{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T13:09:14Z","timestamp":1788354554432,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,12,14]],"date-time":"2021-12-14T00:00:00Z","timestamp":1639440000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["R01 HD090230"],"award-info":[{"award-number":["R01 HD090230"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>There is limited long\u2010term data on the course of school\u2010related problems and academic needs for youth with persistent post\u2010concussive symptoms (PPCS).<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>This was a randomized trial comparing collaborative care to usual care for 200 youth 11\u201318\u2009years of age with PPCS. In this report, the main outcomes were academic functioning, GPA, school absences, date of return to school, and school days missed.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Youth were mean age of 14.7 (SD\u00a0=\u00a01.7), 62.0% female. New or worsening academic problems occurred in half of participants in both groups at 12\u2009months after injury. Students were most concerned about grades and falling behind. There were no significant differences by study group on school problems or GPA, but number of days missed was lower in the collaborative care group compared at 3\u00a0months (12.5 [SD\u00a0=\u00a014.5] vs 16.1\u2009days [20.4] adjusted relative risk [aRR] 0.67 [95% CI: 0.61, 0.74; p\u2009&lt;\u2009.001]), 6\u00a0months (14.5 [22.1] vs 19.3 [26.6] aRR 0.77 [95% CI: 0.71, 0.84; p\u2009&lt;\u2009.001]), and 12\u2009months (16.9 [25.4] vs 19.6 [27.7], aRR 0.68 [95% CI: 0.62, 0.74; p\u2009&lt;\u2009.001]).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Youth with PPCS are at high risk of school problems in the year after injury.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.13123","type":"journal-article","created":{"date-parts":[[2021,12,14]],"date-time":"2021-12-14T09:16:50Z","timestamp":1639473410000},"page":"261-269","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Effect of Collaborative Care for Persistent Postconcussive Symptoms on Academic Function: A Randomized Clinical Trial"],"prefix":"10.1111","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1427-0637","authenticated-orcid":false,"given":"Frederick P.","family":"Rivara","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Washington  Seattle WA 98104"},{"name":"Seattle Children's Guild Endowed Chair in Pediatric Research; Adjunct Professor, Epidemiology, University of Washington, School of Public Health  Seattle WA 98104"},{"name":"Center for Child Health, Behavior and Development, Seattle Children's Research Institute  Seattle WA"},{"name":"Harborview Injury Prevention and Research Center, Box 359960, 325 Ninth Avenue  Seattle WA 98104"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5217-4748","authenticated-orcid":false,"given":"Lyscha A.","family":"Marcynyszyn","sequence":"additional","affiliation":[{"name":"Seattle Children's Research Institute, Center for Child Health, Behavior, and Development, Building Cure (M\/S CURE\u20103), 1920 Terry Avenue  Seattle WA 98101"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Wang","sequence":"additional","affiliation":[{"name":"Harborview Injury Prevention and Research Center &amp; Department of Pediatrics, University of Washington, 325 Ninth Avenue, Box 359960  Seattle WA 98104\u20102499"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara P. D.","family":"Chrisman","sequence":"additional","affiliation":[{"name":"Seattle Children's Research Institute, Center for Child Health, Behavior, and Development, Building Cure (M\/S CURE\u20103), 1920 Terry Avenue  Seattle WA 98101"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Hilt","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Washington, Seattle, Washington, Seattle Children's Hospital, 4800 Sandpoint Way.  Seattle WA 98105"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas F.","family":"Zatzick","sequence":"additional","affiliation":[{"name":"University of Washington, Harborview Medical Center 325 Ninth Avenue, Box 359911  Seattle WA 98104\u20102499"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashleigh M.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Seattle Children's Research Institute, Center for Child Health, Behavior, and Development, Building Cure (M\/S CURE\u20103), 1920 Terry Avenue  Seattle WA 98101"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Jinguji","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Washington, Seattle Children's Hospital, 4800 Sandpoint Way  Seattle WA 98105"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celeste","family":"Quitiquit","sequence":"additional","affiliation":[{"name":"Department of 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