Kaitlin E Romm1, Jatin P Ambegaonkar2, Amanda M Caswell2, Candace Parham2, Nelson E Cortes3, Zachary Kerr4, Donna K Broshek5, Shane V Caswell6. 1. Sports Medicine Assessment, Research & Testing (SMART) Laboratory. George Mason University, 10900 University Boulevard, Bull Run Hall 220, MSN 4E5, Manassas, VA 20110. 2. Athletic Training Education Program, George Mason University, 10900 University Boulevard, Bull Run Hall 220, MSN 4E5, Manassas, VA 20110. 3. Kinesiogy, George Mason University, 10900 University Boulevard, Bull Run Hall 220, MSN 4E5, Manassas, VA 20110. 4. Department of Exercise and Sport Science, 313 Woollen Gym, CB# 8605, University of North Carolina, Chapel Hill, NC 27599-8700. 5. Neurocognitive Assessment Lab, Psychiatry & Neurobehavioral Sciences, University of Virginia Health System P.O. Box 800623, Charlottesville, VA 22908-0623. 6. Sports Medicine Assessment, Research & Testing (SMART) Laboratory. George Mason University, 10900 University Boulevard MS 4E5, Manassas, VA 20110.
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.
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.
Authors: Juliet K Haarbauer-Krupa; Johna K Register-Mihalik; Aliza K Nedimyer; Avinash Chandran; Melissa C Kay; Paula Gildner; Zachary Y Kerr Journal: J Safety Res Date: 2021-05-20