{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T11:12:03Z","timestamp":1775819523947,"version":"3.50.1"},"reference-count":35,"publisher":"Aldus Press","issue":"2","funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"crossref","award":["1R49CE003087-01"],"award-info":[{"award-number":["1R49CE003087-01"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Concussion"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:p> Aim: To understand academic support structures for Washington state public high school students with concussion during the COVID-19\u00a0pandemic. Materials &amp; methods: Prospective, repeated cross-sectional study of 21 schools in 2020 and 2021. Results: About\u00a028% of schools reported not providing any return-to-learn (RTL) accommodations for students with concussion throughout the COVID-19 pandemic. RTL accommodation provision was associated with larger student body size ( \u03b2\u00a0=\u00a00.002) and higher graduation rate ( \u03b2\u00a0=\u00a00.261) but was not associated with presence of RTL school policy. About\u00a038.1% of schools received no guidance on how to provide RTL accommodations during the COVID-19 pandemic, and many reported that students with concussion struggled more. Conclusion: Schools struggled to provide RTL accommodations for students with concussion during the COVID-19 pandemic, highlighting the need for evidence-based guidance and resource allocation to vulnerable schools. <\/jats:p>","DOI":"10.2217\/cnc-2022-0011","type":"journal-article","created":{"date-parts":[[2023,2,13]],"date-time":"2023-02-13T09:20:22Z","timestamp":1676280022000},"source":"Crossref","is-referenced-by-count":2,"title":["Return-to-learn after concussion in Washington state public high schools during the COVID-19 pandemic"],"prefix":"10.63392","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4187-8907","authenticated-orcid":false,"given":"Shyam J","family":"Deshpande","sequence":"first","affiliation":[{"name":"Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, WA 98195, USA"},{"name":"Department of Pediatrics, University of Washington, Seattle, WA 98195, USA"},{"name":"Harborview Injury Prevention & Research Center, Seattle, WA 98122, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aspen","family":"Avery","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, WA 98195, USA"},{"name":"Harborview Injury Prevention & Research Center, Seattle, WA 98122, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"Takagi-Stewart","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, WA 98195, USA"},{"name":"Harborview Injury Prevention & Research Center, Seattle, WA 98122, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brianna","family":"Mills","sequence":"additional","affiliation":[{"name":"Harborview Injury Prevention & Research Center, Seattle, WA 98122, USA"},{"name":"Department of Epidemiology, University of Washington, Seattle, WA 98195, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qian","family":"Qiu","sequence":"additional","affiliation":[{"name":"Harborview Injury Prevention & Research Center, Seattle, WA 98122, USA"},{"name":"Department of Epidemiology, University of Washington, Seattle, WA 98195, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monica S","family":"Vavilala","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, WA 98195, USA"},{"name":"Department of Pediatrics, University of Washington, Seattle, WA 98195, USA"},{"name":"Harborview Injury Prevention & Research Center, Seattle, WA 98122, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"52760","reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1227\/01.neu.0000429846.14579.41"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-2180"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6927a4"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2020.11.006"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2015.04.003"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-0158"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.21463"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2019.08.016"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17207602"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2018.2853"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-2867"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1037\/rep0000155"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1111\/josh.12948"},{"key":"B14","unstructured":"Vavilala MS. 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