This phenomenological study expored the experience of collegiate student-athletes with celiac disease (CD) to better understand the challenges encountered, as well as the accommodations and support provided by their university to assist in maintaining a gluten free lifestyle. Data was collected via semi-structured individual interviews, reflective journals, and a focus group interview. Participants included 11 current student-athletes with CD, who participated in a variety of sports at a NCAA school. An interpretive thematic analytic approach was used to analyze data. The student-athletes identified challenges directly related to lack of university accommodations and support included both the athletic department and campus dining halls. Challenges indirectly related to the lack of university accommodations and support were also encountered, such as emotional issues, financial issues, social issues, and time management issues. Despite the many challenges experienced by athletes with CD, participants identyified present-day accommodation and support, in the areas of university support, social support, athletic department support, and self-support. Participants also identified areas of needed or desired accommodations and support including gluten-free options through athletic department and dining halls, education for the university/athletics staff regarding celiac disease, and financial assistance. This information will provide educational institutions with support/accommodation strategies to assist with Americans with Disabilities Act (ADA) compliance as well as assist athletic trainers in caring for athletes with dietary considerations.
