Examining the association between clinical tests and simulated driving performance in long-haul truck drivers

Our study highlights the critical role of visual search, processing speed, and divided attention on driving performance, and the significant impact of environmental factors (e.g., lighting; weather; traffic) on the occurrence of specific driving errors and crashes. The integration of cognitive assessments (e.g., UFOV; TMTB) should be considered for inclusion as part of the mandatory medical examinations to ensure LHTD can safely operate their commercial motor vehicle.