{"id":"https://openalex.org/W7225239168","doi":"https://doi.org/10.31234/osf.io/4gbke","title":"Objective Neurocognitive Assessment of Stress and Recovery in Military Personnel: The NPRO-8 MIL Two-Tier Screening Framework","display_name":"Objective Neurocognitive Assessment of Stress and Recovery in Military Personnel: The NPRO-8 MIL Two-Tier Screening Framework","publication_year":2026,"publication_date":"2026-11-04","ids":{"openalex":"https://openalex.org/W7225239168","doi":"https://doi.org/10.31234/osf.io/4gbke"},"language":"en","primary_location":{"id":"doi:10.31234/osf.io/4gbke","doi":"https://doi.org/10.31234/osf.io/4gbke","is_oa":true,"landing_page_url":"https://doi.org/10.31234/osf.io/4gbke","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},"volume":null,"type":"preprint","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.31234/osf.io/4gbke","any_repository_has_fulltext":null},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5028287370","display_name":"Jerome I. Rotgans","orcid":"https://orcid.org/0000-0003-4043-8261","observed_orcids":["https://orcid.org/0000-0003-4043-8261"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Jerome I. Rotgans","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0003-4043-8261","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5028287370"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12138","display_name":"Occupational Health and Performance","score":0.5303000211715698,"subfield":{"id":"https://openalex.org/subfields/3609","display_name":"Occupational Therapy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12138","display_name":"Occupational Health and Performance","score":0.5303000211715698,"subfield":{"id":"https://openalex.org/subfields/3609","display_name":"Occupational Therapy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10977","display_name":"Optical Imaging and Spectroscopy Techniques","score":0.23999999463558197,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11373","display_name":"Sleep and Work-Related Fatigue","score":0.062300000339746475,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C172467417","wikidata":"https://www.wikidata.org/wiki/Q1670397","display_name":"Neurocognitive","level":3,"score":0.7347000241279602},{"id":"https://openalex.org/C2780451532","wikidata":"https://www.wikidata.org/wiki/Q759676","display_name":"Task (project management)","level":2,"score":0.5569999814033508},{"id":"https://openalex.org/C2164484","wikidata":"https://www.wikidata.org/wiki/Q5170150","display_name":"Core (optical fiber)","level":2,"score":0.5331000089645386},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.5074999928474426},{"id":"https://openalex.org/C2779072820","wikidata":"https://www.wikidata.org/wiki/Q47064","display_name":"Military personnel","level":2,"score":0.42570000886917114},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.41600000858306885},{"id":"https://openalex.org/C81917197","wikidata":"https://www.wikidata.org/wiki/Q628760","display_name":"Selection (genetic algorithm)","level":2,"score":0.4083999991416931},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.352400004863739},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.3522000014781952},{"id":"https://openalex.org/C14564219","wikidata":"https://www.wikidata.org/wiki/Q383646","display_name":"Social cognitive theory","level":2,"score":0.35190001130104065},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.336899995803833},{"id":"https://openalex.org/C175154964","wikidata":"https://www.wikidata.org/wiki/Q380077","display_name":"Task analysis","level":3,"score":0.3271999955177307},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.3188999891281128},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.3100000023841858},{"id":"https://openalex.org/C21036866","wikidata":"https://www.wikidata.org/wiki/Q181767","display_name":"Stress (linguistics)","level":2,"score":0.3012000024318695},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.27459999918937683},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.2734000086784363},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.2732999920845032},{"id":"https://openalex.org/C7515471","wikidata":"https://www.wikidata.org/wiki/Q1936882","display_name":"Stress testing (software)","level":2,"score":0.26429998874664307},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.26330000162124634},{"id":"https://openalex.org/C139807058","wikidata":"https://www.wikidata.org/wiki/Q352374","display_name":"Adaptation (eye)","level":2,"score":0.2623000144958496},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.2524999976158142},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.251800000667572}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.31234/osf.io/4gbke","doi":"https://doi.org/10.31234/osf.io/4gbke","is_oa":true,"landing_page_url":"https://doi.org/10.31234/osf.io/4gbke","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.31234/osf.io/4gbke","doi":"https://doi.org/10.31234/osf.io/4gbke","is_oa":true,"landing_page_url":"https://doi.org/10.31234/osf.io/4gbke","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"Prolonged":[0],"military":[1,136,155],"deployments":[2],"expose":[3],"personnel":[4],"to":[5,56,61,149,188],"sustained":[6],"vigilance,":[7],"disrupted":[8],"sleep,":[9],"uncertainty,":[10],"repeatedhigh-consequence":[11],"decisions,":[12],"separation":[13],"from":[14],"social":[15],"support,":[16],"and":[17,27,41,103,124,139,179],"restricted":[18],"opportunities":[19],"for":[20],"recovery.":[21],"Militaryorganizations":[22],"routinely":[23],"monitor":[24],"physical":[25],"fitness":[26],"medical":[28],"readiness,":[29],"but":[30],"stress-related":[31],"neurocognitivefunctioning":[32],"remains":[33],"assessed":[34],"primarily":[35],"through":[36,113],"self-report,":[37],"observation,":[38],"performance":[39],"outcomes,":[40],"clinicalcontact.":[42],"These":[43,127],"sources":[44],"are":[45,186],"indispensable,":[46],"yet":[47],"they":[48],"may":[49],"not":[50,201],"reveal":[51],"the":[52,59,74,189],"physiological":[53],"effort":[54],"required":[55],"maintainperformance":[57],"or":[58,183,205],"capacity":[60],"recover":[62],"after":[63],"cognitive":[64,91],"demand.":[65],"This":[66],"paper":[67],"introduces":[68],"NPRO-8":[69,75,80,108,168,191],"MIL,":[70],"a":[71,153,196,202],"militaryadaptation":[72],"of":[73,152],"Core":[76,109],"mental-fitness":[77],"screening":[78,164,197],"framework.":[79,190],"MIL":[81,169,192],"combines":[82],"behavioral":[83],"performancewith":[84],"functional":[85],"near-infrared":[86],"spectroscopy":[87],"during":[88],"five":[89],"structured":[90],"task":[92],"modules.":[93],"Eight":[94],"NeuroProbes":[95],"informthree":[96],"higher-order":[97],"pillars:":[98],"Stress":[99],"Load,":[100],"Recovery":[101],"Capacity,":[102],"Functional":[104],"Impact.":[105],"The":[106],"underlying":[107],"hascompleted":[110],"internal":[111],"validation":[112],"178":[114],"deterministic":[115],"tests,":[116],"32,000":[117],"Monte":[118],"Carlo":[119],"examinations,":[120],"50,850":[121],"repeatedrobustness":[122],"classifications,":[123],"parameter-sensitivity":[125],"analyses.":[126],"findings":[128],"establish":[129],"computational":[130],"coherenceand":[131],"predictable":[132],"behavior,":[133],"while":[134],"prospective":[135],"reliability,":[137],"external-validity,":[138],"predictive-validity":[140],"studiesremain":[141],"necessary.":[142],"Because":[143],"fNIRS":[144],"cannot":[145],"feasibly":[146],"be":[147],"administered":[148],"every":[150],"member":[151],"large":[154],"population,":[156],"atwo-tier":[157],"pathway":[158],"is":[159,193],"proposed:":[160],"brief":[161],"population-level":[162],"digital":[163],"followed":[165],"by":[166],"targeted":[167],"assessment.Ethical":[170],"safeguards":[171],"addressing":[172],"voluntariness,":[173],"privacy,":[174],"command":[175],"access,":[176],"purpose":[177],"limitation,":[178],"protection":[180],"fromunauthorized":[181],"selection":[182],"disciplinary":[184],"use":[185],"integral":[187],"presented":[194],"as":[195],"andlongitudinal":[198],"monitoring":[199],"approach,":[200],"psychiatric":[203],"diagnostic":[204],"autonomous":[206],"fitness-for-duty":[207],"instrument.":[208]},"counts_by_year":[],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2026-11-05T00:00:00"}