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Context: Athletic trainers (AT) must address both physical and mental aspects of athletic injury in a holistic rehabilitation program. Objective: Assess ATs' satisfaction with educational preparation within the Psychosocial Intervention and Referral (PIR) content area, confidence in using related techniques, and frequency of technique use within clinical settings. Design: Cross-sectional survey. Setting: Online survey. Participants: 1701 ATs with BOC certification for ≤ 7 years participated. In regards to employment settings, 36.1% of the participants worked at the college/university level, 30.7% in private clinics, and 23.2% at secondary schools. Main Outcome Measure(s): Descriptive statistics were used to examine participants' confidence and frequency of using various PIR techniques. A MANOVA was used to evaluate group differences (accredited vs. internship, edition of educational competencies, clinical setting) in satisfaction, confidence, and frequency of technique use. Results: The average technique use was 3.58 (±1.92) for motivation, 6.19 (±2.16) for self-talk, 6.2 (±2.06) for relaxation, and 6.53 (±2.0) for imagery. Technique usage became progressively more infrequent from relaxation (mean = 5.25, SD = 2.2), to self-talk (mean = 6.19, SD = 2.0), to imagery (mean = 6.53, SD = 2.1). The results identified a significant group difference for edition of educational competencies (F45,2969 = 1.848, P &amp;lt; 0.001, η2partial = 0.027) with ATs educated under the fourth edition reporting more frequent technique use. The results identified a significant group difference for route to AT certification (F30,2464 = 1.477, P = 0.046, η2partial = 0.018) with internship ATs reporting the most infrequent use. Conclusions: Athletic training education programs are providing education in most PIR competencies; however, ATs have infrequent implementation of techniques in clinical practice. In addition, educators should examine how to modify the instruction of the PIR competencies to promote implementation within clinical education settings.

Athletic Trainers' Educational Satisfaction and Technique Use within the Psychosocial Intervention and Referral Content Area