@article{ref1,
title="Physician recommended school accommodations and student outcomes following a mild traumatic brain injury among youth with persistent post-concussive symptoms",
journal="NeuroRehabilitation",
year="2022",
author="Takagi-Stewart, Julian and Johnson, Ashleigh M. and Smith, Mallory B. and Wang, Jin and Marcynyszyn, Lyscha A. and Zatzick, Douglas F. and McCarty, Carolyn A. and Rivara, Frederick P. and Vavilala, Monica S.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="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). <br><br>OBJECTIVE: We examined the association between physician recommended school accommodations and student outcomes among youth experiencing PPCS. <br><br>METHODS: Data from a randomized comparative effectiveness trial was used. Physician recommended school accommodations (≤90 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). <br><br>RESULTS: Of 200 participants (Mage = 14.7, 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:1.12-1.24) and 12 months (aRR 1.11, 95% CI:1.05-1.18). No significant associations were found between recommended school accommodations and GPA, HRQOL, anxiety symptoms, or depressive symptoms. <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="1053-8135",
doi="10.3233/NRE-210324",
url="http://dx.doi.org/10.3233/NRE-210324"
}