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Health Promotion Practice
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The Development and Efficacy of a Theory-Based Educational Curriculum to Promote Self-Regulation Among High-Risk Older Drivers

Beth T. Stalvey, MPH, PhD, CHES

Cynthia Owsley, MSPH, PhD

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.

Key Words: self-regulation • older drivers • driver education • driver safety • health behavior theory

Health Promotion Practice, Vol. 4, No. 2, 109-119 (2003)
DOI: 10.1177/1524839902250757
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This article has been cited by other articles:


Home page
 Public Works Management PolicyHome page
D. W. Eby and L. J. Molnar
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Public Works Management Policy, April 1, 2009; 13(4): 288 - 300.
[Abstract] [PDF]