STARS: strategies to assist navy recruits' success.

The purpose of the Strategies to Assist Navy Recruits' Success (STARS) project, a prospective cluster-randomized intervention trial, was to determine the effects of the BOOT Camp Survival Training for Navy Recruits-A Prescription (BOOT STRAP) mental health intervention on divisions of Navy recruits. A total of 1,199 recruits participated in the study. The intervention was provided weekly during basic training to an entire division. The percentage of recruits separated from the Navy who did not receive the intervention was almost twice as large as compared to the recruits who did receive intervention (10.33% vs. 5.17%; p < 0.05) during surge training. The intervention group recruits developed significantly higher group cohesion, higher scores on problem-solving coping strategies, and higher perceived social support, while reporting lower scores on anger expression coping strategies than the control group recruits. Potential cost savings per year on recruit training were estimated to be $18.6 million. Training facilitators and conducting the group intervention would cost an estimated $1.5 million per year. Building on previous research, the results of this study have the potential to decrease attrition, improve recruit performance levels, and provide a cost-effective method of enhancing recruit retention.

Psychosocial effects of the BOOT STRAP intervention in Navy recruits.

The purpose of this prospective study was to investigate the effects of the Boot Camp Survival Training for Navy Re cruits--A Prescription (BOOT STRAP) intervention on stress depression, situational events, interpersonal factors, and recruit training performance. Divisions of Navy recruits were randomly selected and 801 recruits participated for the 9 weeks of their training. Recruits "at risk" for depression were randomly assigned to the intervention or nonintervention groups, and the remaining recruits served as the comparison group. The at-risk recruits who received the BOOT STRAP intervention significantly increased their sense of belonging, experienced less loneliness, used more problem-solving coping skills, and decreased insecure attachment by the end of recruit training. Percentages of recruits in the study success fully completing basic training were 84% of the comparison group, 86% of the intervention group, and only 74% of the nonintervention group. Results suggest that the BOOT STRAP intervention improves recruit functioning, strengthens train ing performance, helps reduce attrition, and may have impor tant implications for stress and depression interventions.

Factors associated with depression in navy recruits.

The age of onset for depression is decreasing and seems to be linked with major life events. This study examined predisposing and concomitant factors related to Navy recruit basic training, and consisted of 443 recruits (200 with depressive symptoms and 243 matched comparison subjects). Two hypotheses were proposed, and both were supported by results of the study. Depressed recruits were more likely to be separated from the Navy and not complete training. They had significantly more predisposing factors than comparison recruits including family history of mental illness, family history of alcohol abuse, and history of psychiatric problems. They also had significantly more concomitant factors such as higher levels of stress, more loneliness, more life-change events, lower sense of belonging, more emotion-oriented coping, and less task-oriented coping. Although the study examined Navy recruits, the findings are applicable to depression in young people. This study adds to understanding the role of life stressors, interpersonal functioning, and development of depressive symptoms.