@article{ref1,
title="The impact of NORTH STAR on suicidality, substance problems, intimate partner violence, and child abuse",
journal="Military medicine",
year="2020",
author="Smith Slep, Amy M. and Heyman, Richard E. and Lorber, Michael F. and Linkh, David J.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: We evaluated the effectiveness of New Orientation for Reducing Threats to Health from Secretive-problems That Affect Readiness (NORTH STAR), a community assessment, planning, and action framework to reduce the prevalence of suicidality, substance problems, intimate partner violence, and child abuse.   MATERIALS AND METHODS: One-third of U.S. Air Force bases worldwide were randomly assigned to NORTH STAR (n = 12) or an assessment-and-feedback-only condition (n = 12). Two Air Force-wide, cross-sectional, anonymous, web-based surveys were conducted of randomly selected samples assessing risk/protective factors and outcomes. This study was reviewed and approved by the institutional review board at the investigators' university and by the institutional review board at Fort Detrick.   RESULTS: NORTH STAR, relative to control, bases experienced a 33% absolute risk reduction in hazardous drinking rates and cumulative risk, although, given the small number of bases, these effects were not statistically significant.   CONCLUSIONS: Given its relatively low cost, use of empirically supported light-touch interventions, and emphasis on sustainability with existing resources, NORTH STAR may be a useful system for prevention of a range of adult behavioral health problems that are difficult to impact.<p /> <p>Language: en</p>",
language="en",
issn="0026-4075",
doi="10.1093/milmed/usaa380",
url="http://dx.doi.org/10.1093/milmed/usaa380"
}