Intra-rater reliability and feasibility of the HexCom advanced disease complexity assessment model

To study the intra-rater reliability and feasibility of the HexCom complexity assessment model by analyzing internal consistency, intra-rater reliability and response time. Test–retest study with a selection of 11 clinical situations that cover the full scope of situations assessed by the HexCom mod...

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Bibliographic Details
Published in:Atención primaria 2022-06, Vol.54 (6), p.102343-102343, Article 102343
Main Authors: Busquet-Duran, Xavier, Esteban-Perez, Manel, Manresa-Domínguez, Josep Maria, Moreno, Susana Martin, Leston-Lado, Lola, Torán-Monserrat, Pere
Format: Article
Language:English
Subjects:
Aspectos psicométricos
Complejidad
Complexity
Cuidados paliativos
Factibilidad
Feasibility
Fiabilidad intraobservador
Intra-rater reliability
Necesidades del paciente
Original
Palliative care
Patient needs
Psychometrics
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Summary:To study the intra-rater reliability and feasibility of the HexCom complexity assessment model by analyzing internal consistency, intra-rater reliability and response time. Test–retest study with a selection of 11 clinical situations that cover the full scope of situations assessed by the HexCom model and which are responded to individually. Home care, primary care, hospital and sociosanitary care. Two specialized palliative home care teams (PADES). A total of 20 professionals comprising 10 experts in palliative home care (PADES) and 10 professionals from general palliative care (primary care, hospital and sociosanitary care). These professionals came from the fields of family medicine (5), internal medicine (2), geriatrics (2), nursing (9), psychology (1) and social work (1). Cronbach's alpha, weighted kappa, response time. Cronbach's alpha of 0.91 for HexCom-Red and 0.87 for HexCom-Clin. Intra-rater reliability ranging from good to very good for HexCom-Red (kappa: 0.78–1) and from moderate to very good for HexCom-Clin (kappa: 0.58–0.91). Average response time of 0:57 for HexCom-Red and 3:80min for HexComClin. HexCom-Red and HexCom-Clin are reliable tools and feasible for use by all professionals involved in both general and specialized palliative care at different levels. Estudiar la fiabilidad intraobservador y la viabilidad del modelo de valoración de la complejidad HexCom®, a través del análisis de la consistencia interna, la concordancia intraobservador y el tiempo de respuesta. Estudio test-retest con un panel de 11 situaciones clínicas que incluyen todo el abanico de situaciones valoradas por el modelo HexCom® y que son respuestas individualmente. Atención domiciliaria, primaria, hospitalaria y sociosanitaria. Dos equipos de atención domiciliaria paliativa especializada (PADES). Veinte profesionales, 10 expertos en atención domiciliaria paliativa (PADES) y 10 de atención paliativa generalista (atención primaria, hospitalaria y sociosanitaria). Incluye medicina de familia (5), medicina interna (2) y geriatría (2), enfermería (9), psicología (1) y trabajo social (1). Alfa de Cronbach, Kappa ponderado, tiempo de respuesta. Alfa de Cronbach de 0,91 por HexCom-Red® y de 0,87 por HexCom-Clin®. Fiabilidad intraobservador entre buena y muy buena por HexCom-Red® (Kappa: 0,78-1) y entre moderada y muy buena por HexCom-Clin® (Kappa: 0,58-0,91). Tiempo de respuesta de 0:57min de media por el HexCom-Red y de 3:80min por HexCom-Clin®. Los instrumentos HexCom-Red
ISSN:0212-6567
1578-1275
DOI:10.1016/j.aprim.2022.102343