Effect of RISE Bundle implementation on school adoption of a student-centered return-to-learn program in Washington state

Aspen Avery; Julian Takagi-Stewart; Qian Qiu; Erik B Philipson; Megan Moore; Emily Kroshus; Bryan J Weiner; Janessa M Graves; Ann Glang; Thomas Jinguji; David B Coppel; Manrita Sidhu; Monica S Vavilala

doi:10.3233/NRE-220200

Effect of RISE Bundle implementation on school adoption of a student-centered return-to-learn program in Washington state

NeuroRehabilitation. 2023;52(4):641-650. doi: 10.3233/NRE-220200.

Authors

Aspen Avery^{1

2}, Julian Takagi-Stewart^{1

2}, Qian Qiu^{1

3}, Erik B Philipson^{1

2}, Megan Moore^{1

4}, Emily Kroshus^{1

3}, Bryan J Weiner⁵, Janessa M Graves^{1

6}, Ann Glang⁷, Thomas Jinguji³, David B Coppel⁸, Manrita Sidhu^{9

10}, Monica S Vavilala^{1

2}

Affiliations

¹ Harborview Injury Prevention and Research Center, University of Washington, Seattle, WA, USA.
² Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA.
³ School of Social Work, University of Washington, Seattle, WA, USA.
⁴ Department of Pediatrics, University of Washington, Seattle, WA, USA.
⁵ Department of Global Health, University of Washington, Seattle, WA, USA.
⁶ College of Nursing, Washington State University, Spokane, WA, USA.
⁷ Department of Psychology, University of Oregon, Eugene, OR, USA.
⁸ Department of Neurological Surgery, University of Washington, Seattle, WA, USA.
⁹ foundry10, Seattle, WA, USA.
¹⁰ Radia, Seattle, WA, USA.

PMID: 37125566
DOI: 10.3233/NRE-220200

Abstract

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.

Keywords: Youth concussion; return to learn; traumatic brain injury.

MeSH terms

Brain Concussion*
Humans
Learning
Schools
Students
Washington