{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:52:36Z","timestamp":1747151556202,"version":"3.40.5"},"reference-count":37,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T00:00:00Z","timestamp":1732492800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["R49CE003087\u201002"],"award-info":[{"award-number":["R49CE003087\u201002"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Youth concussion is common but there is a paucity of information on symptoms students report to school personnel and a gap in understanding what accommodations schools can provide.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine symptoms and provision of temporary accommodations in schools for students reporting concussion symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Secondary data analysis of a trial implementing an evidence\u2010based student\u2010centered return to learn (RTL) program.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Thirteen public high schools during the 2021\u20132022 academic year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Sixty\u2010two students diagnosed with concussion who reported symptoms to school personnel.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions<\/jats:title><jats:p>The school\u2010based RTL program, which consists of up to four weekly check\u2010ins with an RTL champion who evaluates symptoms and recommends symptom\u2010tailored accommodations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Symptom profile, accommodation type, and accommodation duration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 46 (74.2%) students received accommodation for \u22642\u2009weeks and 16 (25.8%) students received accommodation for 3 (21.0%) or 4 (4.8%) weeks. Sixty\u2010two students experienced an average of 11.2 unique symptoms during week 1. Compared to students whose symptoms resolved within the first 2\u2009weeks, students who received accommodation for 3 or 4\u2009weeks reported higher initial total symptom severity score (<jats:italic>p<\/jats:italic>\u2009=\u2009.02), and higher initial average severity per symptom (<jats:italic>p<\/jats:italic>\u2009=\u2009.01) at week 1. Physical symptoms were most common and received corresponding accommodations most often (75\/90 reports: 83.3% of occurrences). In total, 674 (nearly 11 accommodations per student) weekly accommodations were offered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Students with concussion report a large number and type of symptoms that necessitate symptom\u2010tailored academic accommodations. High school implementation of an evidence\u2010based RTL program may aid in identifying and addressing many RTL needs after concussion, including potential identification of students with concussion who will require longer\u2010term support.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.13282","type":"journal-article","created":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T09:40:53Z","timestamp":1732527653000},"page":"262-269","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Student concussion symptoms and tailored accommodations during use of a return to learn program in 13 public high schools"],"prefix":"10.1002","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8138-1762","authenticated-orcid":false,"given":"Erik B.","family":"Philipson","sequence":"first","affiliation":[{"name":"Harborview Injury Prevention and Research Center Harborview Medical Center  Seattle Washington USA"},{"name":"Department of Anesthesiology and Pain Medicine University of Washington  Seattle Washington USA"},{"name":"Washington State University, Elson S. 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