Correlation between parental willingness to pay, health-related quality of life, and satisfaction with physiotherapy services in Nigeria: a cross-sectional study

Fatoye, Francis ORCID: https://orcid.org/0000-0002-3502-3953, Mbada, Chidozie Emmanuel ORCID: https://orcid.org/0000-0003-3666-7432, Adebayo, Mutiat Adewumi, Gebrye, Tadesse ORCID: https://orcid.org/0000-0001-7976-2013, Fatoye, Clara Toyin, Ademoyegun, Adekola Babatunde ORCID: https://orcid.org/0000-0002-7711-7835, Oyewole, Olufemi Oyeleye, Ogundele, Abiola Oladele and Okonji, Adaobi Margaret (2024) Correlation between parental willingness to pay, health-related quality of life, and satisfaction with physiotherapy services in Nigeria: a cross-sectional study. Bulletin of Faculty of Physical Therapy, 29 (1). 47. ISSN 1110-6611

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Abstract

Background: Being a parent of a child with a disability requiring many clinic visits is burdensome. Therefore, understanding the willingness-to-pay (WTP) for physiotherapy for children with disability is important to facilitating access to care and for policy-making. This study aimed to investigate patterns and correlates of parental WTP for physiotherapy. Methods: A total of 65 parents of children with disability receiving physiotherapy as outpatients were recruited from selected tertiary hospitals in Nigeria. A WTP questionnaire, SF-12 health survey, and Physiotherapy Satisfaction Questionnaire were used to assess the WTP, health-related quality of life (HRQoL), and satisfaction with physiotherapy respectively. Descriptive statistics of mean, standard deviation, frequency, and percentages were used to summarize the data. Chi-square and regression analysis were also used to test the association and determinants of WTP from each of the socio-demographic factors, satisfaction with physiotherapy, and health-related quality of life, respectively. Results: A majority (49.2%) of the respondents were in the 21–35 years age category. There was 30.8% “no WTP” for physiotherapy among parents of children with disability. A significant association was observed between socio-economic status and WTP for all treatment modalities (p < 0.05). The majority of the respondents had above-average levels of physical and mental health domain of SF-12. No significant association was observed between WTP and each satisfaction with physiotherapy and HRQoL (p > 0.05). Conclusion: There was a high rate of ‘no WTP’ for physiotherapy among parents of children with disability. Level of satisfaction with physiotherapy and health-related quality of life was not significantly associated with parental WTP for physiotherapy.