High school principals' resources, knowledge, and practices regarding the returning student with concussion

Area of Science:

• Neuroscience
• Sports Medicine
• Public Health

Background:

• Concussion management in schools is complex.
• Effective return-to-school strategies require clear protocols and resources.
• Understanding school principal perspectives is crucial for improving care.

Purpose of the Study:

• To assess high school principals' self-reported resources, knowledge, and practices for managing students returning to school after a concussion.
• To identify disparities in concussion management strategies within schools.

Main Methods:

• A cross-sectional survey was administered to public high school principals in Ohio.
• The survey collected data on principal demographics, concussion training, school resources, and management practices.
• Statistical analysis compared outcomes based on training and resource availability.

Main Results:

• Over one-third of principals had concussion training; trained principals were more likely to promote faculty training.
• Schools without a designated concussion case manager were less likely to have an athletic trainer.
• Most principals offered academic accommodations, but few provided written plans; communication with health professionals varied for athletes versus non-athletes.

Conclusions:

• Significant variation exists in school resources and concussion management strategies.
• Identifying these differences can help health professionals address barriers in managing student concussion.
• Enhanced support and standardized protocols are needed for optimal student recovery.