Objectives Assessing and understanding communicative health literacy (COM-HL) in healthcare settings is essential, as it constitutes a fundamental tool of public health and health promotion. Despite its importance, COM-HL remains an underinvestigated topic in Africa.
Consequently, the development and validation of a Portuguese COM-HL scale could be regarded as a significant contribution to the assessment of the COM-HL in Portuguese-speaking African countries. Therefore, the aims of this study were to assess the psychometric properties of the Portuguese COM-HL instruments, to describe the COM-HL of Angolan adults and investigate its determinants.
Setting Purposively selected recruitment sites within the municipality/district in seven provinces of Angola across the North, South and East regions. Participants 1839 Angolan adults from 3041 invited persons, predominantly females (53.6%).
Quota sampling was used to ensure representation across key sociodemographic strata. Within each quota, recruitment sites, data collection time points and participants were randomly selected.
BMJ Open published a clinical update in Research Highlights on 14 May 2026.
The item focuses on Challenges in patient-physician communication: the results of an Angolan cross-sectional study on communicative health literacy and its determinants.
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