Return-to-learn after concussion in Washington state public high schools during the COVID-19 pandemic.

Pub Date : 2023-06-01 DOI:10.2217/cnc-2022-0011

Shyam J Deshpande, Aspen Avery, Julian Takagi-Stewart, Brianna Mills, Qian Qiu, Monica S Vavilala

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Abstract

Aim: To understand academic support structures for Washington state public high school students with concussion during the COVID-19 pandemic.

Materials & methods: Prospective, repeated cross-sectional study of 21 schools in 2020 and 2021.

Results: About 28% of schools reported not providing any return-to-learn (RTL) accommodations for students with concussion throughout the COVID-19 pandemic. RTL accommodation provision was associated with larger student body size (β = 0.002) and higher graduation rate (β = 0.261) but was not associated with presence of RTL school policy. About 38.1% of schools received no guidance on how to provide RTL accommodations during the COVID-19 pandemic, and many reported that students with concussion struggled more.

Conclusion: Schools struggled to provide RTL accommodations for students with concussion during the COVID-19 pandemic, highlighting the need for evidence-based guidance and resource allocation to vulnerable schools.

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在2019冠状病毒病大流行期间，华盛顿州公立高中脑震荡后重返学习。

目的:了解新冠肺炎大流行期间华盛顿州公立高中脑震荡学生的学业支持结构。材料与方法:对2020年和2021年21所学校进行前瞻性、重复横断面研究。结果:大约28%的学校报告说，在2019冠状病毒病大流行期间，没有为脑震荡学生提供任何重返学习(RTL)的住宿。劳教住宿提供与较大的学生体型(β = 0.002)和较高的毕业率(β = 0.261)相关，但与劳教学校政策的存在无关。在2019冠状病毒病大流行期间，约38.1%的学校没有收到关于如何提供劳教住宿的指导，许多学校报告说，脑震荡的学生更挣扎。结论:在2019冠状病毒病大流行期间，学校难以为脑震荡学生提供RTL住宿，这凸显了为弱势学校提供循证指导和资源分配的必要性。

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