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Secondary School Athletic Trainers’ Navigation of Patient Socioeconomic Status Challenges in Care: A Qualitative Study

Author

Listed:
  • Mayrena Isamar Hernandez

    (Department of Kinesiology, Sam Houston State University, Huntsville, TX 77340, USA)

  • Elena Catherine Miller

    (Department of Kinesiology, University of Wisconsin–Madison, Madison, WI 53705, USA)

  • Kevin Mark Biese

    (Department of Kinesiology, University of Wisconsin–Oshkosh, Menasha, WI 54952, USA)

  • Luis Columna

    (Department of Kinesiology, University of Wisconsin–Madison, Madison, WI 53705, USA)

  • Susan J. Andreae

    (Department of Kinesiology, University of Wisconsin–Madison, Madison, WI 53705, USA)

  • Timothy McGuine

    (Department of Orthopedics & Rehabilitation, University of Wisconsin–Madison, Madison, WI 53705, USA)

  • Traci Snedden

    (School of Nursing, University of Wisconsin–Madison, Madison, WI 53705, USA)

  • Lindsey Eberman

    (Applied Medicine and Rehabilitation, Indiana State University, Terre Haute, IN 47803, USA)

  • David Robert Bell

    (Department of Kinesiology, University of Wisconsin–Madison, Madison, WI 53705, USA)

Abstract

Secondary school ATs (SSATs) are uniquely positioned healthcare providers at an optimal public health intersection where they can provide equitable healthcare to low socioeconomic status (SES) adolescents. SSATs face similar challenges to physicians in treating low SES patients, but their strategies may be different compared to other medical professions. However, the consequences of low SES population healthcare delivery by SSATs have not been explored. SSATs were asked to share what challenges, if any, they encounter with providing care for their low SES patients and what strategies they find most effective to overcome these challenges. Data were collected via semi-structured interviews and reflective field notes and analyzed using a four-step, interpretative phenomenological analysis (IPA) guided theme development. Data saturation was met, and the sample size aligned with other IPA studies. Trustworthiness was established with research triangulation and Yardley’s four principles. Three interrelated themes emerged: (a) mechanisms for identifying SES, (b) the impact of SES on care, and (c) navigating SES challenges. SSATs described many strategies that were gained through their clinical experiences to overcome healthcare barriers. SSATs have the potential to decrease health disparities through their role as a liaison and advocates for their low SES patients.

Suggested Citation

  • Mayrena Isamar Hernandez & Elena Catherine Miller & Kevin Mark Biese & Luis Columna & Susan J. Andreae & Timothy McGuine & Traci Snedden & Lindsey Eberman & David Robert Bell, 2022. "Secondary School Athletic Trainers’ Navigation of Patient Socioeconomic Status Challenges in Care: A Qualitative Study," IJERPH, MDPI, vol. 19(24), pages 1-14, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:24:p:16709-:d:1001566
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    References listed on IDEAS

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    1. Benjamin Saunders & Julius Sim & Tom Kingstone & Shula Baker & Jackie Waterfield & Bernadette Bartlam & Heather Burroughs & Clare Jinks, 2018. "Saturation in qualitative research: exploring its conceptualization and operationalization," Quality & Quantity: International Journal of Methodology, Springer, vol. 52(4), pages 1893-1907, July.
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    Cited by:

    1. Zachary K. Winkelmann & Nancy A. Uriegas & James M. Mensch & Conner E. Montgomery & Toni M. Torres-McGehee, 2023. "Practices and Perceptions of Family-Centered Care: A Cross-Sectional Survey of Secondary School Athletic Trainers," IJERPH, MDPI, vol. 20(6), pages 1-14, March.
    2. Nicolette A. Harris & Michelle L. Odai, 2023. "The Role of Title 1 Secondary School Athletic Trainers in the Primary and Patient-Centered Care of Low Socioeconomic Adolescents," IJERPH, MDPI, vol. 20(7), pages 1-13, April.

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