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Return to learn protocols have been developed to facilitate the reintegration of students into school after mTBI, however, the implementation of return to learn protocols varies significantly across geographic regions and school districts. An integrative review of the literature was performed using Whittemore and Knalf's methodology. A search of published literature was conducted using the PRISMA checklist. Database searches were conducted from March 2,019 to October 2,021 using the terms \u201cmild traumatic brain injury\u201d and \u201creturn to learn.\u201d Twenty-eight publications were included. Three themes were derived from this review: lack of policy, poor staff education on concussion symptoms and stakeholder communication breakdown. The development of communication patterns and use of a return to learn protocol could facilitate a gradual return to full academic workload after concussion.<\/jats:p>","DOI":"10.1177\/10598405211056646","type":"journal-article","created":{"date-parts":[[2021,11,24]],"date-time":"2021-11-24T07:35:18Z","timestamp":1637739318000},"page":"18-36","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":18,"title":["Implementation of Return to Learn Protocols for Student Athletes with Sport and Recreation Related Concussion: An Integrative Review of Perceptions, Challenges and Successes"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7654-2864","authenticated-orcid":false,"given":"Joseph","family":"Fetta","sequence":"first","affiliation":[{"name":"School of Nursing, University of Connecticut, Storrs, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Starkweather","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Connecticut, Storrs, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Huggins","sequence":"additional","affiliation":[{"name":"Korey Stringer Institute, University of Connecticut, Storrs, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Van Hoof","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Connecticut, Storrs, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas","family":"Casa","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Connecticut, Storrs, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Gill","sequence":"additional","affiliation":[{"name":"National Institute for Nursing Research, Bethesda, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,11,24]]},"reference":[{"issue":"1","key":"bibr1-10598405211056646","first-page":"35","volume":"32","author":"Acord-Vira A.","year":"2019","journal-title":"Journal of Postsecondary Education and Disability"},{"key":"bibr2-10598405211056646","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0000000000000118"},{"key":"bibr3-10598405211056646","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-52.7.02"},{"key":"bibr4-10598405211056646","doi-asserted-by":"publisher","DOI":"10.1177\/0883073816681351"},{"key":"bibr5-10598405211056646","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-49.1.07"},{"key":"bibr6-10598405211056646","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-4635"},{"key":"bibr7-10598405211056646","doi-asserted-by":"publisher","DOI":"10.3928\/19425864-20150707-04"},{"key":"bibr8-10598405211056646","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-529-17"},{"key":"bibr9-10598405211056646","doi-asserted-by":"publisher","DOI":"10.1101\/336560"},{"key":"bibr10-10598405211056646","doi-asserted-by":"publisher","DOI":"10.1177\/1942602X12473949"},{"key":"bibr11-10598405211056646","doi-asserted-by":"publisher","DOI":"10.1177\/1524839916650865"},{"key":"bibr12-10598405211056646","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcn.2015.03.001"},{"key":"bibr13-10598405211056646","doi-asserted-by":"publisher","DOI":"10.1260\/1747-9541.5.1.1"},{"key":"bibr14-10598405211056646","doi-asserted-by":"publisher","DOI":"10.5539\/jel.v9n5p27"},{"key":"bibr15-10598405211056646","doi-asserted-by":"publisher","DOI":"10.1017\/cjn.2016.41"},{"key":"bibr16-10598405211056646","doi-asserted-by":"publisher","DOI":"10.1177\/1059840518818709"},{"key":"bibr17-10598405211056646","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-2867"},{"key":"bibr18-10598405211056646","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2018-100338"},{"key":"bibr19-10598405211056646","doi-asserted-by":"publisher","DOI":"10.1080\/02701367.2018.1472735"},{"key":"bibr20-10598405211056646","doi-asserted-by":"publisher","DOI":"10.3233\/EFI-180221"},{"key":"bibr21-10598405211056646","doi-asserted-by":"publisher","DOI":"10.1186\/s40621-020-00240-7"},{"issue":"11","key":"bibr22-10598405211056646","first-page":"859","volume":"63","author":"Irvine A.","year":"2017","journal-title":"Canadian Family Physician Medecin De Famille Canadien"},{"key":"bibr23-10598405211056646","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0000000000000396"},{"key":"bibr24-10598405211056646","doi-asserted-by":"publisher","DOI":"10.14485\/HBPR.5.6.2"},{"key":"bibr25-10598405211056646","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119862503"},{"key":"bibr26-10598405211056646","unstructured":"Jordan P. 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