{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:20:22Z","timestamp":1777940422640,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,7,21]],"date-time":"2023-07-21T00:00:00Z","timestamp":1689897600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Policy, Politics, &amp; Nursing Practice"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:p>Return to learn (RTL) is the individualized process of coordinating cognitive care and reintegration for students into the academic setting after any sport and recreational-related concussion (SRRC). The guidelines for RTL are based on empirical evidence, however, implementation differs by institution. The purpose of the policy analysis is to evaluate RTL guidelines after SRRC of student-athletes in New England secondary school public school systems. A review of the six New England states\u2019 policies surrounding RTL was conducted. The Comprehensive Analysis of Physical Activity Framework was referenced to identify the analytic components of existing legislation and because of the relatively new implementation of RTL-specific policy, a novel policy analysis tool was utilized. States with RTL-specific language scored on average 7.9 to 11.1 points higher when compared to states without RTL-specific language. This difference was associated with disparities in access to RTL resources for residents according to their geographic location. Lobbying efforts should be targeted toward states without RTL-specific language to provide equal care and opportunities for student-athletes to receive RTL services. RTL policy provides a responsibility to assist students who have suffered from an SRRC and can serve to improve health outcomes and academic achievement.<\/jats:p>","DOI":"10.1177\/15271544231186359","type":"journal-article","created":{"date-parts":[[2023,7,21]],"date-time":"2023-07-21T03:22:18Z","timestamp":1689909738000},"page":"278-287","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Policy Analysis of Return to Learn After Sport and Recreational Related Concussion for Secondary Schools in New England: Relevance to School Nurses and Nursing Practice"],"prefix":"10.1177","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7654-2864","authenticated-orcid":false,"given":"Joseph M.","family":"Fetta","sequence":"first","affiliation":[{"name":"College of Nursing, University of Florida, Gainesville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela R.","family":"Starkweather","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Florida, Gainesville, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Van Hoof","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Connecticut, Storrs, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Huggins","sequence":"additional","affiliation":[{"name":"Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas","family":"Casa","sequence":"additional","affiliation":[{"name":"Korey Stringer Institute, Department of Kinesiology, University of Connecticut, Storrs, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Gill","sequence":"additional","affiliation":[{"name":"School of Nursing, John Hopkins University, Baltimore, Maryland, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,7,21]]},"reference":[{"key":"bibr4-15271544231186359","doi-asserted-by":"publisher","DOI":"10.1177\/1559827616688883"},{"issue":"18","key":"bibr435-15271544231186359","volume":"5","author":"Bellew B.","year":"2008","journal-title":"Australia and New Zealand Health Policy"},{"key":"bibr436-15271544231186359","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-4635"},{"key":"bibr6-15271544231186359","unstructured":"Centers for Disease Control (CDC) (2021, February 25). Heads up. Centers for Disease Control and Prevention. https:\/\/www.cdc.gov\/headsup\/index.html."},{"key":"bibr7-15271544231186359","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0838.2012.01500.x"},{"key":"bibr10-15271544231186359","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0000000000000156"},{"key":"bibr437-15271544231186359","doi-asserted-by":"publisher","DOI":"10.1123\/jpah.6.6.805"},{"key":"bibr13-15271544231186359","doi-asserted-by":"publisher","DOI":"10.1260\/1747-9541.5.1.1"},{"key":"bibr14-15271544231186359","doi-asserted-by":"publisher","DOI":"10.1177\/1059840518818709"},{"key":"bibr16-15271544231186359","doi-asserted-by":"publisher","DOI":"10.1097\/HTR.0000000000000695"},{"key":"bibr17-15271544231186359","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-019-0822-5"},{"key":"bibr18-15271544231186359","doi-asserted-by":"publisher","DOI":"10.1186\/s12961-019-0492-4"},{"key":"bibr19-15271544231186359","unstructured":"Knutson S., Ader P. B., Boudreau T., Coyne D., Frassinelli J., Kramer C., Laugel K., Mee J., Miyashita T., Niehoff K., Nissen C. W., Okeke C. R., Shulansky D., Todisco L. B., Wood J. (2015). Concussion education plan and guidelines for Connecticut schools.\n                      Connecticut State Department of Education.\n                      https:\/\/portal.ct.gov\/SDE\/Publications\/Concussion-Education-Plan-and-Guidelines-for-Connecticut-Schools."},{"key":"bibr20-15271544231186359","unstructured":"LawAtlas (2017, June 30).\n                      The Policy Surveillance Program: Youth Sports Traumatic Brain Injury Laws.\n                      https:\/\/lawatlas.org\/datasets\/sc-reboot."},{"key":"bibr440-15271544231186359","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2019.08.016"},{"key":"bibr21-15271544231186359","unstructured":"McAvoy K. (2012, December 19). The REAP project. REAP The Benefits of Good Concussion Management. Retrieved from: http:\/\/www.concussiontreatment.com\/images\/REAP_Program.pdf."},{"key":"bibr22-15271544231186359","doi-asserted-by":"publisher","DOI":"10.1111\/josh.12949"},{"key":"bibr23-15271544231186359","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-097878"},{"key":"bibr24-15271544231186359","unstructured":"National Conference of State Legislatures (NCSL) (2018, October 11).\n                      Traumatic brain injury legislation. Legislative News, Studies, and Analysis\n                      . https:\/\/www.ncsl.org\/research\/health\/traumatic-brain-injury-legislation.aspx."},{"key":"bibr25-15271544231186359","volume-title":"Concussions: School based management position statement","author":"Neumann L."},{"key":"bibr26-15271544231186359","unstructured":"NH Rev Stat \u00a7 200:63 (2020). Head Injuries; Return to Learning Policy and Plan. New Hampshire General assembly. http:\/\/www.gencourt.state.nh.us\/rsa\/search\/default.aspx"},{"key":"bibr27-15271544231186359","unstructured":"PA Brain Injury Association, PA DoE, & PA DoH (2007). Concussion and acquired brain injury support for Pennsylvania schools. Concussion and acquired brain injury support for Pennsylvania schools - BrainSTEPS. https:\/\/www.brainsteps.net\/default.aspx."},{"key":"bibr438-15271544231186359","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0165116"},{"key":"bibr28-15271544231186359","doi-asserted-by":"publisher","DOI":"10.1123\/jpah.3.s1.s20"},{"key":"bibr439-15271544231186359","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2016.303154"},{"key":"bibr34-15271544231186359","volume-title":"A guide for population-based approaches to increasing levels of physical activity \u2013 implementation of the WHO global strategy on diet, physical activity, and health","author":"World Health Organization (WHO)","year":"2007"}],"container-title":["Policy, Politics, &amp; Nursing Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15271544231186359","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15271544231186359","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15271544231186359","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T05:49:13Z","timestamp":1777700953000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15271544231186359"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,21]]},"references-count":26,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1177\/15271544231186359"],"URL":"https:\/\/doi.org\/10.1177\/15271544231186359","relation":{},"ISSN":["1527-1544","1552-7468"],"issn-type":[{"value":"1527-1544","type":"print"},{"value":"1552-7468","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,21]]}}}