TY - JOUR PY - 2023// TI - Effect of RISE bundle implementation on school adoption of a student-centered return-to-learn program in Washington state JO - NeuroRehabilitation A1 - Avery, Aspen A1 - Takagi-Stewart, Julian A1 - Qiu, Qian A1 - Philipson, Erik B. A1 - Moore, Megan A1 - Kroshus, Emily A1 - Weiner, Bryan J. A1 - Graves, Janessa M. A1 - Glang, Ann A1 - Jinguji, Thomas A1 - Coppel, David B. A1 - Sidhu, Manrita A1 - Vavilala, Monica S. SP - ePub EP - ePub VL - ePub IS - ePub N2 - 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 2021-2022 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.

Language: en

LA - en SN - 1053-8135 UR - http://dx.doi.org/10.3233/NRE-220200 ID - ref1 ER -