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

Xavier Busquet-Duran1,2,3, Eva Maria Jiménez-Zafra1, Magda Tura-Poma1

  • 1Home Care Program, Granollers Support Team (PADES), Vallès Oriental Primary Care Service, Catalan Health Institute, 08520 Granollers, Spain.

Healthcare (Basel, Switzerland)
|February 9, 2021
PubMed
Summary

The HexCom model effectively captures palliative care complexity, proving valuable for healthcare professionals. This validated instrument enhances coordinated, patient-centered care in home settings.

Keywords:
Delphi techniquecomplexitycoordinated carehome care servicesmethodological studyneeds assessmentpalliative care

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Area of Science:

  • Palliative Care
  • Healthcare Management
  • Health Services Research

Background:

  • Capturing patient complexity is a significant challenge in palliative care.
  • The HexCom model demonstrates reliability and validity in assessing patient needs and strengths in home care.
  • The study aimed to evaluate the practical utility of the HexCom model in improving coordinated and patient-centered care.

Purpose of the Study:

  • To assess the face validity of the HexCom model for practical application in palliative care.
  • To determine if the HexCom model enhances coordinated and patient-centered care.
  • To gather expert opinions on the HexCom model's utility in healthcare practice.

Main Methods:

  • A methodological study was conducted to assess the face validity of the HexCom model.
  • A Delphi method was employed, involving 14 experts from diverse palliative care healthcare professions.
  • Content validity index (CVI) was calculated to measure expert agreement.

Main Results:

  • High expert agreement was achieved, with CVI-item scores exceeding 0.92 for the HexCom model and its core instruments (HexCom-Red, HexCom-Basic, HexCom-Clin).
  • CVI-item scores above 0.85 were reported for the HexCom-Figure and HexCom-Patient instruments.
  • The consensus indicates strong acceptance of the HexCom model and its derivatives.

Conclusions:

  • The HexCom model and its associated instruments are perceived as valuable tools by a wide range of healthcare professionals.
  • The model facilitates the coordinated capture of complexity in real-world healthcare practice.
  • The findings support the HexCom model's utility in enhancing palliative care delivery.