Return to Learn ECHO: Telementoring for School Personnel to Help Children Return to School and Learning After Mild Traumatic Brain Injury
ABSTRACT BACKGROUND Return to learn (RTL) after mild traumatic brain injury (mTBI) presents unique challenges for school professionals. A multidisciplinary team approach is necessary yet training school professionals is logistically difficult. This paper describes an innovative pilot RTL program and...
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| Vydáno v: | The Journal of school health Ročník 92; číslo 12; s. 1194 - 1201 |
|---|---|
| Hlavní autoři: | , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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Malden, USA
Wiley Periodicals, Inc
01.12.2022
Wiley Blackwell Publishing Ltd |
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| ISSN: | 0022-4391, 1746-1561, 1746-1561 |
| On-line přístup: | Získat plný text |
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| Abstract | ABSTRACT
BACKGROUND
Return to learn (RTL) after mild traumatic brain injury (mTBI) presents unique challenges for school professionals. A multidisciplinary team approach is necessary yet training school professionals is logistically difficult. This paper describes an innovative pilot RTL program and its evaluation.
METHODS
Utilizing the telehealth/telementoring program Project ECHO® (Extension for Community Healthcare Outcomes), this study utilized a multidisciplinary team of subject matter experts to deliver five 1‐hour sessions across 5 cohorts of school‐based professionals (total of 133 participants). The evaluation used a mixed‐methods approach of post‐session and post‐program participant surveys and post‐program participant focus groups.
RESULTS
Participants who completed a post‐program survey reported statistically significant improvements in essential aspects of RTL knowledge and self‐efficacy. This included improvements in how to manage a student with an mTBI (44.8% to 86.9%), benefits of early return to school for students following mTBI (31.8% to 86.9%), and the importance of written RTL policies/procedures (55.1% to 97.1%).
CONCLUSIONS
This study demonstrates that RTL training via a telementoring approach may be a positive and effective way to train school‐based professionals and improve knowledge and self‐efficacy, especially when attending face‐to‐face trainings are difficult. This model has the potential to produce programmatic and systematic improvements for RTL education. |
|---|---|
| AbstractList | BACKGROUNDReturn to learn (RTL) after mild traumatic brain injury (mTBI) presents unique challenges for school professionals. A multidisciplinary team approach is necessary yet training school professionals is logistically difficult. This paper describes an innovative pilot RTL program and its evaluation.METHODSUtilizing the telehealth/telementoring program Project ECHO® (Extension for Community Healthcare Outcomes), this study utilized a multidisciplinary team of subject matter experts to deliver five 1‐hour sessions across 5 cohorts of school‐based professionals (total of 133 participants). The evaluation used a mixed‐methods approach of post‐session and post‐program participant surveys and post‐program participant focus groups.RESULTSParticipants who completed a post‐program survey reported statistically significant improvements in essential aspects of RTL knowledge and self‐efficacy. This included improvements in how to manage a student with an mTBI (44.8% to 86.9%), benefits of early return to school for students following mTBI (31.8% to 86.9%), and the importance of written RTL policies/procedures (55.1% to 97.1%).CONCLUSIONSThis study demonstrates that RTL training via a telementoring approach may be a positive and effective way to train school‐based professionals and improve knowledge and self‐efficacy, especially when attending face‐to‐face trainings are difficult. This model has the potential to produce programmatic and systematic improvements for RTL education. Background: Return to learn (RTL) after mild traumatic brain injury (mTBI) presents unique challenges for school professionals. A multidisciplinary team approach is necessary yet training school professionals is logistically difficult. This paper describes an innovative pilot RTL program and its evaluation. Methods: Utilizing the telehealth/telementoring program Project ECHO® (Extension for Community Healthcare Outcomes), this study utilized a multidisciplinary team of subject matter experts to deliver five 1-hour sessions across 5 cohorts of school-based professionals (total of 133 participants). The evaluation used a mixed-methods approach of post-session and post-program participant surveys and post-program participant focus groups. Results: Participants who completed a post-program survey reported statistically significant improvements in essential aspects of RTL knowledge and self-efficacy. This included improvements in how to manage a student with an mTBI (44.8% to 86.9%), benefits of early return to school for students following mTBI (31.8% to 86.9%), and the importance of written RTL policies/procedures (55.1% to 97.1%). Conclusions: This study demonstrates that RTL training via a telementoring approach may be a positive and effective way to train school-based professionals and improve knowledge and self-efficacy, especially when attending face-to-face trainings are difficult. This model has the potential to produce programmatic and systematic improvements for RTL education. Return to learn (RTL) after mild traumatic brain injury (mTBI) presents unique challenges for school professionals. A multidisciplinary team approach is necessary yet training school professionals is logistically difficult. This paper describes an innovative pilot RTL program and its evaluation.BACKGROUNDReturn to learn (RTL) after mild traumatic brain injury (mTBI) presents unique challenges for school professionals. A multidisciplinary team approach is necessary yet training school professionals is logistically difficult. This paper describes an innovative pilot RTL program and its evaluation.Utilizing the telehealth/telementoring program Project ECHO® (Extension for Community Healthcare Outcomes), this study utilized a multidisciplinary team of subject matter experts to deliver five 1-hour sessions across 5 cohorts of school-based professionals (total of 133 participants). The evaluation used a mixed-methods approach of post-session and post-program participant surveys and post-program participant focus groups.METHODSUtilizing the telehealth/telementoring program Project ECHO® (Extension for Community Healthcare Outcomes), this study utilized a multidisciplinary team of subject matter experts to deliver five 1-hour sessions across 5 cohorts of school-based professionals (total of 133 participants). The evaluation used a mixed-methods approach of post-session and post-program participant surveys and post-program participant focus groups.Participants who completed a post-program survey reported statistically significant improvements in essential aspects of RTL knowledge and self-efficacy. This included improvements in how to manage a student with an mTBI (44.8% to 86.9%), benefits of early return to school for students following mTBI (31.8% to 86.9%), and the importance of written RTL policies/procedures (55.1% to 97.1%).RESULTSParticipants who completed a post-program survey reported statistically significant improvements in essential aspects of RTL knowledge and self-efficacy. This included improvements in how to manage a student with an mTBI (44.8% to 86.9%), benefits of early return to school for students following mTBI (31.8% to 86.9%), and the importance of written RTL policies/procedures (55.1% to 97.1%).This study demonstrates that RTL training via a telementoring approach may be a positive and effective way to train school-based professionals and improve knowledge and self-efficacy, especially when attending face-to-face trainings are difficult. This model has the potential to produce programmatic and systematic improvements for RTL education.CONCLUSIONSThis study demonstrates that RTL training via a telementoring approach may be a positive and effective way to train school-based professionals and improve knowledge and self-efficacy, especially when attending face-to-face trainings are difficult. This model has the potential to produce programmatic and systematic improvements for RTL education. Return to learn (RTL) after mild traumatic brain injury (mTBI) presents unique challenges for school professionals. A multidisciplinary team approach is necessary yet training school professionals is logistically difficult. This paper describes an innovative pilot RTL program and its evaluation. Utilizing the telehealth/telementoring program Project ECHO® (Extension for Community Healthcare Outcomes), this study utilized a multidisciplinary team of subject matter experts to deliver five 1-hour sessions across 5 cohorts of school-based professionals (total of 133 participants). The evaluation used a mixed-methods approach of post-session and post-program participant surveys and post-program participant focus groups. Participants who completed a post-program survey reported statistically significant improvements in essential aspects of RTL knowledge and self-efficacy. This included improvements in how to manage a student with an mTBI (44.8% to 86.9%), benefits of early return to school for students following mTBI (31.8% to 86.9%), and the importance of written RTL policies/procedures (55.1% to 97.1%). This study demonstrates that RTL training via a telementoring approach may be a positive and effective way to train school-based professionals and improve knowledge and self-efficacy, especially when attending face-to-face trainings are difficult. This model has the potential to produce programmatic and systematic improvements for RTL education. ABSTRACT BACKGROUND Return to learn (RTL) after mild traumatic brain injury (mTBI) presents unique challenges for school professionals. A multidisciplinary team approach is necessary yet training school professionals is logistically difficult. This paper describes an innovative pilot RTL program and its evaluation. METHODS Utilizing the telehealth/telementoring program Project ECHO® (Extension for Community Healthcare Outcomes), this study utilized a multidisciplinary team of subject matter experts to deliver five 1‐hour sessions across 5 cohorts of school‐based professionals (total of 133 participants). The evaluation used a mixed‐methods approach of post‐session and post‐program participant surveys and post‐program participant focus groups. RESULTS Participants who completed a post‐program survey reported statistically significant improvements in essential aspects of RTL knowledge and self‐efficacy. This included improvements in how to manage a student with an mTBI (44.8% to 86.9%), benefits of early return to school for students following mTBI (31.8% to 86.9%), and the importance of written RTL policies/procedures (55.1% to 97.1%). CONCLUSIONS This study demonstrates that RTL training via a telementoring approach may be a positive and effective way to train school‐based professionals and improve knowledge and self‐efficacy, especially when attending face‐to‐face trainings are difficult. This model has the potential to produce programmatic and systematic improvements for RTL education. |
| Author | Radecki, Linda Daugherty, Jill McAvoy, Karen Waltzman, Dana Shah, Amy Emanuel, Anjie Domain, Stephanie Halstead, Mark |
| AuthorAffiliation | 8 Centers for Disease Control and Prevention 4770 Buford Highway Atlanta GA 30341 USA 1 Brain Injury Educational Consulting Colorado LLC 631 Peterson Street Fort Collins CO 80524 USA 7 Centers for Disease Control and Prevention 4770 Buford Highway Atlanta GA 30341 USA 3 RadeckiResearch LLC San Diego CA 92103 USA 5 Child Safety, Health and Wellness American Academy of Pediatrics 345 Park Blvd Itasca IL 60143 USA 6 Child Safety, Health and Wellness American Academy of Pediatrics 345 Park Blvd Itasca IL 60143 USA 2 Departments of Pediatrics and Orthopedic Surgery Washington University 20 Progress Point Parkway, Suite 114 O'Fallon MO 63368 USA 4 ECHO Initiatives American Academy of Pediatrics 345 Park Blvd Itasca IL 60143 USA |
| AuthorAffiliation_xml | – name: 6 Child Safety, Health and Wellness American Academy of Pediatrics 345 Park Blvd Itasca IL 60143 USA – name: 8 Centers for Disease Control and Prevention 4770 Buford Highway Atlanta GA 30341 USA – name: 1 Brain Injury Educational Consulting Colorado LLC 631 Peterson Street Fort Collins CO 80524 USA – name: 3 RadeckiResearch LLC San Diego CA 92103 USA – name: 2 Departments of Pediatrics and Orthopedic Surgery Washington University 20 Progress Point Parkway, Suite 114 O'Fallon MO 63368 USA – name: 4 ECHO Initiatives American Academy of Pediatrics 345 Park Blvd Itasca IL 60143 USA – name: 5 Child Safety, Health and Wellness American Academy of Pediatrics 345 Park Blvd Itasca IL 60143 USA – name: 7 Centers for Disease Control and Prevention 4770 Buford Highway Atlanta GA 30341 USA |
| Author_xml | – sequence: 1 givenname: Karen orcidid: 0000-0002-8584-6181 surname: McAvoy fullname: McAvoy, Karen email: karenmcavoy11@gmail.com organization: Brain Injury Educational Consulting Colorado LLC – sequence: 2 givenname: Mark surname: Halstead fullname: Halstead, Mark email: mehalstead@wustl.edu organization: Washington University – sequence: 3 givenname: Linda surname: Radecki fullname: Radecki, Linda email: radeckiresearch@gmail.com organization: RadeckiResearch LLC – sequence: 4 givenname: Amy surname: Shah fullname: Shah, Amy email: aapecho@aap.org organization: American Academy of Pediatrics – sequence: 5 givenname: Anjie surname: Emanuel fullname: Emanuel, Anjie email: aemanuel@aap.org organization: American Academy of Pediatrics – sequence: 6 givenname: Stephanie surname: Domain fullname: Domain, Stephanie email: sdomain@aap.org organization: American Academy of Pediatrics – sequence: 7 givenname: Jill orcidid: 0000-0001-9277-0712 surname: Daugherty fullname: Daugherty, Jill email: xdu1@cdc.gov organization: Centers for Disease Control and Prevention – sequence: 8 givenname: Dana surname: Waltzman fullname: Waltzman, Dana email: nmc3@cdc.gov organization: Centers for Disease Control and Prevention |
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| Cites_doi | 10.1001/archpediatrics.2011.1082 10.1097/JSM.0000000000000208 10.1177/1059840518818709 10.3109/02699052.2011.557351 10.1542/peds.2013‐2867 10.1111/josh.12510 10.1542/peds.2018‐3074 10.4085/1062-6050-43.3.265 10.1177/1524839916650865 10.1001/jamapediatrics.2018.2853 10.1097/ACM.0b013e31802d8f68 10.4085/1062‐6050‐51.4.02 10.1089/neu.2013.3088 10.1097/HTR.0000000000000396 10.1111/ijcp.12517 10.1542/peds.2014-3434 |
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| Copyright | 2022 The Authors. published by Wiley Periodicals LLC on behalf of American School Health Association. 2022 The Authors. Journal of School Health published by Wiley Periodicals LLC on behalf of American School Health Association. 2022. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
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| Keywords | telementoring mild traumatic brain injury return to play return to learn project ECHO |
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| License | Attribution-NonCommercial-NoDerivs 2022 The Authors. Journal of School Health published by Wiley Periodicals LLC on behalf of American School Health Association. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
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| References_xml | – volume: 51 start-page: 153 issue: 2 year: 2016 end-page: 161 article-title: Examining academic support after concussion for the adolescent student‐athlete: perspectives of the athletic trainer publication-title: J Athl Train – volume: 36 start-page: 265 issue: 4 year: 2020 end-page: 271 article-title: Application of components of the Massachusetts' sports concussion regulations to all students with concussion: a survey of school nurses publication-title: J Sch Nurs – volume: 82 start-page: 154 issue: 2 year: 2007 end-page: 160 article-title: Academic health center management of chronic diseases through knowledge networks: project ECHO publication-title: Acad Med – volume: 31 start-page: 722 issue: 8 year: 2014 end-page: 727 article-title: Prevalence of and risk factors for poor functioning after isolated mild traumatic brain injury in children publication-title: J Neurotrauma – volume: 135 start-page: 1043 issue: 6 year: 2015 end-page: 1050 article-title: Academic effects of concussion in children and adolescents publication-title: Pediatrics – volume: 26 start-page: 115 issue: 2 year: 2016 end-page: 119 article-title: Return to learning after a concussion and compliance with recommendations for cognitive rest publication-title: Clin J Sport Med – volume: 68 start-page: 1286 issue: 11 year: 2014 end-page: 1288 article-title: Principles for return to learn after concussion publication-title: Int J Clin Pract – volume: 132 start-page: 948 issue: 5 year: 2013 end-page: 957 article-title: Returning to learning following a concussion publication-title: Pediatrics – volume: 25 start-page: 401 issue: 4 year: 2011 end-page: 408 article-title: Identifying children and adolescents with cognitive dysfunction following mild traumatic brain injury—preliminary findings on abbreviated neuropsychological testing publication-title: Brain Inj – volume: 16 start-page: 178 issue: S1 year: 2010 article-title: Characterizing post‐concussion exertional effects in the child and adolescent publication-title: J Int Neuropsychol Soc – volume: 87 start-page: 416 issue: 6 year: 2017 end-page: 426 article-title: Strategies to address unmet needs and facilitate return to learn guideline adoption following concussion publication-title: J Sch Health – volume: 34 start-page: E10 issue: 1 year: 2019 end-page: E17 article-title: Return‐to‐learn accommodations and concussion perceptions among Indiana high school principals publication-title: J Head Trauma Rehabil – volume: 18 start-page: 428 issue: 3 year: 2017 end-page: 436 article-title: Examination of teacher knowledge, dissemination preferences, and classroom management of student concussions: implications for return‐to‐learn protocols publication-title: Health Promot Pract – volume: 43 start-page: 265 issue: 3 year: 2008 end-page: 274 article-title: Concussion in sports: postconcussive activity levels, symptoms, and neurocognitive performance publication-title: J Athl Train – volume: 142 issue: 6 year: 2018 article-title: Sport‐related concussion in children and adolescents publication-title: Pediatrics – volume: 166 start-page: 615 issue: 7 year: 2012 end-page: 622 article-title: Reliable change in postconcussive symptoms and its functional consequences among children with mild traumatic brain injury publication-title: Arch Pediatr Adolesc Med – volume: 172 issue: 11 year: 2018 article-title: Centers for disease control and prevention guideline on the diagnosis and management of mild traumatic brain injury among children publication-title: JAMA Pediatr – year: 2013 – ident: e_1_2_6_2_1 doi: 10.1001/archpediatrics.2011.1082 – ident: e_1_2_6_16_1 doi: 10.1097/JSM.0000000000000208 – ident: e_1_2_6_17_1 doi: 10.1177/1059840518818709 – ident: e_1_2_6_3_1 doi: 10.3109/02699052.2011.557351 – ident: e_1_2_6_11_1 doi: 10.1542/peds.2013‐2867 – ident: e_1_2_6_12_1 doi: 10.1111/josh.12510 – ident: e_1_2_6_9_1 doi: 10.1542/peds.2018‐3074 – ident: e_1_2_6_10_1 – ident: e_1_2_6_5_1 doi: 10.4085/1062-6050-43.3.265 – ident: e_1_2_6_13_1 doi: 10.1177/1524839916650865 – ident: e_1_2_6_19_1 doi: 10.1001/jamapediatrics.2018.2853 – ident: e_1_2_6_18_1 doi: 10.1097/ACM.0b013e31802d8f68 – ident: e_1_2_6_15_1 doi: 10.4085/1062‐6050‐51.4.02 – ident: e_1_2_6_7_1 doi: 10.1089/neu.2013.3088 – ident: e_1_2_6_14_1 doi: 10.1097/HTR.0000000000000396 – ident: e_1_2_6_6_1 doi: 10.1111/ijcp.12517 – volume-title: IBM SPSS Statistics for Windows, Version 22.0 year: 2013 ident: e_1_2_6_20_1 – volume: 16 start-page: 178 issue: 1 year: 2010 ident: e_1_2_6_4_1 article-title: Characterizing post‐concussion exertional effects in the child and adolescent publication-title: J Int Neuropsychol Soc – ident: e_1_2_6_8_1 doi: 10.1542/peds.2014-3434 |
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BACKGROUND
Return to learn (RTL) after mild traumatic brain injury (mTBI) presents unique challenges for school professionals. A multidisciplinary... Background: Return to learn (RTL) after mild traumatic brain injury (mTBI) presents unique challenges for school professionals. A multidisciplinary team... Return to learn (RTL) after mild traumatic brain injury (mTBI) presents unique challenges for school professionals. A multidisciplinary team approach is... BACKGROUNDReturn to learn (RTL) after mild traumatic brain injury (mTBI) presents unique challenges for school professionals. A multidisciplinary team approach... |
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| SubjectTerms | Brain Brain Concussion Brain damage Brain injured children Child Childrens health Computer Mediated Communication Efficacy Focus Groups Head Injuries Health care Health services Humans Injuries Knowledge Level Learning Medical technology Mentors mild traumatic brain injury Multidisciplinary teams Neurological Impairments Pediatrics Polls & surveys Professional training Professionals Program Effectiveness Program Evaluation project ECHO Reentry Students return to learn return to play Return to School School Personnel Schools Self Efficacy Students Teachers Telecommunications Telemedicine telementoring Training Transitional Programs Trauma Traumatic brain injury |
| Title | Return to Learn ECHO: Telementoring for School Personnel to Help Children Return to School and Learning After Mild Traumatic Brain Injury |
| URI | https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fjosh.13221 http://eric.ed.gov/ERICWebPortal/detail?accno=EJ1355261 https://www.ncbi.nlm.nih.gov/pubmed/36375807 https://www.proquest.com/docview/2736001920 https://www.proquest.com/docview/2736664807 https://pubmed.ncbi.nlm.nih.gov/PMC9680044 |
| Volume | 92 |
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