8306-5798, Torán-Monserrat, Pere|||0000-0002-9865-7427
Formato: artículo
Fecha de publicación:2021
País:España
Recursos:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:236699
Acesso em linha:https://ddd.uab.cat/record/236699
https://dx.doi.org/urn:doi:10.3390/healthcare9020165
Access Level:acceso abierto
Palavra-chave:Palliative care
Delphi technique
Needs assessment
Home care services
Coordinated care
Complexity
Methodological study
Descrição
Resumo:Capturing complexity is both a conceptual and a practical challenge in palliative care. The HexCom model has proved to be an instrument with strong reliability and to be valid for describing the needs and strengths of patients in home care. In order to explore whether it is also perceived to be helpful in enhancing coordinated and patient-centred care at a practical level, a methodological study was carried out to assess the face validity of the model. In particular, a Delphi method involving a group of 14 experts representing the full spectrum of healthcare professionals involved in palliative care was carried out. The results show that there is a high level of agreement, with a content validity index-item greater than 0.92 both with regard to the complexity model and the HexCom-Red, HexCom-Basic, and the HexCom-Clin instruments, and higher than 0.85 regarding the HexCom-Figure and the HexCom-Patient instruments. This consensus confirms that the HexCom model and the different instruments that are derived from it are valued as useful tools for a broad range of healthcare professional in coordinately capturing complexity in healthcare practice.

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