{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:46:39Z","timestamp":1777891599302,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NRE"],"published-print":{"date-parts":[[2023,6,15]]},"abstract":"<jats:p>BACKGROUND: Appropriate concussion care in school is vital for full recovery, but school return-to-learn (RTL) programs are lacking and vary in quality. Establishing student-centered RTL programs may reduce disparities in RTL care. OBJECTIVE: To examine the effect of RISE Bundle (Return to Learn Implementation Bundle for Schools) implementation on high school adoption of a student-centered RTL program. METHODS: A convenience sample of fourteen (4 rural and 10 urban) small and large Washington (WA) State public high schools were enrolled in a stepped-wedge study with baseline, end of study, and monthly measures over the 2021\u20132022 academic year. Schools identified an RTL champion who led RISE Bundle implementation in 6-week steps. Concussion knowledge and impact of RTL program on concussion care were examined. RESULTS: Ten schools (71.4%) successfully completed RISE Bundle implementation and established a functional RTL program. Self-reported concussion knowledge from RTL Champions increased post intervention. Establishing RTL programs facilitated provision of tailored accommodations, and perceived variation and inequities in RTL care were reduced. CONCLUSION: RISE Bundle implementation proved feasible, supported the establishment of a functional RTL program, and perceived to reduce disparities in concussion care in rural and urban WA State public high schools of varying sizes.<\/jats:p>","DOI":"10.3233\/nre-220200","type":"journal-article","created":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T12:39:02Z","timestamp":1682426342000},"page":"641-650","source":"Crossref","is-referenced-by-count":1,"title":["Effect of RISE Bundle implementation on school adoption of a student-centered return-to-learn program in Washington state"],"prefix":"10.1177","volume":"52","author":[{"given":"Aspen","family":"Avery","sequence":"first","affiliation":[{"name":"Harborview Injury Prevention and Research Center, University of Washington, Seattle, WA, USA"},{"name":"Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, 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