Managing concussions in New Zealand secondary schools: Let's take it seriously.

Introduction: Concussion can cause lasting cognitive, physical, and emotional challenges, impacting academic performance. New Zealand secondary schools lack sufficient knowledge and resources to support affected students. We co-designed and implemented the Framework for Management of Concussion in N...

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Publicado en:Brain Injury Vol. 40; no. 10; pp. 874 - 886
Autores principales: Skilton, Debbie, Zoellner, Anja, Badenhorst, Marelise, Mossman, Kate, Salmon, Danielle, Keung, Sierra, Thompson, Kylie, Lucas, Patricia, Walters, Simon, Sole, Gisela
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Aug2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2026
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      pub: Taylor & Francis Ltd
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        10.1080/02699052.2026.2683510
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        atl: Managing concussions in New Zealand secondary schools: Let's take it seriously.
      aug:
        au:
          Skilton, Debbie
          Zoellner, Anja
          Badenhorst, Marelise
          Mossman, Kate
          Salmon, Danielle
          Keung, Sierra
          Thompson, Kylie
          Lucas, Patricia
          Walters, Simon
          Sole, Gisela
        affil: Sports Performance Research Institute New Zealand, School of Sport, Exercise and Health, Auckland University of Technology, Auckland, New Zealand
      sug:
        subj:
          Brain Concussion Psychosocial Factors
          Schools, Secondary
          Implementation Science
          Human
          New Zealand
          Students, High School Psychosocial Factors
          Parents Psychosocial Factors
          Health Personnel Psychosocial Factors
          Focus Groups
          Qualitative Studies
          Thematic Analysis
          Sports Re-Entry
          Semi-Structured Interview
          Rehabilitation, Athletic
          Conceptual Framework
          Descriptive Research
          Data Analysis Software
          Brain Injuries
          Adolescence
          Funding Source
          Adolescent: 13-18 years
      ab: Introduction: Concussion can cause lasting cognitive, physical, and emotional challenges, impacting academic performance. New Zealand secondary schools lack sufficient knowledge and resources to support affected students. We co-designed and implemented the Framework for Management of Concussion in New Zealand Secondary Schools (FRANCS). Aim: To explore experiences and perceptions of school stakeholders during 2 years of FRANCS implementation. Methods: Sixty-nine participants from 12 schools (students, parents, staff, and healthcare providers) took part in semi-structured interviews or focus groups. Data were analyzed using framework analysis to identify themes. Results: Four themes were developed: (1) Flexibility of implementation – friend or foe; (2) Owning the process; (3) The process is too onerous; and (4) External context and confounders. Conclusion: FRANCS' flexibility enabled some schools to adapt and integrate it into existing communication pathways, supporting students' return-to-learn. Others faced challenges, resource limitations, and low engagement. Effective implementation requires initial external support to tailor FRANCS to school contexts, establish communication and monitoring systems, and embed return-to-learn processes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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