title: The development and efficacy of a theory-based educational curriculum to promote self-regulation among high-risk older drivers.
abstract: Knowledge Enhances Your Safety (KEYS) is a curriculum developed for older drivers who maintain driving privileges while coping with visual limitations that increase crash risk. KEYS' goal is to promote safe driving through self-awareness of vision impairment and adopting self-regulatory strategies. We discuss KEYS' theoretical framework based on the tenants of the Social Cognitive Theory, Health Belief and Transtheoretical Models, and Principles of Self-Regulation and Regulatory Self-Efficacy. Baseline and 6-month posttest evaluations tested its efficacy in terms of theoretical construct outcomes. KEYS' participants improved self-perceptions of vision impairment, perceived a greater number of benefits in the performance of self-regulatory behaviors, and moved closer to the preparation and action/maintenance stages of change. Results indicate that high-risk older drivers benefit from educational interventions that promote self-awareness and self-regulation of driving. Future work will evaluate KEYS' efficacy for high-risk older drivers in promoting driver behavior changes and its impact on crash involvement.
authors: Office of Aging Policy and Information, Texas Department on Aging, Austin, Texas, USA.
authors: Beth T
authors: BT
authors: Stalvey
authors: Cynthia
authors: C
authors: Owsley
mesh_terms: D000063:Accidents, Traffic / Q000517:prevention & control / Q000523:psychology; D000368:Aged; D000407:Alabama; D001334:Automobile Driving / Q000523:psychology*; D001364:Awareness; D003479:Curriculum; D006266:Health Education / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008875:Middle Aged; D016730:Program Development; D015397:Program Evaluation; D020377:Self Efficacy; D012919:Social Behavior; D014786:Vision Disorders / Q000145:classification* / Q000523:psychology; D014792:Visual Acuity / Q000502:physiology