Design, Development, and Evaluation of Truck and Bus Driver Wellness Programs

NHTSA · 2000 · ROSA P / United States. Department of Transportation. Federal Motor Carrier Safety Administration

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Summary

This paper summarizes a research project conducted by the Federal Motor Carrier Safety Administration (FMCSA) to design, develop, and evaluate a model wellness program for commercial motor vehicle (CMV) drivers. The initiative was motivated by the need to address industry challenges regarding driver safety, performance, job satisfaction, and competition. Prior literature reviews and a survey of 448 long-haul drivers identified key health concerns, including lack of exercise, poor diet, fatigue, stress, and weight issues, while noting that most companies lacked existing wellness programs. The resulting program, titled "Gettin’ in Gear," was designed to provide basic health and fitness information to improve driver well-being and safety. The methodology involved a collaborative development process with CMV drivers and industry personnel, followed by a six-month pilot test. One hundred and twenty-eight participants received introductory packages containing brochures, videos, audio tapes, and notebooks. The core intervention lasted four months, during which participants received mailed materials addressing four topics: healthy eating ("Refueling"), relationships ("Relating"), exercise ("Rejuvenating"), and stress management ("Relaxing"). Participants also had access to personal coaching via email or phone and gym memberships. Health assessments, including lifestyle questionnaires and physical risk factor tests (blood pressure, heart rate, fitness levels), were conducted at the beginning and end of the study. Although only 54 of the 128 participants completed the follow-up assessment, analysis confirmed that those who returned were not significantly healthier at baseline than those who did not, mitigating selection bias concerns. The findings demonstrated a positive health impact on the 54 participants who completed the study. Lifestyle habit data showed statistically significant improvements in "Rejuvenating" (exercise) and "Refueling" (diet), with the greatest gains occurring in areas where drivers initially scored lowest. Physical risk factor measurements revealed statistically significant improvements in six of ten areas: body mass index, pulse, diastolic blood pressure, aerobic fitness, strength fitness, and flexibility. Aerobic fitness showed the most substantial improvement. Participants rated the overall program highly (4.65 out of 5), with 96% reporting that it helped them. Drivers particularly valued the health assessments and audio materials, though some found written worksheets time-consuming. All participants indicated they would recommend the program to peers. The significance of this study lies in its validation of a structured wellness intervention for truck and bus drivers, demonstrating measurable improvements in both lifestyle behaviors and physical health metrics. The report provides recommendations for implementing the program, including procedures for conducting health assessments by laypersons when professionals are unavailable. It also outlines marketing strategies to encourage adoption by company decision-makers, emphasizing the connection between driver health and operational safety. The study serves as a resource for the trucking industry to implement effective wellness programs that benefit individual drivers, companies, and overall road safety.

Key finding

Participants in the wellness program showed statistically significant improvements in aerobic fitness, strength, flexibility, BMI, pulse, and diastolic blood pressure after four months of intervention.

Methodology

field_study

Sample size: 128

Provenance

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clean success 1 2026-06-01
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enrich success 1 2026-05-23
promote success 1 2026-05-23
summarize success llm qwen3.6-27b-prismaquant summ-v5 3 2026-06-10
tag success vector_similarity 19 2026-06-11
verify success 2 2026-06-10

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