| 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) |