{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:46:23Z","timestamp":1777891583126,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,6,17]],"date-time":"2022-06-17T00:00:00Z","timestamp":1655424000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NRE"],"published-print":{"date-parts":[[2022,6,17]]},"abstract":"<jats:p>BACKGROUND: Post-concussion return-to-learn (RTL) guidelines include implementation of school accommodations. Yet, little is known about physician recommendations for school accommodations and their impact, particularly among youth experiencing persistent post-concussive symptoms (PPCS). OBJECTIVE: We examined the association between physician recommended school accommodations and student outcomes among youth experiencing PPCS. METHODS: Data from a randomized comparative effectiveness trial was used. Physician recommended school accommodations (\u226490 days post-injury) were collected via chart abstraction. Grade point average was extracted from school records. Reports of problems at school, concussion symptoms, health-related quality of life (HRQOL), anxiety symptoms, and depressive symptoms were collected by survey (at baseline, three months, and 12 months post study entry). RESULTS: Of 200 participants (Mage\u200a=\u200a14.7, 62% female), 86% were recommended school accommodations. Number of recommended school accommodations was positively associated with number of school problems at three months (aRR 1.18, 95% CI:1.12\u20131.24) and 12 months (aRR 1.11, 95% CI:1.05\u20131.18). No significant associations were found between recommended school accommodations and GPA, HRQOL, anxiety symptoms, or depressive symptoms. CONCLUSIONS: Physicians recommend more school accommodations for students experiencing more school problems post-concussion. Appropriate implementation of RTL recommendations made by physicians by fostering partnerships among physicians, students, and schools may be needed to achieve student-centered RTL.<\/jats:p>","DOI":"10.3233\/nre-210324","type":"journal-article","created":{"date-parts":[[2022,2,15]],"date-time":"2022-02-15T14:06:50Z","timestamp":1644934010000},"page":"467-476","source":"Crossref","is-referenced-by-count":7,"title":["Physician recommended school accommodations and student outcomes following a mild traumatic brain injury among youth with persistent post-concussive symptoms"],"prefix":"10.1177","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2128-4463","authenticated-orcid":false,"given":"Julian","family":"Takagi-Stewart","sequence":"first","affiliation":[{"name":"Harborview Injury Prevention and Research Center, Seattle, WA, USA"},{"name":"University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashleigh M.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Seattle Children\u2019s Research Institute, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mallory B.","family":"Smith","sequence":"additional","affiliation":[{"name":"Harborview Injury Prevention and Research Center, Seattle, WA, USA"},{"name":"University of Washington, Seattle, WA, USA"},{"name":"Seattle Children\u2019s Research Institute, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin","family":"Wang","sequence":"additional","affiliation":[{"name":"Harborview Injury Prevention and Research Center, Seattle, WA, USA"},{"name":"University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lyscha A.","family":"Marcynyszyn","sequence":"additional","affiliation":[{"name":"Seattle Children\u2019s Research Institute, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas F.","family":"Zatzick","sequence":"additional","affiliation":[{"name":"University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn A.","family":"McCarty","sequence":"additional","affiliation":[{"name":"University of Washington, Seattle, WA, USA"},{"name":"Seattle Children\u2019s Research Institute, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frederick P.","family":"Rivara","sequence":"additional","affiliation":[{"name":"University of Washington, Seattle, WA, USA"},{"name":"Seattle Children\u2019s Research Institute, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monica S.","family":"Vavilala","sequence":"additional","affiliation":[{"name":"Harborview Injury Prevention and Research Center, Seattle, WA, USA"},{"name":"University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"issue":"1","key":"10.3233\/NRE-210324_ref1","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1017\/S1355617708090188","article-title":"Dimensions of postconcussive symptoms in children with mild traumatic brain injuries","volume":"15","author":"Ayr,","year":"2009","journal-title":"Journal of the International Neuropsychological Society"},{"issue":"4","key":"10.3233\/NRE-210324_ref2","doi-asserted-by":"crossref","first-page":"e044487","DOI":"10.1136\/bmjopen-2020-044487","article-title":"Educator perspectives on concussion management in the college classroom: A grounded theory introduction to collegiate return-to-learn","volume":"11","author":"Bevilacqua,","year":"2021","journal-title":"BMJ Open"},{"key":"10.3233\/NRE-210324_ref3","doi-asserted-by":"crossref","unstructured":"Brown, N. 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