Context Perceived stress and burnout are significant concerns among athletic trainers (ATs) due to growing professional demands. The global COVID-19 pandemic brought additional stressors, especially for health care providers, including the need to learn and integrate new skill sets in order to continue providing safe and effective patient care. Objective To explore the influence of COVID-19 stressors on ATs engaged in patient care. Design Cross-sectional study. Setting Internet survey. Patients or Other Participants A total of 429 ATs (age = 33 ± 9 years; experience = 11 ± 9 years; 74 men, 355 women) currently providing patient care. Main Outcome Measure(s) We recruited participants from social media sites to complete a questionnaire with the Coronavirus Anxiety Scale (CAS), Maslach Burnout Inventory-Human Services Survey for Medical Personnel (MBI-HSS MP), and qualitative questions related to the effects of COVID-19. We calculated correlations between CAS and MBI-HSS MP composite scores (emotional exhaustion, personal accomplishment, and depersonalization) and used regression analysis to explore if CAS scores could be predicted by vaccination status (vaccinated or unvaccinated), sex, and MBI-HSS MP composite scores. We analyzed the qualitative data using a phenomenological, inductive approach with multianalyst triangulation and peer review as trustworthiness strategies. Results Significant correlations existed between CAS and MBI-HSS MP composite scores (P < .001). Emotional exhaustion (P < .001) and depersonalization (P = .008) explained 28% of the variance in CAS scores (F2,405 = 81.29, P < .001). Three major areas of focus emerged: effects on wellness, emphasis on the value of athletic training, and the lessons learned and future innovation to inform potential long-term changes in the athletic training profession. Conclusions Key factors of emotional exhaustion and depersonalization during the pandemic may have exacerbated the potential for burnout among ATs. The pandemic affected ATs' wellness, changed perceptions of ATs, and altered operating procedures. Healthy coping strategies and organizational support are suggested for those who are struggling. Key Points - For some athletic trainers (ATs), the COVID-19 pandemic improved clinical practices, including facility maintenance procedures and the use of telehealth. - In response to increased stress created by the COVID-19 pandemic, ATs demonstrated both healthy and unhealthy coping mechanisms. - The COVID-19 pandemic provided opportunities to demonstrate the value of ATs via learning new skill sets and collaborating on interprofessional teams. - Organizations and administrators should provide additional support to ATs to help them better cope with the added job roles and responsibilities and stress created by the pandemic.
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