1 / 15

KEYS Knowledge Enhances Your Safety

KEYS Knowledge Enhances Your Safety. Clinical Research Unit Department of Ophthalmology University of Alabama at Birmingham. Beth Stalvey, MPH, PhD, CHES. Target: High-Risk Older Drivers. Crash Involved Visually Impaired Legally Licensed High Driving Exposure. Curriculum.

duard
Télécharger la présentation

KEYS Knowledge Enhances Your Safety

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. KEYS Knowledge Enhances Your Safety Clinical Research Unit Department of Ophthalmology University of Alabama at Birmingham Beth Stalvey, MPH, PhD, CHES

  2. Target: High-Risk Older Drivers • Crash Involved • Visually Impaired • Legally Licensed • High Driving Exposure

  3. Curriculum

  4. Delivery • One-on-One • Eye Care Clinic • Tailored to Individual • Visual Function • Driving Habits • Theory Based

  5. 1) Informational Component: Visual Function and Impact on Driving • Visual Acuity • Contrast Sensitivity • Depth Perception • Peripheral Vision • Visual Processing • Objective Assessment (Exam; Screening)

  6. Skill-Building: Hazard Avoidance and Self-Regulation Driving Hazard Alternative Strategy Night Rain Interstate Left-Turn High-Traffic Rush-Hour Driving Alone Day No Rain Access Road 3 Right-Turns; Arrow Less Traveled Routes Off-Peak Hours Driving Companion

  7. Confidence Building and Behavior Change • Vicarious Learning (Driving Scenes) • Goal Setting (Signed Contract) • Vicarious Experience (Testimonial) • Self-Efficacy (Homework) • Self-Assessment; Driving Diary • Booster • Skill Review; Verbal Reinforcement

  8. Evaluation

  9. Study Design Usual Eye Care Control R A N D Post -Test Comprehensive O Assessment Baseline Eye M 6, 12, 18, 24 Assessment I months Exam Z E Educational D Intervention + Usual Eye Care 2 Sessions

  10. Outcomes At six-month post-test, those who participated in education session reported significantly • Greater level of perceived vision impairment and understanding of impact on driving • Higher number of perceived benefits to self-regulation and hazard avoidance • Greater readiness to make driving behavior change

  11. Driving Exposure 300 7 p=0.02 6 p=0.01 250 5 Usual Care 200 Usual Care 4 150 Intervention 3 100 Intervention 2 50 1 0 0 Miles Per Week Places Per Week

  12. Driving Exposure p<0.0001 p<0.0001 Intervention Intervention Usual Care Usual Care Hazard Avoidance Self-Regulation

  13. Crash Involvement

  14. Summary • Education Changes in knowledge and perceptions • Driver Performance Reduction in driving exposure Increased self-regulation • Safety Similar crash rates

  15. Crash Rate as Safety Outcome • Sufficient Power to evaluate • Length of evaluation period • Fault of driver Self-Awareness Motivation Skill Self-Regulation Confidence ? Safety Knowledge

More Related