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. 2023 Apr 4;20(7):5401. doi: 10.3390/ijerph20075401
Question Type Question
1. Multiple Choice Are you currently certified to practice Athletic Training by the Board of Certification (BOC) and do you treat patients on a daily basis?

Yes (1)
No (2)
2. Multiple Choice Do you agree to participate in this study?

Yes, I agree to participate
No, I do not agree to participate
3. Fill in the Blank What is your age? Please round to the nearest whole year
4. Multiple Select What gender do you identify as? Select all that apply

Agender
Genderqueer
Man
Transgender Man
Non-binary/Gender Non-conforming
Transgender Woman
Woman
Another option not listed here
Prefer to self-describe
Prefer not to say
5. Multiple Select What ethnicity do you identify as? Please select all that apply.

American Indian/Alaskan Native/Indigenous
Asian/Asian American
Black/African American
Hispanic/Latinx
Native Hawaiian/Pacific Islander
White/Caucasian
2 or more races
Another option not listed here
Prefer to self-describe
Prefer not to say
6. Multiple Choice What is your current primary athletic training practice setting? If none apply, please select the one that most closely matches your current setting.

Amateur, Rec or Youth Sports
Clinic and Physician Practice
College/University
Health/Fitness/Sports Performance Clinic/Club
Hospital
Independent Contractor
Military, Law Enforcement or Government
Occupational Health (Industrial)
Performing Arts
Professional Sports
Secondary School
7. Fill in the Blank How many years have you clinically practiced as a credentialed Athletic Trainer? Please round up to the nearest year
8. Multiple Choice What is the highest degree you have earned?

Professional Bachelor’s
Professional Master’s
Post-Professional Master’s
Post-Professional Clinical Doctorate (DAT)
Academic Doctorate (PhD, EdD, etc.)
Other: (Please write in your own response)____________________
9. Multiple Choice How familiar are you with disablement models?

Not familiar at all
Slightly familiar
Moderately familiar
Very familiar
Extremely familiar
10. Multiple Choice How familiar are you with the International Classification of Functioning, Disability, and Health (ICF) framework?

Not familiar at all
Slightly familiar
Moderately familiar
Very familiar
Extremely familiar
11. Multiple Select How did you learn, if at all, about the ICF disablement framework? Mark all that apply.

I have not learned about it
During my Professional Athletic Training Program
During my Post-Professional Athletic Training Program
Continuing education session by an athletic trainer
Continuing education session by a different healthcare provider
Informally by a Colleague (another athletic trainer or different healthcare provider)
Reading Journal Articles
Informally through Self-Education (finding resources yourself)
Required/Mandated In-Service by Employer
Other
In This section, you will be asked to select the best answer related to the components of the ICF disablement framework. Please do not use outside resources
12. Multiple Choice What component of the ICF framework does the following example describe?
Physiological functions of body systems.

Body function
Body structure
Activity
Impairment
I do not know
13. Multiple Choice What component of the ICF framework does the following example describe?
The execution of a task or action by an individual.

Participation
Environmental factors
Activity
Body structure
I do not know
14. Multiple Choice What component of the ICF framework does the following example describe?
Problems an individual may experience during involvement in life situations.

Participation restrictions
Environmental factors
Activity limitations
Impairments
I do not know
15. Multiple Choice What component of the ICF framework does the following example describe?
Problems in body structure such as a significant deviation or loss.

Participation restrictions
Body functions
Activity limitations
Body structure impairments
I do not know
16. Multiple Choice What component of the ICF framework does the following example describe?
Difficulties an individual may have in executing tasks like lifting weights or combing hair.

Activity
Activity limitations
Participation restrictions
Participation
I do not know
17. Multiple Choice What component of the ICF framework does the following example describe?
Involvement in a life situation.

Body functions
Activity
Participation
Environmental factors
I do not know
Please sort the statement into the correct ICF framework component by dragging the statement into the appropriate box.
18. Drag and Drop Health Condition:
Regulation of emotion
Managing diet and fitness
Individual attitudes of friends
Muscles of shoulder region
Generalized anxiety disorder
Abuse of addictive drugs
Heart rate
Bursitis, related to use, overuse, or pressure
Cornea
Population density
Living with family
Managing daily routine
Acute sinusitis
Social cues in relationships
Immediate family
Female biological sex
Power of muscles in lower half body
Kidney
19. Drag and Drop Body Structures:
Regulation of emotion
Managing diet and fitness
Individual attitudes of friends
Muscles of shoulder region
Generalized anxiety disorder
Abuse of addictive drugs
Heart rate
Bursitis, related to use, overuse, or pressure
Cornea
Population density
Living with family
Managing daily routine
Acute sinusitis
Social cues in relationships
Immediate family
Female biological sex
Power of muscles in lower half body
Kidney
20. Drag and Drop Body Functions
Regulation of emotion
Managing diet and fitness
Individual attitudes of friends
Muscles of shoulder region
Generalized anxiety disorder
Abuse of addictive drugs
Heart rate
Bursitis, related to use, overuse, or pressure
Cornea
Population density
Living with family
Managing daily routine
Acute sinusitis
Social cues in relationships
Immediate family
Female biological sex
Power of muscles in lower half body
Kidney
21. Drag and Drop Activities and Participation:
Regulation of emotion
Managing diet and fitness
Individual attitudes of friends
Muscles of shoulder region
Generalized anxiety disorder
Abuse of addictive drugs
Heart rate
Bursitis, related to use, overuse, or pressure
Cornea
Population density
Living with family
Managing daily routine
Acute sinusitis
Social cues in relationships
Immediate family
Female biological sex
Power of muscles in lower half body
Kidney
22. Drag and Drop Environmental Factors:
Regulation of emotion
Managing diet and fitness
Individual attitudes of friends
Muscles of shoulder region
Generalized anxiety disorder
Abuse of addictive drugs
Heart rate
Bursitis, related to use, overuse, or pressure
Cornea
Population density
Living with family
Managing daily routine
Acute sinusitis
Social cues in relationships
Immediate family
Female biological sex
Power of muscles in lower half body
Kidney
23. Drag and Drop Personal Factors:
Regulation of emotion
Managing diet and fitness
Individual attitudes of friends
Muscles of shoulder region
Generalized anxiety disorder
Abuse of addictive drugs
Heart rate
Bursitis, related to use, overuse, or pressure
Cornea
Population density
Living with family
Managing daily routine
Acute sinusitis
Social cues in relationships
Immediate family
Likert Scale Questions
24. Likert Scale In terms of your patient load, and when relevant to the patient’s condition, how often do you elicit and/or document information on the functioning and disability of a patient specific to Impairments of Body Functions?
(Never, Some Patients, About, Half the Patients, Most of my patients, and Always)

Mental (ex: sleep, orientation, emotion)
Sensory (ex: seeing, hearing, pain)
Voice and Speech
Cardiovascular, Hematological, Immunological, and Respiratory Systems (ex: heart, blood pressure, breathing, allergies)
Digestive, Metabolic, and Endocrine Systems (ex: weight, hormones, defecation)
Genitourinary and Reproductive (ex: urinary, sexual)
Neuromusculoskeletal and Movement (ex: mobility, power, tone)
Skin and Related Structures
25. Multiple Choice You selected you ‘never’ complete at least one or more of the tasks from the previous section. Please tell us why.

Do not know what to do (1)
Do not know how to do it (2)
Did not know I should be doing it (3)
Restricted from doing it (4)
Will not do it (5)
26. Likert Scale In terms of your patient load, and when relevant to the patient’s condition, how often do you elicit and/or record information on the functioning and disability of a patient specific to Impairments of Body Structures?
(Never, Some Patients, About, Half the Patients, Most of the patients, and Always)

Nervous System structures (ex: brain, spinal cord, nerves)
Eye, ear, and related structures
Structures involved in voice and speech
Structure of the cardiovascular, immunological, and respiratory systems
Structures related to the digestive, metabolism, and endocrine systems
Structures related to genitourinary and reproductive system
Structure related to movement (ex: shoulder, pelvis, lower extremity)
Skin and related structures
27. Multiple Choice You selected you ‘never’ complete at least one or more of the tasks from the previous section. Please tell us why.

Do not know what to do (1)
Do not know how to do it (2)
Did not know I should be doing it (3)
Restricted from doing it (4)
Will not do it (5)
28. Likert Scale In terms of your patient load, how often do you elicit and/or document information on the functioning and disability of a patient specific to Activity Limitations and Participation?
(Never, Some Patients, About, Half the Patients, Most of the patients, and Always)

Learning and Applying Knowledge (ex: listening, watching, solving problems)
General Tasks and Demands (ex: single tasks, multiple tasks)
Communication (ex: spoken message, non-verbal message, conversation)
Mobility (ex: lifting, carrying, grasping, driving)
Self Care (ex: washing, toileting, dressing, eating, drinking)
Domestic Life (ex: shopping, cooking, cleaning, assisting others)
Interpersonal interactions and relationships (ex: basic, complex, strangers, social, family, intimate)
Major life areas (ex: school, higher education, employment, economic self-sufficiency)
Community, social, and civic life (ex: recreation, leisure, religion, spirituality, political life)
29. Multiple Choice You selected you ‘never’ complete at least one or more of the tasks from the previous section. Please tell us why.

Do not know what to do (1)
Do not know how to do it (2)
Did not know I should be doing it (3)
Restricted from doing it (4)
Will not do it (5)
30. Likert Scale In terms of your patient load, how often do you elicit and/or document information on the functioning and disability of a patient specific to Environmental Factors? (Never, Some Patients, About, Half the Patients, Most of the patients, and Always)

Products and technology (ex: food, medicine, transportation)
Natural environment and human made changes to environment (ex: climate, light, sound)
Support and relationships (ex: immediate family, friends, neighbors, health professionals)
Attitudes (ex: individual attitudes of friends, societal attitudes, social norms, ideologies)
Services, systems, and policies (ex: housing, transportation, education, health services, legal, social security)
31. Multiple Choice You selected you ‘never’ complete at least one or more of the tasks from the previous section. Please tell us why.

Do not know what to do (1)
Do not know how to do it (2)
Did not know I should be doing it (3)
Restricted from doing it (4)
Will not do it (5)
32. Likert Scale In terms of your patient load, how often do you elicit and/or document information on the functioning and disability of a patient specific to Personal Factors?
(Never, Some Patients, About, Half the Patients, Most of the patients, and Always)

Lifestyle
Habits
Social Background
Education
Life Events
Race/ethnicity
Sexual orientation
Individual psychological assets
Age
Gender
Upbringing
Food Preferences
Fitness
Coping Style
33. Multiple Choice You selected you ‘never’ complete at least one or more of the tasks from the previous section. Please tell us why.

Do not know what to do (1)
Do not know how to do it (2)
Did not know I should be doing it (3)
Restricted from doing it (4)
Will not do it (5)