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BACKGROUND: Students with intellectual and developmental disabilities (IDD) and the staff who support them were largely in‐person during the 2021‐2022 school year, despite their continued vulnerability to infection with SARS‐CoV‐2. This qualitative study aimed to understand continued perceptions of weekly SARS‐CoV‐2 screening testing of students and staff amidst increased availability of vaccinations. METHODS: Twenty‐three focus groups were held with school staff and parents of children with IDD to examine the perceptions of COVID‐19 during the 2021‐2022 school year. Responses were analyzed using a directed thematic content analysis approach. RESULTS: Four principal themes were identified: strengths and opportunities of school‐ and district‐level mitigation policies; experience at school with the return to in‐person learning; facilitators and barriers to participation in SARS‐CoV‐2 screening testing; and perceptions of SARS‐CoV‐2 testing in light of vaccine availability. IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: Despite the increased availability of vaccines, school staff and families agreed that saliva‐based SARS‐CoV‐2 screening testing helped increase comfort with in‐person learning as long as the virus was present in the community. CONCLUSION: To keep children with IDD in school during the pandemic, families found SARS‐CoV‐2 screening testing important. Clearly communicating school policies and mitigation strategies facilitated peace of mind and confidence in the school district. [ABSTRACT FROM AUTHOR]

• Brachial plexus injury (BPI) patients express variable degrees of participation during their recovery. • Uncertainty is frustrating to BPI patients. • Many BPI patients feel left out of the decision-making process. Given the modest functional outcomes seen after surgical reconstruction and subsequent therapy, increasing attention is being directed to patient satisfaction and psychological aspects of recovery after brachial plexus injury (BPI). To better understand the recovery course after surgical reconstruction for BPI, we used qualitative interviews and focused on common points of frustration for patients. Qualitative, interpretive description study We conducted semi-structured interviews with BPI patients who were 6+ months post-surgical reconstruction. The interview focused on the patients' experience with BPI, focusing on emotional aspects of recovery. Interviews were transcribed and independently coded by 2 researchers. We used inductive and deductive analysis to organize codes into themes. Once thematic saturation was reached, no additional interviews were conducted. We interviewed 15 BPI patients at median 13 months after surgery (range: 6-43 months). Our analysis revealed: (1) BPI patients expressed variable degrees of participation during recovery, with the indeterminate state of function making it difficult to adjust to life after BPI. (2) The uncertainty while waiting for improved function is frustrating to BPI patients, with many patients expressing concern for activities and moments they are missing due to injury. (3) While many BPI patients feel left out of decision-making, those who felt engaged in the process expressed less frustration and more acceptance of their status. Traumatic BPI patients those who felt engaged in decision-making were more receptive to adjustment to their new state of function. When coordinating multidisciplinary care, measures to encourage patients to feel agency over their outcome and to develop self-management skills have the potential to improve patient satisfaction. [ABSTRACT FROM AUTHOR]