bda091263fcd27a5903f21f3499819ab pmc_33557220.pdf 0c41abc5a5e3259bb6ea0e494c9327b269e10a69 pmc_33557220.pdf aec54b4486e506bf7912f787ed86dc163fdcd9ba2e13e4914db60b5c2b181bbd pmc_33557220.pdf Title: Assessing Face Validity of the HexCom Model for Capturing Complexity in Clinical Practice: A Delphi Study Subject: 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. Keywords: palliative care; Delphi technique; needs assessment; home care services; coordinated care; complexity; methodological study Author: Xavier Busquet-Duran, Eva Maria Jiménez-Zafra, Magda Tura-Poma, Olga Bosch-de la Rosa, Anna Moragas-Roca, Susana Martin-Moreno, Emilio Martínez-Losada, Silvia Crespo-Ramírez, Lola Lestón-Lado, Núria Salamero-Tura, Joana Llobera-Estrany, Núria Oriol-Peregrina, Eduard Moreno-Gabriel, Josep Maria Manresa-Domínguez and Pere Torán-Monserrat Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Thu Feb 4 12:38:58 2021 CET ModDate: Thu Feb 4 16:53:41 2021 CET Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 18 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 977279 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- JQUPHV+VnURWPalladioL Type 1 Custom yes yes no 10 0 RLZPBB+URWPalladioL-Ital Type 1 Custom yes yes no 15 0 XIHRJL+URWPalladioL-Bold Type 1 Custom yes yes no 20 0 DRMSSV+URWPalladioL-Roma Type 1 Custom yes yes no 24 0 DGBDNV+VnURWPalladioL-Bold Type 1 Custom yes yes no 28 0 XAOEUN+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 36 0 MCBCCI+SourceSansRoman-Regular Type 1C Custom yes yes no 58 0 MCBCCM+SourceSansRoman.613wght Type 1C Custom yes yes no 62 0 MCBCCO+SourceSansRoman-Bold Type 1C Custom yes yes no 66 0 NKZTII+URWPalladioL-BoldItal Type 1 Custom yes yes no 90 0 PYVMUY+VnURWPalladioL-Italic Type 1 Custom yes yes no 128 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2024-10-02 03:31:51 CEST RepresentationInformation: pmc_33557220.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2023-03-31 12:08:48 CEST Size: 977279 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 350 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Materials and Methods Destination: section.2 Children: Item: Title: Design of the Study Destination: subsection.2.1 Item: Title: Preparation of the Questionnaire Destination: subsection.2.2 Item: Title: Delphi Process Destination: subsection.2.3 Children: Item: Title: Participants and Setting Destination: subsubsection.2.3.1 Item: Title: Data Collection Destination: subsubsection.2.3.2 Item: Title: Ethical Considerations Destination: subsubsection.2.3.3 Item: Title: Data Analysis Destination: subsubsection.2.3.4 Item: Title: Results Destination: section.3 Children: Item: Title: Description of the Panel of Experts Destination: subsection.3.1 Item: Title: Delphi Survey Destination: subsection.3.2 Children: Item: Title: The HexCom Model Destination: subsubsection.3.2.1 Item: Title: HexCom Instruments Destination: subsubsection.3.2.2 Item: Title: Open Comments Destination: subsubsection.3.2.3 Item: Title: Discussion Destination: section.4 Item: Title: Conclusions Destination: section.5 Item: Title: Destination: section.A. Item: Title: Destination: section.B. Item: Title: References Destination: specialtable.caption.11 Info: Title: Assessing Face Validity of the HexCom Model for Capturing Complexity in Clinical Practice: A Delphi Study Author: Xavier Busquet-Duran, Eva Maria Jiménez-Zafra, Magda Tura-Poma, Olga Bosch-de la Rosa, Anna Moragas-Roca, Susana Martin-Moreno, Emilio Martínez-Losada, Silvia Crespo-Ramírez, Lola Lestón-Lado, Núria Salamero-Tura, Joana Llobera-Estrany, Núria Oriol-Peregrina, Eduard Moreno-Gabriel, Josep Maria Manresa-Domínguez and Pere Torán-Monserrat Subject: 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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