{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T23:40:08Z","timestamp":1789170008401,"version":"build-2803163510"},"reference-count":46,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2021,4,20]],"date-time":"2021-04-20T00:00:00Z","timestamp":1618876800000},"content-version":"unspecified","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2021,4,6]]},"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To gather the perspectives of collegiate instructors regarding how concussion is managed within the college classroom. To introduce the themes surrounding collegiate return-to-learn (RTL) and the classroom management of students with concussion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative grounded theory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Large, public university in the Midwest.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Twenty-three college instructors participated in a private, semistructured, audio-recorded, one-on-one interview. Participants included 12 males and 11 females. Interview recordings were transcribed verbatim, followed by an iterative process of open-coding and axial-coding, performed by two researchers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three themes emerged from the coded data: (1) awareness\u2014external knowledge of concussion and previous experiences, (2) legitimacy\u2014medical note provided and no note provided and (3) accommodating the student\u2014instructor\u2019s role and feasibility of the accommodation. Psychosocial factors such as small class sizes, graduate-level students and an instructor\u2019s empathy appeared to influence an instructor\u2019s decision making when accommodating a student recovering from concussion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These novel data provide foundational evidence regarding how college instructors perceive and subsequently manage concussion within the classroom, while also offering accuracy to aims of subsequent collegiate RTL investigations<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Article summary<\/jats:title>\n                    <jats:p>RTL is an emerging field within concussion management, yet is grossly underexplored within the college setting. By utilising a grounded theory approach, this article introduces the themes that dictate the landscape of RTL for a college student.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2020-044487","type":"journal-article","created":{"date-parts":[[2021,4,20]],"date-time":"2021-04-20T21:44:12Z","timestamp":1618955052000},"page":"e044487","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":16,"title":["Educator perspectives on concussion management in the college classroom: a grounded theory introduction to collegiate return-to-learn"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4998-8534","authenticated-orcid":false,"given":"Zachary","family":"Bevilacqua","sequence":"first","affiliation":[{"name":"Kinesiology, Indiana University Bloomington, Bloomington, Indiana, USA"},{"name":"Exercise Science, Rochester Institute of Technology, Rochester, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donetta J","family":"Cothran","sequence":"additional","affiliation":[{"name":"Kinesiology, Indiana University Bloomington, Bloomington, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devin J","family":"Rettke","sequence":"additional","affiliation":[{"name":"Kinesiology, Indiana University Bloomington, Bloomington, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David M","family":"Koceja","sequence":"additional","affiliation":[{"name":"Kinesiology, Indiana University Bloomington, Bloomington, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas F","family":"Nelson-Laird","sequence":"additional","affiliation":[{"name":"Kinesiology, Indiana University Bloomington, Bloomington, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keisuke","family":"Kawata","sequence":"additional","affiliation":[{"name":"Kinesiology, Indiana University Bloomington, Bloomington, Indiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,4,20]]},"reference":[{"key":"2025121603090207000_11.4.e044487.1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-097699"},{"key":"2025121603090207000_11.4.e044487.2","doi-asserted-by":"crossref","DOI":"10.3389\/fneur.2019.00792","article-title":"What Comes First: Return to School or Return to Activity for Youth After Concussion? 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