HPP Final Project
HPP Final Project
Table of Contents
Problem Statement………………………………………………………………… 3
Mission Statement…………………………………………………………………. 4
Program Goal……………………………………………………………………… 4
Program Objective………………………………………………………………… 4
Introduction……………………………………………………………………….. 5
Epidemiological Assessment……………………………………………………… 6
Behavioral Assessment……………………………………………………………. 9
Behavioral Objectives…………………………………………………………….. 11
Environmental Assessment………………………………………………………. 12
Resource Objectives……………………………………………………………… 14
Educational Assessment………………………………………………………….. 15
Learning Objectives………………………………………………………………. 17
Educational Strategy……………………………………………………………… 18
Informative Lunch & Learn C.A.R.E Lecture………………………… 19
Educational Panel of mTBI/concussion survivors…………………….. 20
Brain Injury Awareness Month Tabling……………………………….. 21
Administrative Assessment……………………………………………………… 22
Budget……………………………………………………………………………. 24
Evaluation Measures…………………………………………………………… 27
Pre/Post Knowledge Survey…………………………………………………….. 28
Marketing………………………………………………………………………… 29
Planning Commitee……………………………………………………………… 31
References…………………………………………………………………………33
3
Problem Statement
The number of college and university students who are presenting with a concussion and
not receiving classroom accommodations has continued to increase in recent years. According to
Ahmed and Hall (2017), a concussion is a form of traumatic brain injury that is resulted from a
mild to severe blow or violent shaking of the head that can cause cognitive impairment,
dizziness, headaches, and nausea. It is reported that 1.7-3 million sport and recreational-related
concussions occur annually, in conjunction with other causes of traumatic brain injury reported
as motor vehicle crashes, falls, being struck by an object, self-harm, and assault (Centers for
Disease Control and Prevention, 2019; University of Pittsburgh Medical Center, 2022).
According to Tanabe et al. (2021), college students have reported more dysfunction academically
with a concussion than with a musculoskeletal injury, such as breaking an arm or spraining an
ankle. The consequences of not receiving academic accommodations have indicated that as many
as 45% of concussed students may be resuming the classroom too soon and resulting in
worsening of concussion symptoms (Bevilacqua et al., 2019). In fact, many students return to
academics before full symptom recovery. The cognitive demands of academics have the potential
performance and a significant lowering of their GPA (Walter et al., 2020). When academic
faculty and staff at the University of Lynchburg are informed on how to provide academic
accommodations and identify students who have suffered a concussion, this group of vulnerable
students will be effectively supported and have greater success rates and outcomes than if they
Mission Statement
The mission of the CARE: Concussion Awareness and Resource Events is to educate faculty
and academic staff at the University of Lynchburg about the repercussions of not accommodating
students who have suffered a concussion or moderate head injury. Faculty members and
academic staff that are proficient in this area will foster supportive relationships between
students and academic faculty and staff, as well as boost student retention and success in the
classroom.
Program Goal
Program Objective
1. By the academic year of 2025, two-thirds of the faculty and academic staff will report
feeling more willing and capable of accommodating students who suffer from a
2. By the academic year 2026, at least half of the students who have a reported concussion
will be able to state that their symptoms were reduced due to accommodations provided
in the classroom.
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Introduction
In recent years, there has been an increasing number of reported concussions among
college students, with few resources available for them when they are returning to the classroom
and resuming their normal academic activities. Many faculty and academic staff are unaware of
the role they play in the recovery process of a student who has suffered from a concussion, and
the University of Lynchburg currently has no return-to-learn protocols to take place for a student
with a concussion. The primary aim of the "CARE: Concussion Awareness and Resource
Event" is to educate faculty and academic staff about the seriousness of concussions in the
epidemiology, behavior, the environment, and educational factors are some of the considerations
that have played a role in the creation of this program. Increasing the ability to support students
in the classroom after a concussion diagnosis will promote positive working relationships
between students and faculty, as well as advance and promote the accessibility of and use of
Concussions have attracted the attention of today's culture because of the rapid
discoveries of harmful consequences they put on brain maturation in the young adult population.
Ahmed and Hall (2017) define a concussion as a form of traumatic brain injury that is resulted
from a mild to severe blow or violent shaking of the head that can cause cognitive impairment,
dizziness, headaches, and nausea. Concussions in particular are a concern among the
college-aged population because of the various ways students have reported receiving one. In
fact, 1.7-3 million sport and recreational-related concussions occur annually, in conjunction with
other causes of traumatic brain injury reported as motor vehicle crashes, falls, being struck by an
object, self-harm, and assault (Centers for Disease Control and Prevention, 2019; University of
Results from a longitudinal cohort research study from 2016 to 2018, revealed an average
of 132 students per 10,000 college students suffered from a concussion (Breck et al., 2019).
Concussion rates in college students are estimated to be significantly higher due to high rates of
concussion nondisclosure among college students. The incidence and recurrence rates of reported
concussions among college students are rising, and the consequences of not receiving academic
accommodations result in worse student retention, a higher likelihood of dropping out, and a
It has been reported that 25% of patients experience chronic neuropsychiatric symptoms,
including mental illnesses such as depression and anxiety which can last for years after an
accident, and even longer if the person has multiple concussions (Fralick et al, 2018). The longer
these symptoms go untreated, the higher the potential risk for Alzheimer's, dementia, and chronic
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affects the brain due to head impacts and leads to premature death and even suicide.
Concussions are typically a concern in athletes who are more prone due to the contact
sport they may be involved in, but non-athletic students reported more concussions than
student-athletes, indicating that sport-related concussions are not the only type a person can
suffer from (Breck et al, 2020). As far as social costs in higher education settings, according to
Tanabe et al. (2021), college students have reported more dysfunction academically with a
concussion than with a musculoskeletal injury, such as breaking an arm or spraining an ankle.
The consequences of not receiving academic accommodations have indicated that as many as
45% of concussed students may be resuming the classroom too soon and resulting in worsening
of concussion symptoms (Bevilacqua et al., 2019). In fact, many students return to academics
before full symptom recovery, and the cognitive demands of academics have the potential to
information in the literature indicating the average cost of a head-related concussion injury in
college students. However, Yengo-Kahn et al. (2020) studied 144 male high school football
players in a retrospective cohort study, and overall expenditures were $115,000 for each
participant who had a confirmed concussion, including a direct healthcare cost of $800.10 per
participant. This high cost is sometimes a significant barrier for college students seeking
Due to the impact, concussions have on the neurological system and capacity to function,
students who suffer from a concussion are at a higher risk of acquiring mental diseases, dropping
out of university, and failing their classes. Considering all of this, a health promotion program
directed at faculty and staff in charge of engaging with and accommodating concussed students
Behavioral Assessment
Behaviors currently occurring by University of Lynchburg faculty and staff can result in
worse outcomes for the concussed student population. Two of the largest are the faculty and
academic staff not providing academic accommodations nor providing an inclusive learning
environment for the student who has sustained a concussion. According to Bevilacqua et al.
(2019), “behaviors such as minimizing music, getting more sleep, introducing more physical
activity, drinking more water and overall time since injury appeared to help resolve the
concussion symptoms” (p. 2). While those are behaviors beneficial to the student who is
suffering, faculty and academic staff play a vital role in the recovery process through their
behaviors that can either negate or improve the outcome of the concussed student.
Behaviors that increase the support for students who have a concussion include
implementing accommodations and showing compassion for those students suffering. The U.S.
Air Force Academy recognizes the dangers and has thus created strict return-to-learn protocols
because their cadets are much more prone to concussions due to the rigor of their physical
education (Johnson et al., 2018). Some examples of these accommodations include “modifying
dimmer exam room, limited computer use, excused absences, schedule changes, and even
dropping a class that induces concussion symptoms” (Johnson et al., 2018, p. 20). Not only does
the U.S. Air Force Academy promote these accommodations, but they also have different stages
a cadet must get through in order to return to normal academic activities (Johnson et al., 2018).
The above accommodations are a reliable reference and have the potential to be crafted for the
University of Lynchburg faculty to support their students with a concussion. They are affordable
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and non-time-consuming and are shown to be extremely beneficial to a student suffering from a
concussion.
more patients reported changes in school performance, indicating the need for improved
communication between patients and providers to aid the return-to-school process” (Bacon et al.,
2017, p. 1) This improved communication between the health center on campus and academic
staff members could improve the outcomes to students. Currently, there are few to no times when
a faculty or academic staff member would interact with the Health Center when it comes to
advocating for a student with a concussion. This improved communication between the health
center on campus and academic staff members could improve the outcomes for students. This
negative behavior is a lack of communication between not only the student and faculty or
academic staff but also with the student’s entire recovery team.
Overall, the behaviors of the University of Lynchburg faculty could be improved upon
when it comes to supporting students suffering. The specific behaviors include meeting with
concussed students more regularly than their non-concussed students, offering empathy and
compassion for their diagnosis, and respecting and accommodating academically the student who
has suffered a concussion, whether they have medical documentation or not. These behaviors
start with those who are inflicted, the students, and also the faculty and academic staff who are
Behavioral Objectives
1. By the spring semester of 2024, increase the amount of faculty and academic staff who
excused absences, and reducing the stimulation in the classroom for students suffering
2. By the end of the seminar and lecture series intervention, half of the faculty and academic
staff participants will report feeling more compassionate towards students suffering from
3. By the spring semester of 2024, at least half of the faculty and academic staff who
participated in the CARE program will report providing academic accommodations for
Environmental Assessment
At the University of Lynchburg, there is a lack of environmental support for students who
are diagnosed with concussions when returning to regular academic activities. Settings, where
these detrimental environmental habits are occurring, include the classroom, in the university
health center, and in educational meetings with a student and staff members. There are currently
no protocols or guidelines listed on the website of the Center for Accessibility and Disability
Resources, leaving faculty and academic staff with little guidance when it comes to supporting
students in the classroom. In addition, in a study on peer mentoring after a concussion diagnosis,
O’Brien et al. (2021) stated that disability resource centers at universities are restricted in the
assistance they can provide these students as they return to class since temporary disabilities
lasting less than six months are not protected by the Americans with Disabilities Act (ADA). As
a result of this, there are no standardized protocols for when a college student presents with one,
thus encouraging unhelpful behaviors toward students suffering. An example of guidelines that
could be given to faculty and academic staff include return-to-learn guidelines, specifically for
college-aged students as they require academic accommodations in different ways than in K-12
settings. The idea of “return-to-learn” was first introduced by a researcher in 2010 who
discovered a disparity in “return-to-play” protocols (Holmes et al., 2020, p. 1). Furthermore, the
great disparity in reported concussions each year is related to the culture surrounding reporting a
diagnosis, and students who suffer from a concussion generally do not identify or realize they are
When university students do suffer a concussion, they frequently lack universal health
insurance, which may necessitate paying out of pocket for follow-up visits or referrals to
off-campus health clinics that may provide specialist treatment. This barrier makes it extremely
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difficult for a college student who is typically busy with school, jobs, or extracurricular activities
to get the additional healthcare they may require for their recovery. Faculty and academic staff
have more cognitive expectations than in K-12 settings, which implies that the perception could
be even worse for professors in higher education because college students are frequently
expected to seek resources on their own. The current environment is encouraging negative
that only athletes suffer from concussions, and a belief that academic staff and faculty play no
especially for students who are not athletes (Holmes et al., 2020). This leaves that population
even more vulnerable because they do not have coaches or athletic trainers advocating for their
needs, and are most often on their own. Additionally, it is reported that a majority of academic
faculty and staff report requiring medical documentation to receive academic accommodations in
the classroom, even though empathy toward students' suffering has been shown to improve the
from a concussion, but in the case of a student suffering from a concussion, a stimulating
classroom environment leads to worse outcomes where it is hard to recover (Johnson et al.,
2018).
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Resource Objectives
1. By the fall of 2023, increase the number of resources available to faculty and academic
2. By the spring of 2024, the University of Lynchburg policy will be changed to where
faculty and academic staff does not have to require medical documentation in order to
3. By the spring of 2024, the implementation of a healthcare-ride system will occur at the
Educational Assessment
comes down to the faculty and academic staff who will be providing academic accommodations
to students who are suffering. Unfortunately in many instances, faculty and academic staff may
not perceive concussion training as important in their job description nor do they believe it is
affecting their students at the rates the literature states (Hildenbrand et al., 2018). It is also
reported that a majority of academic faculty and staff require medical documentation to receive
accommodations in the classroom, even though empathy toward students' suffering has been
shown to improve the outcomes of students with a concussion (Bevilacqua et al, 2021). This lack
students who have faculty or academic staff that are unaware of the guidelines to take when
students present with a concussion. There is a clear lack of knowledge and awareness on campus
when in regard to concussions and their consequences on campus. According to the existing
research, academic staff and faculty should be more knowledgeable about concussions, aware of
their effects, sensitive to the suffering of students, and able to deliver effective academic
One of the most critical aspects that faculty and academic staff should know about the
consequences of not providing academic accommodations for concussed students is that they can
lead to poorer academic and health outcomes in the longer term. These consequences include
worse student retention (a significant lowering of their GPA), a higher likelihood of dropping
out, and a general reduction in the student's quality of life (Walter et al., 2020). The role that
faculty and academic staff play is vital in stepping in and advocating for this student population
that requires academic accommodations to be successful, but if faculty and academic staff do not
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believe they have a role in the healing process, that stumps the entire process and leaves the
student to fend for resources on their own. Faculty and academic staff need to specifically be
more aware of the resources available on campus for students suffering from a concussion, be
able to recognize their symptoms and formulate a plan with a student on the most helpful
discovered a disparity in “return-to-play” protocols (Holmes et al., 2020, p. 1). Return to learn is
following their concussion diagnosis, where return to play focuses on an athlete's gradual return
to a sporting activity safely after full recovery. Return-to-learn strategies are much more
advanced in the K-12 setting due to more resources as well as the requirement to support
students under the age of 18. College students have a much different environment, and are often
left to fend for resources themselves and also have a much higher cognitive demand.
stimulating lights and sounds during teaching, closing blinds in bright classrooms, and offering
al., 2018). Academic faculty and staff are the main providers of academic support for the student
population, and to cultivate a safe and understanding learning environment, being more
knowledgeable on concussion accommodations and symptoms would allow for this student
Learning Objectives
1. By the end of the seminar and educational panel implemented on campus, at least 2 out of
3 of the participants will be able to name 2 harmful consequences for concussed students
2. By the end of the student and faculty education panel, at least half of the participants will
report a more compassionate and empathetic attitude towards students suffering from a
3. By the end of the intervention that is implemented on campus, at least 2 out of 3 of the
participants will be able to name 2 beneficial academic accommodations for students with
a concussion.
4. By the end of the seminar and educational panel implemented on campus, at least half of
Educational Strategy
The “CARE: Concussion Awareness and Resource Event” has multiple activities and
1. Informative Lunch & Learn C.A.R.E Lecture, Friday, August 18th, 2023, West Room
success in college
educate faculty and staff on the role they play. Additionally, there are
students suffering from a concussion that faculty and staff could be more aware
of. Many of the accommodations that have been best for students suffering from a
(2018), the U.S. Air Force Academy recognizes the dangers and has thus created
strict return-to-learn protocols because their cadets are much more prone to
concussions due to the rigor of their physical education. Just some examples of
limited computer use, excused absences, schedule changes, and even dropping a
implementation study using a concussion training program, such as the one being
suggested for faculty and academic staff, Finn (2020) found that campus faculty
and staff became more aware and knowledgeable regarding concussions after
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being trained, and would even be more open to working with a student on the
pre and post-knowledge test after the lecture in order to measure their differences
before and after. Participants will be required to RSVP to this event so the proper
a. Primary data and stories of those who have suffered a concussion in college, and
share what helped them the most. This intervention proposes highlighting actual
administrators who have suffered from a concussion and are willing to share their
stories with faculty and academic staff who are willing to participate. This panel
would be done in the West Room of Drysdale, with 5 speakers who agree to share
a. This intervention will take place during a week of Brain Injury Awareness Month
b. Will have tables set up either on the DELL in Friendship Circle or across from the
dining hall in Drysdale. Will have copies of the infographic listed above, as well
c. Use the puzzle intervention, where someone has 2-3 minutes to solve a small
puzzle that actually has a combination of puzzle pieces to show that someone who
has a concussion has a very difficult time organizing their thoughts, daily life, and
Currently, available resources which will be useful in achieving the objectives of the “CARE:
1. The University of Lynchburg faculty and academic staff are willing to facilitate
program.
facilities (Hall Campus Center Ballroom & classrooms) for the “CARE:
3. Volunteer athletes and previously concussed individuals and faculty from the
resources for those suffering, and more awareness on campus for those who have
sustained a concussion.
4. Existing art supplies, and audio-visual equipment for any additional program
“CARE: Concussion Awareness and Resource Events” program, and (b) purchase
Three of the most difficult barriers blocking the successful implementation of the “CARE:
Concussion Awareness and Resource Events” program are the widely-held belief by faculty and
academic staff that concussions are only effecting athletes on campus, so little support will be
provided by faculty and academic staff who have a student who is not an athlete. If faculty and
academic staff are informed and aware of the continuous amount of concussions that occur
among those who are not athletes, they will have a better understanding and play a major part in
an ideal recovery process model for their students. There are also currently no guidelines or
protocols available for faculty and academic staff to be prepared in the event a student comes to
them with a concussion. In addition, program planners should encourage faculty, academic staff,
and students to attend the “CARE: Concussion Awareness and Resource Events” and at every
opportunity establish a frequent pattern of communication via regularly scheduled meetings and
mailings regarding the “CARE: Concussion Awareness and Resource Events” program’s goals
and objectives as well as a post-panel feedback report in order to prepare for the next one.
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Gifts $100
Grants $1,000
$1,200
(Printing Services)
$1,100
Balance $100
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This budget summarizes the start-up and operating expenses for the “CARE: Concussion
Awareness and Resource Events” program. The budget is based on an estimated 20-30 faculty
1. Personnel – Most of the panel for the “CARE: Concussion Awareness and
investment in personnel for the program is the least costly expense, and personnel
have to be printed, collated, and stapled for take-home packets for those who
$150.
catering services here at the University of Lynchburg, which will cost $150 for
Lunch will be ordered and provided for the “Informative Lunch & Learn C.A.R.E
Lecture” by ordering from Panera, where RSVP’d guests will be able to request
their order. $400 will be allocated for this particular food-centered event.
4. Other – 5 goodie bags of a gift card to mission house coffee, stress ball, thank
you card, and the University of Lynchburg key chain will need to be purchased by
the program organizer for use as incentives and a thank you for participating for
Funding will be provided primarily by the program organizer through fundraising, as well as an
educational grant given out by the Department of Education for the “CARE: Concussion
Evaluation
Measures to determine the success of the “CARE: Concussion Awareness and Resource
1. For the program objective, the number of visits to the Center for Accessibility and
Disability Resources during the spring of 2023 compared to the spring of 2024.
2. For behavioral objective #1, a self-report survey to determine the number of faculty and
academic staff providing accommodations for students with a concussion during the
3. For behavioral objective #2, a self-report survey determining the number of students at
the University of Lynchburg feeling comfortable with their accommodations using the
1. As a faculty or academic staff member at the University of Lynchburg, will you still
a. Yes
b. No
b. Enforcing deadlines
e. Excused absences
3. Have you ever offered academic accommodations for a student with a concussion before?
a. Yes
b. No
4. What do you hope to gain from this Lecture/What did you learn from this lecture?
Marketing
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Planning Committee
Dr. Tom Bowman (Influencer) Dr. Bowman’s role in this committee will be
Professor of Athletic Training to provide insight from an athletic trainer, as
well as give the accommodations that are the
most effective for students' success.
Dr. Rebekkah McLellan (Doer) Dr. McLellan will serve the committee as
Assistant Professor of Public Health and having years of prior background knowledge
Health Promotion and expertise on concussions, as well as
providing a neurodiverse perspective, and is a
survivor of multiple head traumas as a
student. She has a background in program
implementation and public health
evidence-based practice.
student life.
Dr. Robert L. Canida Dr. Canida is the current Vice President for
Vice President for Inclusive Excellence Inclusive Excellence at the University of
Lynchburg and brings expertise in planning a
program that makes sure we are being as
inclusive as possible in the language we use.
Not to mention that it brings a person of color
to the committee, which is my commitment to
including all diverse backgrounds in this
initiative.
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References
Ahmed, O., & Hall, E. (2017). “It was only a mild concussion”: Exploring the description of
sports concussion in online news articles. Physical Therapy in Sport, 23, 7-13.
https://doi.org/https://doi.org/10.1016/j.ptsp.2016.07.003
Bacon, W., Williams, R., Johnson, R., & McLeod, T. (2017). The use of academic adjustments
following concussion among adolescent athletes. Journal of Athletic Training, 52(6), 173.
https://ezproxy.lynchburg.edu/login?url=https://www-proquest-com.ezproxy.lynchburg.ed
u/scholarly-journals/use-academic-adjustments-following-concussion/docview/19145664
46/se-2?accountid=12198
Bevilacqua, Z., Kerby, M., Fletcher, D., Chen, Z., Merritt, B., Huibregtse, M., & Kawata, K.
https://doi.org/10.2217/cnc-2019-0004
Bevilacqua, Z., Cothran, D., Rettke, D., Koceja, D., Laird, T. & Kawata, K. (2021). Educator
https://doi.org/10.1136/bmjopen-2020-044487
Breck, J., Bohr, A., Poddar, S., McQueen, M. & Casault, T. (2019). Characteristics and incidence
Centers for Disease Control and Prevention. (2019). TBI-related emergency department (ED)
visits. https://www.cdc.gov/traumaticbraininjury/data/tbi-ed-visits_1_1.html
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Finn, C. (2020). Effects of a faculty training program on knowledge and awareness of student
453-460. https://doi.org/10.1080/07448481.2020.1754220
Fralick, M., Sy, E., Hassan, A., Burke, M., Mostofsky, E. & Karsies, T. (2018). Association of
concussion with the risk of suicide: A systematic review and meta-analysis. Journal of
https://doi.org/10.1001/jamaneurol.2018.3487
Hildenbrand, K., Richards, K., & Wright, P. (2018). Physical education teachers’ awareness and
Holmes, A., Chen, Z., Yahng, L., Fletcher, D., & Kawata, K. (2020). Return to learn: Academic
8, 1-6. https://doi.org/10.3389/fped.2020.00057
Johnson, B., McGinty, G., Jackson, J., Ramsey, T., Hjalber, M., Hill, T., & D'Lauro, C. (2018).
O’Brien, K., Wallace, T., & Kemp, A. (2021). Student perspectives on the role of peer support
Tanabe, K. O., Hayden, M. E., Rege, S., Simmons, J., & Holstege, C. P. (2021, October). Risk
https://www.upmc.com/services/sports-medicine/services/concussion/about/facts-statistic
Walter, A., Kaschak, C., Sebastianelli, W., Arnett, P., & Slobounov, S. (2020). Concussion in
https://doi.org/10.1177/2059700220972584
Yengo-Kahn, A., Kelly, P., Liles, D., McKeithan, L., Grisham, C., Khan, M., Lee, T., Kuhn, A.,
Bonfield, C. & Zuckerman, S. (2020). The cost of a single concussion in American high
https://doi.org/10.2217/cnc-2020-0012