TY  - JOUR
PY  - 2020//
TI  - The impact of NORTH STAR on suicidality, substance problems, intimate partner violence, and child abuse
JO  - Military medicine
A1  - Smith Slep, Amy M.
A1  - Heyman, Richard E.
A1  - Lorber, Michael F.
A1  - Linkh, David J.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 0026-4075
UR  - http://dx.doi.org/10.1093/milmed/usaa380
ID  - ref1
ER  -