Understanding Factors Underlying Fatigue among Collegiate Aviation Pilots in the United States
Abstract
:1. Introduction
1.1. Research Problem
1.2. Research Objectives
- Assessing the relationships between measurement items that underlie factors within the dimension of fatigue in collegiate aviation.
- Understanding the strength of relationships between three measured constructs (causes of fatigue, reported fatigue symptoms, and lifestyle choices among collegiate aviation pilots) and the overarching dimension of fatigue in collegiate aviation operations.
- Examining the variations in responses and perceptions by surveying items based on demographics (Academic Level, Pilot Certification, and Gender) and their effect on the measured constructs underlying fatigue in collegiate aviation operations.
2. Fatigue and Aviation Safety
2.1. Fatigue Research in a Collegiate Aviation Environment
2.2. Research Questions and Hypothesis
- What is the effectiveness of proposed measurement models of factors underlying the dimension of fatigue in collegiate aviation?
- What is the strength of relationships between the three underlying factors and the overarching dimension of Fatigue?
- What are the variations in mean scores of demographic group perceptions of factors that underlie fatigue in collegiate aviation?
3. Materials and Methods
3.1. Participants
3.2. Research Instrument
3.3. Data Analysis
4. Results
4.1. Demographics
4.2. Research Question One
4.3. Research Question Two
4.4. Research Question Three
4.4.1. Academic Enrolment Status
4.4.2. Flight Certificate
4.4.3. Gender
5. Discussion and Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Appendix A. Collegiate Aviation Fatigue Inventory-II (CAFI-II)
- Demographics
- Age:
- Gender:
- Enrolment status:
- Highest Certificate Held:
- Approximate total logged flight time:
- Institution
- Fatigue Awareness
Never | Rarely | Sometimes | Often | Always | |
I have struggled to stay awake during a flight. | |||||
I have remarked (out loud or to myself) about how tired I was but proceeded with the flight anyway. | |||||
I have overlooked mistakes during a flight because of reduced judgment caused by fatigue. | |||||
I have felt disinterest during flight activities because I was fatigued. | |||||
I have not given my best effort due to fatigue. | |||||
I have made mistakes during flight activities because I was fatigued. | |||||
I have felt heightened irritation during a flight because I was fatigued. | |||||
My abilities to carry out tasks requiring concentration have been decreased due to fatigue. |
- What symptoms cause you to realize you are fatigued?
- Causes of Fatigue
Never | Rarely | Sometimes | Often | Always | |
Flying during night (sunset through sunrise). | |||||
Flying a long cross-country (2.5 h or over). | |||||
Working a long day. | |||||
Stress caused by family or other psychological conditions. | |||||
Poor scheduling of flight lessons (e.g., too early, too late, or too many). | |||||
Poor scheduling of academic classes. | |||||
Lack health or fitness. | |||||
Personal activities or other commitments (e.g., 2nd job). | |||||
Academic activities (e.g., midterms, student organizations, etc.). | |||||
Quality of sleep (restlessness or interrupted sleep). | |||||
Not of enough sleep. |
- Please comment on other factors that contributed to fatigue:
- Lifestyle
Strongly Disagree | Disagree | Neutral | Agree | Strongly Agree | |
I have a healthy academic and life balance. | |||||
I regularly exercise. | |||||
I maintain a healthy diet. | |||||
I am good at workload management. | |||||
I am good at stress management. | |||||
I get adequate sleep every night (quantity and quality). | |||||
I prepare well to get adequate sleep (i.e., limit electronic device use, caffeine, disruptions, noise, etc.) |
- In your experience what are the most significant factors that inhibit your quality/quantity of sleep?
- Personal Solutions
- Reduced workload
- Scheduled breaks
- More sleep
- Efficiency in scheduling of classes and flight activities
- Management of sleep preparation
- Self-awareness of fitness to fly
- Guaranteed rest for a given amount of flying time
- Physical exercise
- Healthy eating habits
- Better management of non-work issues
Never | Rarely | Sometimes | Often | Always | |
Fatigue impacts my flight activities. |
Fully alert | Very lively but not at peak | Ok, somewhat fresh | A little tired, less than fresh | Moderately tired, let down | Extremely tired, very difficult to concentrate | Completely exhausted, unable to function effectively | |
Early morning (6am–9am) | |||||||
Morning (9am–noon) | |||||||
Early afternoon (noon–3pm) | |||||||
Afternoon/early evening (3pm–6pm) | |||||||
Evening (6pm–9pm) | |||||||
Night (9pm–6am) |
Appendix B
Iteration | Chi Square (χ2) | NFI | IFI | TLI | CFI | RMSEA |
---|---|---|---|---|---|---|
Model 1 | χ2 (299, n = 422) = 1466.465; CMIN/DF = 4.905, p = 0.000 | 0.681 | 0.728 | 0.703 | 0.727 | 0.096 (0.091–0.101) |
Model II | χ2 (290, n = 422) = 1115.220, p = 0.000, CMIN/DF = 3.846 | 0.757 | 0.808 | 0.783 | 0.807 | 0.082 (0.077–0.087) |
Model III | χ2 (287, n =422) = 1002.132, p = 0.000 CMIN/DF = 3.492 | 0.782 | 0.834 | 0.810 | 0.833 | 0.077 (0.072–0.082) |
Model IV | χ2 (138, n = 422) = 431.237; CMIN/DF = 3.125, p = 0.000 | 0.836 | 0.882 | 0.834 | 0.880 | 0.071 (0.064–0.079) |
Model V | χ2 (143, n =422) = 360.470, p = 0.000 CMIN/DF = 2.521 | 0.890 | 0.930 | 0.916 | 0.930 | 0.060 (0.052–0.068) |
Model VI | χ2 (141, n =422) = 350.112, p = 0.000 CMIN/DF = 2.483 | 0.893 | 0.933 | 0.915 | 0.932 | 0.059 (0.052–0.069) |
Model VII | χ2 (141, n =422) = 322.316, p = 0.000 CMIN/DF = 2.286 | 0.887 | 0.933 | 0.908 | 0.932 | 0.055 (0.047–0.063) |
Model VIII | χ2 (141, n = 373) = 281.668; p = 0.000 CMIN/DF = 2.086 | 0.893 | 0.941 | 0.918 | 0.940 | 0.051 (0.042–0.067) |
Construct/Factor | Cronbach’s Alpha | Composite Reliability (CR) | Average Variance Extracted (AVE) | Square Root of AVE |
---|---|---|---|---|
Lifestyle (3 items) | 0.701 | 0.698 | 0.51 | 0.71 |
Causes (8 Items) | 0.846 | 0.843 | 0.50 | 0.70 |
Awareness (8 Items) | 0.880 | 0.878 | 0.60 | 0.77 |
Lifestyle | Causes | Awareness | |
---|---|---|---|
Lifestyle | 0.71 | ||
Causes | −0.23 ** | 0.70 | |
Awareness | −0.21 ** | 0.66 ** | 0.77 |
Hypotheses | Standardized Weight (β) | Squared Multiple Correlations (R2) | Hypotheses |
---|---|---|---|
H1 | −0.20 *** | 0.04 | Accept |
H2 | 0.93 *** | 0.87 | Accept |
H3 | 0.71 *** | 0.50 | Accept |
References
- Sieberichs, S.; Kluge, A. Effects of in-flight countermeasures to mitigate fatigue risks in aviation. Aviat. Psychol. Appl. Hum. Factors 2018, 8, 86–92. [Google Scholar] [CrossRef]
- International Civil Aviation Organization (ICAO). Measuring Fatigue. 2012. Available online: https://www.icao.int/safety/fatiguemanagement/FRMSBangkok/4.%20Measuring%20Fatigue.pdf (accessed on 31 May 2022).
- National Transportation Safety Board (NTSB). Reduce Fatigue Related Accidents-Aviation. 2020. Available online: https://ntsb.gov/safety/mwl/Pages/mwlfs-19-20/mwl2-fsa.aspx (accessed on 31 May 2022).
- Federal Aviation Administration. Pilot’s Handbook of Aeronautical Knowledge (FAA AC 120-115). 2016. Available online: https://www.faa.gov/regulations_policies/handbooks_manuals/aviation/phak/ (accessed on 31 May 2022).
- International Civil Aviation Organization (ICAO). Manual for the Oversight of Fatigue Management Approaches (Doc 9966). 2016. Available online: https://www.icao.int/safety/fatiguemanagement/FRMS%20Tools/Doc%209966.FRMS.2016%20Edition.en.pdf (accessed on 31 May 2022).
- Federal Aviation Administration. Maintainer Fatigue Risk Management (FAA-H-8083-25B). 2016. Available online: https://www.faa.gov/documentlibrary/media/advisory_circular/ac_120-115.pdf (accessed on 31 May 2022).
- Federal Aviation Administration (FAA). Fact Sheet-Pilot Fatigue. 2010. Available online: https://www.faa.gov/news/fact_sheets/news_story.cfm?newsId=11857 (accessed on 31 May 2022).
- Federal Aviation Administration (FAA). Flight Attendant Fatigue Recommendation II: Flight Attendant Work/Rest Patterns, Alertness, and Performance Assessment. 2010. Available online: https://www.faa.gov/data_research/research/med_humanfacs/oamtechreports/2010s/media/201022.pdf (accessed on 31 May 2022).
- Federal Aviation Administration. Basics of Aviation Fatigue (FAA AC 120-100). 2010. Available online: https://www.faa.gov/documentLibrary/media/Advisory_Circular/AC%20120-100.pdf (accessed on 31 May 2022).
- Federal Aviation Administration. Fatigue Risk Management Systems for Aviation Safety (AC No: 120-103A). 2013. Available online: https://www.faa.gov/documentLibrary/media/Advisory_Circular/AC_120-103A.pdf (accessed on 31 May 2022).
- Federal Aviation Administration. Risk Management Handbook (FAA-H-8083-2). 2008. Available online: https://www.faa.gov/regulations_policies/handbooks_manuals/aviation/media/faa-h-8083-2.pdf (accessed on 31 May 2022).
- Federal Aviation Administration. Commercial Pilot-Airplane Certification Standards. 2019. Available online: https://www.faa.gov/training_testing/testing/acs/media/commercial_airplane_acs_change_1.pdf (accessed on 31 May 2022).
- Electronic Code of Federal Regulations. Title 14, Chapter I, Subchapter G, Part 117. 2020. Available online: https://gov.ecfr.io/cgi-bin/text-idx?SID=cc48e562bfb79d04a4fc01b0714d7675&mc=true&node=pt14.3.117&rgn=div5#se14.3.117_111 (accessed on 31 May 2022).
- Electronic Code of Federal Regulations. Title 14, Chapter I, Subchapter D, Part 61, Subpart H, 61.195. 2020. Available online: https://gov.ecfr.io/cgi-bin/retrieveECFR?gp=1&SID=cc48e562bfb79d04a4fc01b0714d7675&ty=HTML&h=L&mc=true&r=SECTION&n=se14.2.61_1195 (accessed on 31 May 2022).
- Barger, L.K.; Runyon, M.S.; Renn, M.L.; Moore, C.G.; Weiss, P.M.; Condle, J.P.; Patterson, P.D. Effect of fatigue training on safety, fatigue, and sleep in emergency medical services personnel and other shift workers: A systematic review and meta-analysis. Prehospital Emerg. Care 2018, 22, 58–68. [Google Scholar] [CrossRef] [PubMed]
- Lee, S.; Kim, J.K. Factors contributing to the risk of airline pilot fatigue. J. Air Transp. Manag. 2018, 67, 197–207. [Google Scholar] [CrossRef]
- Levin, E.; Mendonca, F.A.C.; Keller, J.; Teo, A. Fatigue in collegiate aviation. Int. J. Aviat. Aeronaut. Aerosp. 2019, 6, 14. [Google Scholar] [CrossRef]
- McDale, S.; Ma, J. Effects of fatigue on flight training: A survey of US part 141 flight schools. Int. J. Appl. Aviat. Stud. 2008, 8, 311–336. [Google Scholar]
- Mendonca, F.A.C.; Keller, J.; Levin, E.; Teo, A. Understanding fatigue within a collegiate aviation program. Int. J. Aerosp. Psychol. 2021, 31, 1–17. [Google Scholar] [CrossRef]
- Romero, M.J.; Robertson, M.F.; Goetz, S.C. Fatigue in collegiate flight training. Coll. Aviat. Rev. Int. 2020, 38, 12–29. [Google Scholar] [CrossRef]
- Caldwell, J.A.; Mallis, M.M.; Caldwell, J.L.; Paul, M.A.; Miller, J.C.; Neri, D.F. Fatigue countermeasures in aviation. Aviat. Space Environ. Med. 2009, 80, 29–59. [Google Scholar] [CrossRef]
- Gawron, V.J. Summary of fatigue research for civilian and military pilots. IIE Trans. Occup. Ergon. Hum. Factors 2016, 4, 1–18. [Google Scholar] [CrossRef]
- Adjekum, D.K. Safety culture perceptions in a collegiate aviation program: A systematic assessment. J. Aviat. Technol. Eng. 2014, 3, 44–56. [Google Scholar] [CrossRef]
- Adjekum, D.K. An evaluation of the relationships between collegiate aviation safety management system initiative, self-efficacy, transformational safety leadership and safety behavior mediated by safety motivation. Int. J. Aviat. Aeronaut. Aerosp. 2017, 4, 4. [Google Scholar] [CrossRef] [Green Version]
- Keller, J.; Mendonca, F.; Cutter, J.E. Collegiate aviation pilots: Analyses of fatigue related decision-making scenarios. Int. J. Aviat. Aeronaut. Aerosp. 2019, 6, 9. [Google Scholar] [CrossRef]
- Caldwell, J.A.; Caldwell, J.L.; Thompson, L.A.; Lieberman, H.R. Fatigue and its management in the workplace. Neurosci. Behav. Rev. 2019, 96, 272–289. [Google Scholar] [CrossRef] [PubMed]
- Bendak, S.; Rashid, H.S.J. Fatigue in aviation: A systematic review of literature. Int. J. Ind. Ergon. 2020, 76, 1–11. [Google Scholar] [CrossRef]
- European Aviation Safety Agency. Effectiveness of Flight Time Limitation (FTL) Report. Available online: https://www.easa.europa.eu/document-library/general-publications/effectiveness-flight-time-limitation-ftl-report (accessed on 29 May 2020).
- Federal Aviation Administration. Fact Sheet-General Aviation Safety. 2018. Available online: https://www.faa.gov/news/fact_sheets/news_story.cfm?newsId=21274 (accessed on 31 May 2022).
- Mendonca, F.A.C.; Keller, J.; Lu, C.T. Fatigue identification and management in flight training: An investigation of collegiate aviation pilots. Int. J. Aviat. Aeronaut. Aerosp. 2019, 6, 13. [Google Scholar] [CrossRef]
- Hartzler, B.M. Fatigue on the flight deck: The consequences of sleep loss and the benefits of napping. Accid. Anal. Prev. 2014, 62, 309–318. [Google Scholar] [CrossRef]
- International Civil Aviation Organization (ICAO). Cabin Crew Fatigue Management. 2020. Available online: https://www.icao.int/safety/airnavigation/OPS/CabinSafety/Pages/Cabin-Crew-Fatigue-Management.aspx (accessed on 31 May 2022).
- Aircraft Owners and Pilots Association (AOPA). How is GA Doing on the Safety Front? (Joseph T. Nall Report). 2020. Available online: https://www.aopa.org/training-and-safety/air-safety-institute/accident-analysis/joseph-t-nall-report (accessed on 31 May 2022).
- Marcus, J.H.; Rosekind, M.R. Fatigue in transportation: NTSB investigations and safety recommendations. Inj. Prev. 2016, 23, 232–238. [Google Scholar] [CrossRef]
- Caldwell, J.A. Crew schedules, sleep deprivation, and aviation performance. Curr. Dir. Psychol. Sci. 2012, 21, 85–89. [Google Scholar] [CrossRef]
- Van den Berg, M.J.; Signal, T.L.; Gander, P.H. Perceived workload is associated with cabin crew fatigue on ultra-long-range flights. Int. J. Aerosp. Psychol. 2019, 29, 74–85. [Google Scholar] [CrossRef]
- Federal Aviation Administration (FAA). Fatigue in Aviation. 2007. Available online: https://www.faa.gov/pilots/safety/pilotsafetybrochures/media/fatigue_aviation.pdf (accessed on 31 May 2022).
- Morris, M.B.; Wiedbusch, M.D.; Gunzelmann, G. Fatigue incident antecedents, consequences, and aviation operational risk management resources. Aerosp. Med. Hum. Perform. 2018, 89, 708–716. [Google Scholar] [CrossRef]
- National Sleep Foundation. Sleep Health Topics. 2021. Available online: https://www.thensf.org/sleep-health-topics/ (accessed on 31 May 2022).
- Roach, G.D.; Sargent, C.; Darwent, D.; Dawson, D. Duty periods with early start times restrict the amount of sleep obtained by short-haul airline pilots. Accid. Anal. Prev. 2012, 45, 22–26. [Google Scholar] [CrossRef] [PubMed]
- Fuentes, R.W.; Chung, C. Military, Civil, and International Regulations to Decrease Human Factor Errors in Aviation. 2020. Available online: https://www.ncbi.nlm.nih.gov/books/NBK546637/ (accessed on 31 May 2022).
- Federal Aviation Administration. Fatigue Education and Awareness Training Program. 2012. Available online: http://www.faa.gov/documentLibrary/media/Advisory_Circular/AC%20117-2.pdf (accessed on 31 May 2022).
- Banks, J.O.; Wenzel, B.M.; Avers, K.E.; Hauck, E.L. An Evaluation of Aviation Maintenance Fatigue Countermeasures Training (DOT/FAA/AM-13/9). 2013. Available online: https://www.faa.gov/data_research/research/med_humanfacs/oamtechreports/2010s/media/201309.pdf (accessed on 31 May 2022).
- Smith, M.O.; Smith, G.M.; Bjerke, E.; Christensen, C.; Carney, T.Q.; Craig, P.A.; Niemczyk, M. Pilot source study 2015: A Comparison of performance at part 121 regional airlines between pilots hired before the U.S. Congress passed Public Law 111-216 and pilots hired after the law’s effective date. J. Aviat. Technol. Eng. 2017, 6, 50–79. [Google Scholar] [CrossRef]
- Caldwell, J.A.; Caldwell, J.L. Fatigue in military aviation: An overview of U.S. military-approved pharmacological countermeasures. Aviat. Space Environ. Med. 2005, 76, C39–C51. Available online: https://pubmed.ncbi.nlm.nih.gov/16018329/ (accessed on 31 May 2022). [PubMed]
- Dawson, D.; Clegget, C.; Thompson, K.; Thomas, M.J.W. Fatigue proofing: The role of protective behaviours in mediating fatigue-related risk in a defense aviation environment. Accid. Prev. Anal. 2015, 99, 465–468. [Google Scholar] [CrossRef]
- Caldwell, J.A. Fatigue in aviation. Travel Med. Infect. Dis. 2005, 3, 85–96. [Google Scholar] [CrossRef]
- Powell, D.; Spencer, M.; Holland, D.; Broadbent, E.; Petrie, K. Pilot fatigue in short-haul operations: Effects of number of sectors, duty length, and time of day. Aviat. Space Environ. Med. 2007, 78, 698–701. [Google Scholar]
- Sieberichs, S.; Kluge, A. Good sleep quality and ways to control fatigue risks in aviation—An empirical study with commercial airline pilots. In Advances in Physical Ergonomics and Human Factors. Advances in Intelligent Systems and Computing; Goonetilleke, R., Karwowski, W., Eds.; Springer: Cham, Switzerland, 2016; pp. 191–201. [Google Scholar] [CrossRef]
- Keller, J.; Mendonca, F.A.C.; Laub, T.; Wolfe, S. An analysis of self-reported sleep measures from collegiate aviation pilots. Coll. Aviat. Rev. Int. 2020, 38, 148–164. [Google Scholar]
- Reis, C.; Mestre, C.; Canhão, H.; Gradwell, D.; Paiva, T. Sleep complaints and fatigue of airline pilots. Sleep Sci. 2016, 9, 73–77. [Google Scholar] [CrossRef] [Green Version]
- Akerstedt, T.; Knutsson, A.; Westerholm, P.; Theorell, T.; Alfredsson, L.; Kecklund, G. Mental fatigue, work, and sleep. J. Psychosom. Res. 2004, 57, 427–433. [Google Scholar] [CrossRef]
- Brown, T.A. Confirmatory Factor Analysis for Applied Research; Guilford Press: New York, NY, USA, 2006. [Google Scholar]
- Hu, L.T.; Bentler, P.M. Cutoff Criteria for Fit Indexes in Covariance Structure Analysis: Conventional Criteria versus New Alternatives. Struct. Equ. Modeling 1999, 6, 1–55. [Google Scholar] [CrossRef]
- Fornell, C.G.; Larcker, D.F. Evaluating structural equation models with unobservable variables and measurement error. J. Mark. Res. 1981, 18, 382–388. [Google Scholar] [CrossRef]
- Hair, J.F.; Ringle, C.M.; Sarstedt, M. PLS-SEM: Indeed, a silver bullet. J. Mark. Theory Pract. 2011, 19, 139–151. [Google Scholar] [CrossRef]
- Kline, T.J. Psychological Testing: A Practical Approach to Design and Evaluation; Sage Publications: New York, NY, USA, 2005. [Google Scholar]
- Nunnelly, J.; Bernstein, I. Psychometric Theory; McGraw-Hill: New York, NY, USA, 1994. [Google Scholar]
- Kenny, D.A.; Kaniskan, B.; McCoach, D.B. The performance of RMSEA in models with small degrees of freedom. Sociol. Methods Res. 2015, 44, 486–507. [Google Scholar] [CrossRef]
Institution | (n) | Percent |
Institution 1 | 99 | 23.5% |
Institution 2 | 67 | 15.9% |
Institution 3 | 56 | 13.3% |
Institution 4 | 51 | 12.1% |
Institution 5 | 41 | 9.7% |
Institution 6 | 36 | 8.5% |
Institution 7 | 31 | 7.3% |
Institution 8 | 20 | 4.7% |
Did not to answer | 21 | 5.0% |
Total | 422 | 100% |
Gender | (n) | Percent |
Female | 85 | 20.1% |
Male | 318 | 75.4% |
Prefer not to say | 19 | 4.5% |
Total | 422 | 100% |
Age | (n) | Percent |
18–21 | 305 | 72.3% |
22–25 | 66 | 15.6% |
26–29 | 11 | 2.6% |
30+ | 23 | 5.5% |
Did not answer | 17 | 4.0% |
Total | 422 | 100% |
Enrolment Level | (n) | Percent |
Freshmen | 74 | 17.5% |
Sophomores | 93 | 22.0% |
Juniors | 107 | 25.4% |
Seniors | 110 | 26.1% |
Graduate | 38 | 9.0% |
Total | 422 | 100% |
Highest Certificate Held | (n) | Percent |
Student Pilot | 106 | 25.1% |
Private Pilot | 163 | 38.6% |
Commercial Pilot | 57 | 13.5% |
Certified Flight Instructor (CFI/II/ME)/ATP | 96 | 22.5% |
Total | 422 | 100% |
Approximate Total Flight Time | (n) | Percent |
0–150 | 207 | 49.1% |
151–300 | 132 | 31.3% |
301–450 | 32 | 7.6% |
451–600 | 9 | 9.1% |
600+ | 27 | 6.4% |
Did not answer | 15 | 3.6% |
Total | 422 | 100% |
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Keller, J.; Mendonca, F.A.C.; Adjekum, D.K. Understanding Factors Underlying Fatigue among Collegiate Aviation Pilots in the United States. Safety 2022, 8, 46. https://doi.org/10.3390/safety8020046
Keller J, Mendonca FAC, Adjekum DK. Understanding Factors Underlying Fatigue among Collegiate Aviation Pilots in the United States. Safety. 2022; 8(2):46. https://doi.org/10.3390/safety8020046
Chicago/Turabian StyleKeller, Julius, Flavio Antonio Coimbra Mendonca, and Daniel Kwasi Adjekum. 2022. "Understanding Factors Underlying Fatigue among Collegiate Aviation Pilots in the United States" Safety 8, no. 2: 46. https://doi.org/10.3390/safety8020046
APA StyleKeller, J., Mendonca, F. A. C., & Adjekum, D. K. (2022). Understanding Factors Underlying Fatigue among Collegiate Aviation Pilots in the United States. Safety, 8(2), 46. https://doi.org/10.3390/safety8020046