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Journal Article

Citation

Romm KE, Ambegaonkar JP, Caswell AM, Parham C, Cortes NE, Kerr Z, Broshek DK, Caswell SV. J. Sch. Health 2018; 88(11): 813-820.

Affiliation

Sports Medicine Assessment, Research & Testing (SMART) Laboratory. George Mason University, 10900 University Boulevard MS 4E5, Manassas, VA 20110.

Copyright

(Copyright © 2018, American School Health Association, Publisher John Wiley and Sons)

DOI

10.1111/josh.12687

PMID

30300931

Abstract

BACKGROUND: Concussions are a public health concern and concussion management in school requires a team approach. We examined schoolteachers' and administrators' perceptions of concussions, management, and implementation of return-to-learn (RTL) guidelines.

METHODS: We audio-recorded and transcribed semistructured interviews with teachers (N = 16) and administrators (N = 6) from a public school system. We analyzed data using an analytic induction and constant comparison approach.

RESULTS: Two themes emerged: different understanding, and school context. Participants with no sport coaching experience were less familiar with concussions than those who coached a sport. Participants with personal experience with concussions were more sympathetic toward concussed students' needs. Teachers expressed feeling ill-equipped to implement RTL guidelines without specific instructions in the complex school environment. However, school administrators had minimal understanding of teacher-described challenges.

CONCLUSIONS: Teachers and administrators recognize that concussions are a health concern, but differ in their perceptions of concussions, management, and implementation of RTL guidelines. Personal experiences mediate individual perceptions about concussions. The daily realities of a school environment complicate teachers' capacity to implement RTL guidelines. Conversely, school administrators did not express awareness of any challenges with concussion management. To best facilitate students' recovery schools should include all stakeholders when devising concussion management policies.

© 2018, American School Health Association.


Language: en

Keywords

concussion; injury control; return-to-learn; school administrators; sports injury; teachers

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