were analyzed using regression analysis. Results indicate that men who score higher on measures of gender role conflict and traditional masculinity ideology tend to have more negative attitudes toward psychological help seeking. Attitudes toward seeking psychological help are more closely related to traditional masculinity ideology than to gender role conflict. Older men tend to have more positive attitudes toward psychological help seeking. Limitations of this study and implications for practice and research are discussed.

Among OEF/OIF Veterans, epilepsy was associated with previous TBI diagnosis, with pTBI having the strongest association. Because war-related epilepsy in Vietnam War Veterans with TBI continued 35 years postwar, a detailed, prospective study is needed to understand the relationship between epilepsy and TBI severity in OEF/OIF Veterans.

No abstract

Among U.S. Air Force remotely piloted aircraft, the MQ-1 Predator and MQ-9 Reaper have emerged as critical assets to intelligence, surveillance, reconnaissance, and close air support operations. The effective selection of Predator/Reaper pilot training candidates for such aircraft is essential to successful training and operational performance. However, a profile of "the right stuff" (i.e., cognitive aptitudes, personality traits, and motivation) guiding aeromedical flight screening and selection processes for such pilots does not exist. This study addresses the gap in the literature by formulating such a profile based upon the input of line commanders and subject matter experts (SMEs). A total of 82 SMEs provided input on the psychological attributes perceived as critical to acquisition of Predator/Reaper pilot skills, as well as adaptation to the operational environment. The researchers analyzed, organized, and integrated the results of SME interviews in to a theoretical, multidimensional profile, which serves as a communication tool between aeromedical leadership and line commanders regarding psychological attributes that should be considered prior to a Predator/Reaper pilot training applicant entering the career field. The profile may also guide aeromedical and personnel assessment and selection procedures, as well as waiver evaluations to reduce attrition, and improve retention in such a high-demand, high-operational aviation career field. 15. SUBJECT TERMS Remotely piloted aircraft, pilot selection, cognitive aptitude, critical psychological attributes 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT SAR 18. NUMBER OF PAGES 43 19a. NAME OF RESPONSIBLE PERSON

BackgroundTo address the growing problem of epilepsy among aging Veterans and younger Veterans who have experienced a traumatic brain injury (TBI), the Veterans Health Administration (VA) has implemented 16 Epilepsy Centers of Excellence (ECOE) to assure increased access to high quality of care for Veterans with epilepsy. Each ECOE consists of a network of regional hubs to which spoke facilities refer Veterans for subspecialty treatment. The ECOEs are expected to improve access to and quality of epilepsy care through patient care, consultation and education. This study aims to: evaluate the effectiveness of the ECOE structure by describing changes in the quality of and access to care for epilepsy before and after the ECOE initiative using QUality Indicators in Epilepsy Treatment (QUIET Indicators); describe associations between changes in the structure and processes of care and Relational Coordination (RC), a model of task-oriented communication that has been shown to play a role in implementation science; and determine if variations in care are related to levels of RC.MethodsThis four-year comparative case study uses a mixed-methods approach. We will use VA inpatient, outpatient, pharmacy, and chart abstraction data to identify changes in the quality of and access to epilepsy care in the VA between Fiscal Year 2008 and Fiscal Year 2014. Qualitative and survey methods will be used to identify changes in the structure and processes of epilepsy care and RC over the course of the study. We will then link data from the first two objectives to determine the extent to which quality of and access to epilepsy care is associated with RC using multivariable models.DiscussionThis innovative study has the potential to improve understanding of hub-and-spoke model effectiveness, VA epilepsy care, and models of epilepsy specialty care more globally. Moreover, it contributes to implementation science by advancing understanding of the role of RC in the context of a major transformation in the structure of care delivery in a national integrated healthcare system.