{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T16:17:14Z","timestamp":1782922634438,"version":"3.54.5"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,11,16]],"date-time":"2022-11-16T00:00:00Z","timestamp":1668556800000},"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":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>For students with traumatic brain injury (TBI), the COVID\u201019 pandemic exacerbated challenges they were already experiencing at school.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This qualitative study employed focus groups and interviews with students, parents, school, and medical personnel to explore the school experiences of students with TBI. Thematic qualitative analyses were used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Key themes from the analysis include (a) incidence of brain injuries decreased; (b) screen time for students with TBI exacerbated symptoms; (c) COVID protocols at school made it difficult for educators to identify and provide accommodations for students with TBI; (d) COVID protocols at school could inadvertently exacerbate mental health difficulties after a TBI; and (e) COVID\u2010related logistics increased the time between an injury and return to school or return to play.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for School Health Policy, Practice, and Equity<\/jats:title><jats:p>The results from this study suggest that professional development for teachers supporting students with TBI is needed, especially for online learning environments. Additionally, because mental\/behavioral health concerns may arise for students with TBI in online learning environments, school health care providers can work with families to assess a student's mental health, making referrals to appropriate supports.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There is a significant need for professional development and school\u2010wide infrastructure supportive of students with TBI.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.13280","type":"journal-article","created":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T01:15:34Z","timestamp":1668647734000},"page":"378-385","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Stakeholder Perspectives on the School Experiences of Students With Traumatic Brain Injury: The Effects of <scp>COVID<\/scp>\u201019 Pandemic on Service Delivery"],"prefix":"10.1111","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4766-706X","authenticated-orcid":false,"given":"Deanne","family":"Unruh","sequence":"first","affiliation":[{"name":"Secondary Special Education &amp; Transition, Special Education &amp; Clinical Services Department University of Oregon  212 Clinical Services Building, 5260 University of ORegon Eugene OR 97403"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doug","family":"Gomez","sequence":"additional","affiliation":[{"name":"Center on Brain Injury Research &amp; Training, Department of Psychology University of Oregon  Rainier Building, Suite 220 Eugene OR 97403"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jody","family":"Slocumb","sequence":"additional","affiliation":[{"name":"Center on Brain Injury Research &amp; Training Department of Psychology University of Oregon  Rainier Building, Suite 220 Eugene OR 97403"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"McCart","sequence":"additional","affiliation":[{"name":"University of Oregon  Rainier Building, Suite 220 Eugene OR 97403"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4027-2310","authenticated-orcid":false,"given":"Susan","family":"Davies","sequence":"additional","affiliation":[{"name":"Department of Counselor Education &amp; Human Services University of Dayton  300 College Park Dayton OH 45469"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2013-6453","authenticated-orcid":false,"given":"Juliet","family":"Haarbauer\u2010Krupa","sequence":"additional","affiliation":[{"name":"Traumatic Brain Injury Team, Applied Sciences Branch, Division of Injury Prevention Center for Disease Control and Prevention  4770 Buford Highway NE\u2216MS S106\u20109 Atlanta GA 30341"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Glang","sequence":"additional","affiliation":[{"name":"Center on Brain Injury Research &amp; Training, Department of Psychology University of Oregon  Rainier Building, Suite 220 Eugene OR 97403"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,16]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"World Health Organization Regional Office for Europe.Coronavirus disease (COVID\u201019) pandemic. 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