Exploring Athletic Trainer’s Perceived Barriers to Effective Exertional Heat-Related Illness in North Carolina Divison I College Athletics

Exertional heat-related illness (EHRI) remains a persistent and preventable risk in collegiate athletics, particularly in high-heat environments such as North Carolina. Athletic trainers serve as the primary healthcare providers responsible for EHRI prevention and management; however, their ability to implement best practices is often influenced by contextual barriers. This study examined athletic trainers’ perceived barriers to effective EHRI management among NCAA Division I institutions in North Carolina. Specifically, the study explored environmental, financial, and time-related constraints, differences across geographic regions, and the relationship between time and financial barriers. Using quantitative survey design, data was collected from certified athletic trainers and analyzed using descriptive statistics, analysis of variance, and Pearson correlation. Results indicated environmental barriers were most significant, while time and financial constraints showed a strong positive relationship. Minimal regional differences were observed. Findings emphasize the need for institutional support, resource allocation, and organizational structure to improve EHRI management.