Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Assessing Face Validity of the Hexcom Model for Capturing Complexity in the Clinical Practice: A Delphi Study

Version 1 : Received: 28 December 2020 / Approved: 29 December 2020 / Online: 29 December 2020 (09:25:59 CET)

How to cite: Busquet-Duran, X.; Jiménez-Zafra, E.M.; Tura-Poma, M.; Bosch-de la Rosa, O.; Moragas-Roca, A.; Martín Moreno, S.; Martínez-Losada, E.; Crespo-Ramírez, S.; Lestón-Lado, L.; Salamero-Tura, N.; Llobera-Estrany, J.; Oriol-Peregrina, N.; Moreno-Gabriel, E.; Manresa-Domínguez, J.M.; Torán-Monserrat, P. Assessing Face Validity of the Hexcom Model for Capturing Complexity in the Clinical Practice: A Delphi Study. Preprints 2020, 2020120724 (doi: 10.20944/preprints202012.0724.v1). Busquet-Duran, X.; Jiménez-Zafra, E.M.; Tura-Poma, M.; Bosch-de la Rosa, O.; Moragas-Roca, A.; Martín Moreno, S.; Martínez-Losada, E.; Crespo-Ramírez, S.; Lestón-Lado, L.; Salamero-Tura, N.; Llobera-Estrany, J.; Oriol-Peregrina, N.; Moreno-Gabriel, E.; Manresa-Domínguez, J.M.; Torán-Monserrat, P. Assessing Face Validity of the Hexcom Model for Capturing Complexity in the Clinical Practice: A Delphi Study. Preprints 2020, 2020120724 (doi: 10.20944/preprints202012.0724.v1).

Abstract

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 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-centered care at a practical level, a methodological study was carried out to assess the face validity of the model. Particularly, a Delphi method involving a group of 15 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 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 of complexity in healthcare practice.

Subject Areas

Palliative care; Delphi technique; Needs Assessment; Home Care Services; coordinated care; complexity; methodological study.

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