{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:45:59Z","timestamp":1777891559426,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NRE"],"published-print":{"date-parts":[[2021,12,24]]},"abstract":"<jats:p>BACKGROUND: Many students return to school after concussion with symptoms but without formal support. OBJECTIVE: To examine concussion symptoms and temporary academic accommodations during school use of a four-week student-centered return to learn (RTL) care plan. METHODS: Five public high schools used the RTL care plan and contributed student-level data after student report of concussion. Data on concussion symptoms, temporary academic accommodations corresponding to reported symptoms, and accommodations provided during RTL care plan use were examined. RESULTS: Of 115 students, 55%used the RTL care plan for three (34%) or four (21%) weeks. Compared to students whose symptoms resolve within the first two weeks, students who used the RTL care plan for three or four weeks reported more unique symptoms (P\u200a=\u200a0.038), higher total severity score (P\u200a=\u200a0.005), and higher average severity per symptom (P\u200a=\u200a0.007) at week one. Overall, 1,127 weekly accommodations were provided. While least reported, emotional symptoms received corresponding accommodations most often (127\/155 reports: 82%of occurrences). CONCLUSIONS: Use of an RTL care plan can facilitate the RTL of students with a concussion and may aid in the identification of students who are in need of longer-term support.<\/jats:p>","DOI":"10.3233\/nre-210182","type":"journal-article","created":{"date-parts":[[2021,11,9]],"date-time":"2021-11-09T13:34:47Z","timestamp":1636464887000},"page":"655-662","source":"Crossref","is-referenced-by-count":5,"title":["Concussion symptoms and temporary accommodations using a student-centered return to learn care plan"],"prefix":"10.1177","volume":"49","author":[{"given":"Erik B.","family":"Philipson","sequence":"first","affiliation":[{"name":"Harborview Injury Prevention and Research Center, Harborview Medical Center, Seattle, WA, USA"},{"name":"The Undergraduate Program in Neuroscience, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Gause","sequence":"additional","affiliation":[{"name":"Harborview Injury Prevention 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