Knowledge, Attitudes, Practices and Quality of Life Related to Physiotherapy: A Cross-Sectional Population-Based Study in Urban and Rural Albania

By PhD. (c) Esida HOXHA, MSc. PhT Krisanta BËRDUFI, PhD Rezarta STENA

Abstract
Physiotherapy is increasingly recognized as an essential component of modern healthcare, supporting functional mobility, preventing disability, and improving overall well-being. Yet, public understanding and utilization of physiotherapy services remain uneven, particularly in contexts where access to rehabilitation and health literacy vary. This study explores the population’s knowledge, attitudes, and practices (KAP) related to physiotherapy in Albania, and examines perceived quality of life using the WHOQOL-BREF framework.  A cross-sectional survey was conducted with 450 participants from urban and rural areas, using a structured questionnaire that assessed demographic factors, awareness of physiotherapy, previous experience, and perceptions of its importance. Findings indicate generally positive attitudes and high willingness to recommend physiotherapy, even among individuals without prior exposure. Higher educational level, urban residence, and previous physiotherapy experience were consistently associated with better knowledge and more favorable perceptions. These patterns suggest that access to information and direct contact with rehabilitation services play an important role in shaping public understanding. Quality-of-life results showed that participants with physiotherapy experience reported greater psychological well-being and stronger perceptions of environmental support. This highlights physiotherapy’s broader contribution beyond physical recovery, reflecting its relevance in emotional and social dimensions of health. Overall, the study underscores the need to strengthen public awareness, expand access to rehabilitation—particularly in rural areas, and integrate physiotherapy more fully into community health strategies. Improving health literacy and reducing disparities in service availability may enhance the effectiveness of physiotherapy and support healthier, more resilient populations.