{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T21:33:11Z","timestamp":1788211991692,"version":"build-2803163510"},"reference-count":49,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2020,9,16]],"date-time":"2020-09-16T00:00:00Z","timestamp":1600214400000},"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>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Returning to learn following a concussion is the process of managing a student's recovery during the school day by implementation of academic supports with varying intensity. Due to a lack of consensus or even guidance on Return to Learn, this paper set out to establish cross discipline consensus on some essential elements of Return to Learn using a Delphi method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Sixteen national organizations participated in a Delphi process to reach consensus on overarching themes of Return to Learn focused on: returning a student to school, composition of the school\u2010based concussion management team, progress\u2010monitoring, educational safeguards, neuropsychological testing, and legislation. Two rounds of questionnaires were disseminated via email using a Delphi process. Consensus was established during round 2.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Twelve national organizations were able to reach consensus and endorse 13 essential elements of Return to Learn following a concussion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>There continues to be limited research on concussion Return to Learn leading to confusion in the field. In this paper, we demonstrate consensus on a number of essential elements, from a wide variety of professional disciplines who participate in the care of students following a concussion, as a starting place for some guidance on Return to Learn.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/josh.12949","type":"journal-article","created":{"date-parts":[[2020,9,16]],"date-time":"2020-09-16T22:21:57Z","timestamp":1600294917000},"page":"849-858","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Establishing Consensus for Essential Elements in Returning to Learn Following a Concussion"],"prefix":"10.1111","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8584-6181","authenticated-orcid":false,"given":"Karen","family":"McAvoy","sequence":"first","affiliation":[{"name":"Center for Concussion Rocky Mountain Hospital for Children, 10107 RidgeGate Pkwy, Suite #310  Lone Tree CO 80124"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6091-9639","authenticated-orcid":false,"given":"Brenda","family":"Eagan\u2010Johnson","sequence":"additional","affiliation":[{"name":"BrainSTEPS Brain Injury School Consulting Program, 1891 Old State Road  New Castle PA 16101"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosalie","family":"Dymacek","sequence":"additional","affiliation":[{"name":"Nebraska Department of Education."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Hooper","sequence":"additional","affiliation":[{"name":"Department of Allied Health Sciences, University of North Carolina, 333 S. 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