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United States Department of Transportation United States Department of Transportation

Evaluation of the Effectiveness of the North American Fatigue Management Program (NAFMP)

Project Goal:

To evaluate the effectiveness of the NAFMP in regard to: 1) educating truck and bus drivers to modify their behaviors to remedy various potential sources of fatigue, and 2) meeting the needs of drivers’ employers.


FMCSA commissioned the Committee on National Statistics, a component of the National Academy of Sciences, to conduct a panel study to identify optimal research and statistical methodologies to better understand driver fatigue.  In its final report, NAS provided FMCSA with specific recommendations for future research. NAS recommendation #13 specifically suggests that the Agency evaluate “the effectiveness of the NAFMP for educating truck and bus drivers in how to modify their behavior to remedy various potential sources of fatigue” and determine “how effective the NAFMP training modules are in meeting the needs of drivers’ employers…”


This joint effort between the National Institute for Occupational Safety and Health (NIOSH) and FMCSA will recruit a sample of large truck and bus drivers who have not completed the driver modules of the NAFMP. Driver health and safety metrics (e.g., sleep amounts/timing; weight; blood pressure; safety-critical events; subjective sleepiness levels; behavioral alertness) will be collected during a baseline phase (i.e., before drivers complete the NAFMP modules). Drivers and their carriers will also complete a baseline survey. Upon completion of the driver modules of the NAFMP, an intervention period will begin. Collection of driver health and safety metrics will continue during and after the intervention phase. Effectiveness will be evaluated by determining if: drivers have improved safety performance, increased sleep levels, decreased fatigue levels, and improved health after completing the NAFMP.


Final report


Completion Status:

October 2018: Kick-off meeting

January 2019: Obtain institutional review board approval

October 2019: Obtain peer and stakeholder review of the protocol

September 2020: Obtain Office of Management and Budget approval

March 2021: Finish data collection

November 2021: Complete data analysis

April 2022: Final report


FY18 Funding: $300,000

FY20 Funding Request: $100,000


Project Manager:

For more information, contact Terri Hallquist of the Research Division at (202) 366-1064 or


Centers for Disease Control and Prevention/National Institute of Occupational Safety and Health


Last updated: Monday, July 27, 2020