{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T03:38:35Z","timestamp":1788579515209,"version":"build-2803163510"},"reference-count":19,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100005622","name":"Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005622","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000090","name":"Congressionally Directed Medical Research Programs","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000090","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006190","name":"Research and Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006190","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Blast overpressure exposure and mild traumatic brain injury (mTBI) remain important concerns within Warfighter Brain Health efforts, yet practical gaps persist in symptom recognition, education, and care navigation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An anonymous web-based survey of U.S. Special Operations Forces (SOF)-affiliated stakeholders was conducted from approximately 15 April to 15 June 2025 (N\u202f=\u202f64). Items addressed community issues, symptom priorities, publication audiences, tool priorities, and preferred online formats. Analyses were descriptive; ranking items were additionally summarized using a secondary weighted priority score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Respondents most often endorsed medical knowledge deficits, limited access to specialized care, and difficulty obtaining timely blast- or mild-TBI-related information. Weighted descriptive rank aggregation supported high priority for attention\/concentration and decision-making changes, depressed mood and isolation, and suicidal thoughts and behaviors. Clinicians and medics were the leading dissemination audiences, and self-administered neurocognitive baseline, symptom monitoring, and event\/exposure tracking tools were the leading tool priorities. Brief videos and personal testimonials were the most preferred online formats.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>In this convenience sample, findings support actionable priorities focused on strengthening clinical competency, improving information accessibility, and developing tools for assessment, tracking, and symptom management, supporting Department of Defense brain health objectives.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1815983","type":"journal-article","created":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T04:52:42Z","timestamp":1779339162000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Stakeholder-informed priorities for process improvement in Warfighter Brain Health efforts"],"prefix":"10.3389","volume":"14","author":[{"given":"Rebecca A.","family":"Ivory","sequence":"first","affiliation":[{"name":"School of Nursing, Emory University","place":["Atlanta, GA, United States"]},{"name":"School of Nursing, University of Delaware","place":["Newark, DE, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricky","family":"Ditzel","sequence":"additional","affiliation":[{"name":"Rush University School of Medicine","place":["Chicago, IL, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James S.","family":"Meabon","sequence":"additional","affiliation":[{"name":"VA Northwest Mental Illness Research Education and Clinical Center (MIRECC), VA Puget Sound Health Care System","place":["Seattle, WA, United States"]},{"name":"Department of Psychiatry, School of Medicine, University of Washington","place":["Seattle, WA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,21]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"720","DOI":"10.1097\/JXX.0000000000000532","article-title":"US Department of defense warfighter brain health initiative: maximizing performance on and off the battlefield","volume":"32","author":"Lee","year":"2020","journal-title":"J Am Assoc Nurse Pract"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"628782","DOI":"10.3389\/fneur.2021.628782","article-title":"Potential health and performance effects of high-level and low-level blast: a scoping review of two decades of research","volume":"12","author":"Belding","year":"2021","journal-title":"Front Neurol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e2069","DOI":"10.1093\/milmed\/usae082","article-title":"Cumulative blast impulse is predictive for changes in chronic neurobehavioral symptoms following low-level blast exposure during military training","volume":"189","author":"McEvoy","year":"2024","journal-title":"Mil Med"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.3390\/ijms26051808","article-title":"Repetitive low-level blast exposure alters circulating myeloperoxidase, matrix metalloproteinases, and neurovascular endothelial molecules in experienced military breachers","volume":"26","author":"Rhind","year":"2025","journal-title":"Int J Mol Sci"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1391","DOI":"10.1089\/neu.2022.0030","article-title":"Long-term effects of repeated blast exposure in United States special operations forces personnel: a pilot study protocol","volume":"39","author":"Edlow","year":"2022","journal-title":"J Neurotrauma"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"942","DOI":"10.1089\/neu.2023.0309","article-title":"Neurological effects of repeated blast exposure in special operations personnel","volume":"41","author":"Stone","year":"2024","journal-title":"J Neurotrauma"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"949","DOI":"10.3389\/fneur.2019.00949","article-title":"Neurocognitive performance deficits related to immediate and acute blast overpressure exposure","volume":"10","author":"LaValle","year":"2019","journal-title":"Front Neurol"},{"key":"ref8","volume-title":"DoD Policy Guidance for Management of mild Traumatic brain Injury\/Concussion in the Deployed Setting","author":"Conaton","year":"2021"},{"key":"ref9","volume-title":"The Management and Rehabilitation of Post-Acute Mild Traumatic Brain Injury Work Group. 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