Establishing Consensus for Essential Elements in Returning to Learn Following a Concussion

J Sch Health. 2020 Nov;90(11):849-858. doi: 10.1111/josh.12949. Epub 2020 Sep 16.

Abstract

Background: Returning to learn following a concussion is the process of managing a student's recovery during the school day by implementation of academic supports with varying intensity. Due to a lack of consensus or even guidance on Return to Learn, this paper set out to establish cross discipline consensus on some essential elements of Return to Learn using a Delphi method.

Methods: Sixteen national organizations participated in a Delphi process to reach consensus on overarching themes of Return to Learn focused on: returning a student to school, composition of the school-based concussion management team, progress-monitoring, educational safeguards, neuropsychological testing, and legislation. Two rounds of questionnaires were disseminated via email using a Delphi process. Consensus was established during round 2.

Results: Twelve national organizations were able to reach consensus and endorse 13 essential elements of Return to Learn following a concussion.

Conclusions: There continues to be limited research on concussion Return to Learn leading to confusion in the field. In this paper, we demonstrate consensus on a number of essential elements, from a wide variety of professional disciplines who participate in the care of students following a concussion, as a starting place for some guidance on Return to Learn.

Keywords: concussion; individual health care plan; interdisciplinary team; return to learn; return to play; section 504; traumatic brain injury.

MeSH terms

  • Brain Concussion* / therapy
  • Consensus*
  • Humans
  • Learning
  • Return to School / standards*
  • Schools
  • Students