{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T20:57:51Z","timestamp":1780779471417,"version":"3.54.1"},"reference-count":27,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T00:00:00Z","timestamp":1600646400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Current return to learn <jats:bold>(<\/jats:bold>RTL) after concussion guidelines lack specificity for individualized student care, limiting potential for adoption and implementation. We used a community\u2010engaged research framework to develop and evaluate the implementation of a student\u2010centered care plan that assists school personnel in facilitating RTL.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>We used best\u2010practice RTL guidelines and input from administrators and medical experts to iteratively develop a flexible student\u2010centered care plan. Thirteen schools participated. Coding completion of care plans indicated feasibility and fidelity; interviews with RTL coordinators indicated acceptability.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>The care plan includes educational materials, symptom checklists, and guidelines for classroom adjustments linked to student symptoms. Care plans were initiated for 24 (70.6%) of 34 students with concussions, indicating feasibility. Fidelity was high, with the following subsections completed: Action Checklist (90%), Symptom Evaluation (91%), Temporary Adjustment Recommendations (95%). Qualitative analysis of interviews suggested care plans were acceptable and facilitate consistent communication, prioritization of individual needs of students, and increased ability to delegate tasks to other school staff.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Implementation of a student\u2010centered, individually tailored care plan for RTL is feasible and acceptable in public high schools. Future research should examine how to expediently initiate student\u2010centered concussion care plans after diagnosis to optimize recovery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.12948","type":"journal-article","created":{"date-parts":[[2020,9,22]],"date-time":"2020-09-22T00:20:57Z","timestamp":1600734057000},"page":"842-848","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Community\u2010Engaged Approach to the Development and Implementation of a Student\u2010Centered Return to Learn Care Plan After Concussion"],"prefix":"10.1111","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5460-9952","authenticated-orcid":false,"given":"Kelsey McGuire","family":"Conrick","sequence":"first","affiliation":[{"name":"School of Social Work, University of Washington, Harborview Injury Prevention and Research Center, 325 Ninth Avenue Box 359960  Seattle WA 98104"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Moore","sequence":"additional","affiliation":[{"name":"School of Social Work, University of Washington, Core Faculty at Harborview Injury Prevention and Research Center  Seattle WA 98105"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurel","family":"Abbotts","sequence":"additional","affiliation":[{"name":"Harborview Injury Prevention and Research Center  Seattle WA 98104"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Widdice","sequence":"additional","affiliation":[{"name":"Health Services\u2014Renton School District  Renton WA 98057"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samara","family":"Hoag","sequence":"additional","affiliation":[{"name":"Health Services\u2014Seattle Public Schools  Seattle WA 98134"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7484-2601","authenticated-orcid":false,"given":"Emily","family":"Kroshus","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Washington  Seattle WA 98121"},{"name":"Center for Child Health, Behavior &amp; Development, Seattle Children's Research Institute  Seattle WA 98101"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik Bruce","family":"Philipson","sequence":"additional","affiliation":[{"name":"Harborview Injury Prevention and Research Center  Seattle WA 98104"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Jinguji","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Washington, Division of Orthopedics and Sports Medicine, Seattle Children's Hospital  Seattle WA 98145"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan Jeffrey","family":"Weiner","sequence":"additional","affiliation":[{"name":"Department of Global Health and Health Services, University of Washington  Seattle WA 98105"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Glang","sequence":"additional","affiliation":[{"name":"Center on Brain Injury Research and Training, University of Oregon  Eugene Oregon 97403"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederick Peter","family":"Rivara","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Washington  Seattle WA 98104"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara Powell Dow","family":"Chrisman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Washington  Seattle WA 98105"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celeste Quitiquit","family":"Dickason","sequence":"additional","affiliation":[{"name":"University of Washington and Seattle Children's Hospital, 4800 Sand Point Way NE  Seattle WA 98105"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica Shanta","family":"Vavilala","sequence":"additional","affiliation":[{"name":"University of Washington  Seattle WA 98104"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,21]]},"reference":[{"issue":"1","key":"e_1_2_6_2_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1542\/peds.2015-4635","article-title":"Seattle sports concussion research collaborative. 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