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

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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Published in:Healthcare (Basel) 2021-02, Vol.9 (2), p.165
Main Authors: Busquet-Duran, Xavier, 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, Manresa-Domínguez, Josep Maria, Torán-Monserrat, Pere
Format: Article
Language:English
Subjects:
Clinical medicine
Delphi method
Feedback
Female employees
Palliative care
Patients
Professionals
Professions
Questionnaires
System theory
Teams
Validity
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Summary: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.
ISSN:2227-9032
2227-9032
DOI:10.3390/healthcare9020165