{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T21:31:44Z","timestamp":1783632704950,"version":"3.55.0"},"reference-count":19,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,8,16]],"date-time":"2022-08-16T00:00:00Z","timestamp":1660608000000},"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":["NU38OT000282"],"award-info":[{"award-number":["NU38OT000282"]}],"id":[{"id":"10.13039\/100000030","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":[[2022,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Return to learn (RTL) after mild traumatic brain injury (mTBI) presents unique challenges for school professionals. A multidisciplinary team approach is necessary yet training school professionals is logistically difficult. This paper describes an innovative pilot RTL program and its evaluation.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Utilizing the telehealth\/telementoring program Project ECHO\u00ae (Extension for Community Healthcare Outcomes), this study utilized a multidisciplinary team of subject matter experts to deliver five 1\u2010hour sessions across 5 cohorts of school\u2010based professionals (total of 133 participants). The evaluation used a mixed\u2010methods approach of post\u2010session and post\u2010program participant surveys and post\u2010program participant focus groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Participants who completed a post\u2010program survey reported statistically significant improvements in essential aspects of RTL knowledge and self\u2010efficacy. This included improvements in how to manage a student with an mTBI (44.8% to 86.9%), benefits of early return to school for students following mTBI (31.8% to 86.9%), and the importance of written RTL policies\/procedures (55.1% to 97.1%).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>This study demonstrates that RTL training via a telementoring approach may be a positive and effective way to train school\u2010based professionals and improve knowledge and self\u2010efficacy, especially when attending face\u2010to\u2010face trainings are difficult. This model has the potential to produce programmatic and systematic improvements for RTL education.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.13221","type":"journal-article","created":{"date-parts":[[2022,8,16]],"date-time":"2022-08-16T08:48:37Z","timestamp":1660639717000},"page":"1194-1201","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Return to Learn ECHO: Telementoring for School Personnel to Help Children Return to School and Learning After Mild Traumatic Brain Injury"],"prefix":"10.1111","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8584-6181","authenticated-orcid":false,"given":"Karen","family":"McAvoy","sequence":"first","affiliation":[{"name":"Brain Injury Educational Consulting Colorado LLC  631 Peterson Street Fort Collins CO 80524 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Halstead","sequence":"additional","affiliation":[{"name":"Departments of Pediatrics and Orthopedic Surgery Washington University  20 Progress Point Parkway, Suite 114 O'Fallon MO 63368 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Radecki","sequence":"additional","affiliation":[{"name":"RadeckiResearch LLC  San Diego CA 92103 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Shah","sequence":"additional","affiliation":[{"name":"ECHO Initiatives American Academy of Pediatrics  345 Park Blvd Itasca IL 60143 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anjie","family":"Emanuel","sequence":"additional","affiliation":[{"name":"Child Safety, Health and Wellness American Academy of Pediatrics  345 Park Blvd Itasca IL 60143 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Domain","sequence":"additional","affiliation":[{"name":"Child Safety, Health and Wellness American Academy of Pediatrics  345 Park Blvd Itasca IL 60143 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9277-0712","authenticated-orcid":false,"given":"Jill","family":"Daugherty","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention  4770 Buford Highway Atlanta GA 30341 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana","family":"Waltzman","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention  4770 Buford Highway Atlanta GA 30341 USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,16]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2011.1082"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/02699052.2011.557351"},{"issue":"1","key":"e_1_2_6_4_1","first-page":"178","article-title":"Characterizing post\u2010concussion exertional effects in the child and adolescent","volume":"16","author":"Gioia G","year":"2010","journal-title":"J Int Neuropsychol Soc"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-43.3.265"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.12517"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2013.3088"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-3434"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2018\u20103074"},{"key":"e_1_2_6_10_1","unstructured":"Centers for Disease Control and Prevention.About Heads Up;March 7 2019. 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