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A comparison of healthcare professional and school personnel perceptions and familiarity of academic adjustments for concussed adolescents
  1. Cailee E Welch Bacon1,
  2. Johna K Register-Mihalik2,
  3. Tricia M Kasamatsu3,
  4. Tamara C Valovich McLeod1
  1. 1Department of Interdisciplinary Health Sciences, A.T. Still University, Mesa, USA
  2. 2University of North Carolina at Chapel Hill, Chapel Hill, USA
  3. 3California State University, Fullerton, Fullerton, USA


Objective To compare healthcare professionals (HCPs) and school personnel (SP) perceptions of and familiarity with academic adjustments for adolescents following a concussion.

Design Cross-sectional.

Setting Self-reported online survey.

Subjects 4,376 participants (1,095 males, 2,003 females, 1,278 missing sex; 2,209 HCPs, 2,156 SP; age=47.5 ± 14.8) from a convenience sample of 51,507 individuals (8.5% response rate) completed the Beliefs, Attitudes, and Knowledge of Paediatric Athletes with Concussions (BAKPAC) survey.

Outcome measures The independent variable was role (2 levels: HCP, SP). The dependent variables were participants’ responses to the survey items. Mann Whitney U tests (P<0.05) were used to determine group differences.

Results Both HCPs and SP agreed that concussions can affect school performance (3.7/4.0±0.9; P=0.08) and that concussed adolescents are eligible for consideration under the Americans with Disabilities Act (3.0/4.0±1.0; P=0.81). 57.3% of HCPs and 57.0% of SP reported that they have managed a concussed adolescent who experienced decreased school performance, while 61.0% of HCPs and 57.5% of SP noted concussed adolescents received academic adjustments. Familiarity with individualised education plans (IEPs; P≤.001) and 504-plans (P≤.001) differed among groups. SP were moderately to extremely familiar with IEPs (3.5/4.0±0.71) and 504-plans (3.3/4.0±0.91), while HCPs were only minimally to moderately familiar (IEP: 2.8/4.0±1.2; 504-plans: 2.6/4.0±1.4).

Conclusions HCPs and SP must collaborate to ensure proper concussion management for concussed adolescents. These results suggest the need for targeted education for HCPs and SP concerning academic adjustments to promote a safe return-to-learn.

Competing interests None.

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