Evaluating the Effectiveness of NORTH STAR: a Community-Based Framework to Reduce Adult Substance Misuse, Intimate Partner Violence, Child Abuse, Suicidality, and Cumulative Risk

Amy M.Smith Slep, Richard E. Heyman, Michael F. Lorber, Katherine J.W. Baucom, David J. Linkh

Research output: Contribution to journalArticle

Abstract

We evaluated the effectiveness of NORTH STAR, a community assessment, planning, and action framework to reduce the prevalence of several secretive adult problems (hazardous drinking, controlled prescription drug misuse, suicidality, and clinically significant intimate partner violence and child abuse [both emotional and physical]) as well as cumulative risk. One-third of US Air Force (AF) bases worldwide were randomly assigned to NORTH STAR (n = 12) or an assessment-and-feedback-only condition (n = 12). Two AF-wide, cross-sectional, anonymous, web-based surveys were conducted of randomly selected samples assessing risk/protective factors and outcomes. Process data regarding attitudes, context, and implementation factors were also collected from Community Action Team members. Analyzed at the level of individuals, NORTH STAR significantly reduced intimate partner emotional abuse, child physical abuse, and suicidality, at sites with supportive conditions for community prevention (i.e., moderation effects). 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 framework for the prevention of a range of adult behavioral health problems that are difficult to impact.

Original languageEnglish (US)
Pages (from-to)949-959
Number of pages11
JournalPrevention Science
Volume21
Issue number7
DOIs
StatePublished - Oct 1 2020

Keywords

  • Child abuse
  • Community
  • Hazardous drinking
  • Intimate partner violence
  • Military
  • Prevention
  • Suicide

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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