Evidence map›Paper›PMID 28463445›Full record

ArticleThe Journal of school health2017

Strategies to Address Unmet Needs and Facilitate Return to Learn Guideline Adoption Following Concussion.

Vivian H Lyons, Megan Moore, Roxanne Guiney, Rajiv C Ayyagari, Leah Thompson, Frederick P Rivara, Robin Fleming, Deborah Crawley, Dawn Harper, Monica S Vavilala

Abstract read
In one paragraph

Article in The Journal of school health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. It is time to rewrite state youth sports concussion laws.BMJ open sport & exercise medicine · 2021
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Vivian H LyonsDepartment of Epidemiology, University of Washington, 1959 NE Pacific Street, Health Sciences Building, F-262, Box 357236, Seattle, WA 98195-7236.
Megan MooreSchool of Social Work, University of Washington, 4101 15th Avenue NE, Seattle, WA 98105-6250.
Roxanne GuineyDepartment of Psychiatry and Behavioral Sciences, Harborview Medical Center, 325 9th Avenue, Box 359911, Seattle, WA 98104.
Rajiv C AyyagariJohns Hopkins University, 3400 North Charles Street, Baltimore, MD 21218.
Leah ThompsonSeattle Pediatric Concussion Research Collaborative, 4800 Sand Point Way NE, Seattle, WA 98105.
Frederick P RivaraPediatrics, School of Medicine, University of Washington, Box 359960, 325 9th Avenue, Seattle, WA 98104.
Robin FlemingOffice of the Superintendent of Public Instruction, 600 Washington Street SE, Olympia, WA 98504-7200.
Deborah CrawleyBrain Injury Alliance of Washington, 316 Broadway Suite 305, Seattle, WA 98122.
Dawn HarperIssaquah Valley Elementary School, 98927 555 Northwest Holly Street, Issaquah, WA 98027.
Monica S VavilalaHarborview Injury Prevention & Research Center, Seattle, WA 98122.

Funding

Institute of Translational Health SciencesKL2TR000421 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$12.6M
NCATS NIH HHS KL2 TR000421
6 · The paper itself

Abstract

backgroundMany students do not receive return to learn (RTL) services upon return to academics following a concussion.

methodsUsing a mixed-methods approach, we conducted a survey of RTL practices and experiences in Washington State schools between January 2015 and June 2015. We then held a statewide summit of RTL stakeholders and used a modified Delphi process to develop a consensus-based RTL implementation model and process.

resultsSurvey participants included 83 educators, 57 school nurses, 14 administrators, and 30 parents, representing 144 schools in rural and urban areas. Unmet need domains and recommendations identified were (1) a current lack of school policies; (2) barriers to providing or receiving accommodations; (3) wide variability in communication patterns; and (4) recommendations shared by all stakeholder groups (including desire for readily available best practices, development of a formal school RTL policy for easy adoption and more training). Using stakeholder input from RTL summit participants and survey responses, we developed an RTL implementation model and checklist for RTL guideline adoption.

conclusionsWashington State children have unmet needs upon returning to public schools after concussion. The student-centered RTL model and checklist for implementing RTL guidelines can help schools provide timely RTL services following concussion.

Indexed as

PolicyBrain ConcussionCommunicationDelphi TechniqueGuideline AdherenceGuidelines as TopicHumansNeeds AssessmentSchoolsSocioeconomic FactorsWashingtonacademic accommodationsconcussionreturn to learn (RTL) servicestraumatic brain injury (TBI)

Identifiers

PMID28463445
PMCPMC8570132

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.