A Conservation of Resources schema for exploring the influential forces for air-travel stress

Effective air-travel stress management is increasingly crucial in determining tourist satisfaction and travel choices, particularly in a time of intensive fear about virus, terrorism, and plane crashes. However, research about air-travel stress, particularly what and how various influential forces shape passenger stress levels, is still in its infancy. The current research proposes the adoption of Conservation of Resources (COR) theory as a holistic schema to identify through resource dynamics the potential influential forces for air-travel stress across leisure travel stages. The findings, based on surveying passengers at the gate of multi-country international and domestic airports, demonstrates the capability of COR schema to predict and explain the influences on air-travel stress from an array of personal and situational/trip-specific factors. The theoretical advances from COR-based cross-stage stress analyses, and the guidance for customized airline/airport stress-soothing service strategies are discussed.

Moral Dilemmas of Nurses and Paramedics During In-Flight Medical Emergencies on Commercial Airlines

During commercial flights, in-flight medical emergencies may lead the cabin crew to request assistance from qualified health care professionals among the passengers. Although a physician's function and role are well known and virtually universal globally, the role, education, and scope of practice of nurses and paramedics varies significantly. This article analyzes the possible dilemmas that medical professionals other than physicians who assist during in-flight medical emergencies may face and presents recommendations for aviation authorities. There is an identified need for universal cross-border regulations and an awareness of legal and ethical boundaries for medical responders other than physicians on board commercial international aircraft.

Airport user experience unpacked: Conceptualizing its potential in the face of COVID-19

Given the unprecedented challenges imposed on the aviation industry by the COVID-19 pandemic, this paper proposes a new perspective on airport user experience as a field of study to unlock its potential as a basis for strategic roadmapping. Through an integrative literature review, this study points out a dominant focus, in practice and research, on customer experience and service quality, as opposed to user experience, to help airports gain a competitive edge in an increasingly commoditized industry. The review highlights several issues with this understanding of experience, as users other than passengers, such as employees, working for the airport and its myriad stakeholders, as well as visitors, are largely omitted from study. Given the complexity of the system, operationally, passengers are generally reduced to smooth flows of a passive mass, which this study argues is both a missed opportunity and a vulnerability exacerbated by the COVID-19 pandemic. Major events apart from COVID-19 are used to show the negative effects this simplification of user experience has had. Based on solutions and models proposed in previous studies, a conceptual model has been developed to illustrate the postulated potential of a deeper and more holistic study of airport user experience to make airport systems generally more agile, flexible and future-proof. As such, the paper advocates to utilize the user experience as a basis for strategic planning to equip airports with the know-how to manage not just daily operations more effectively but also the aftermath of and recovery from major events like the COVID-19 pandemic. Moreover, with the user experience at the center of the strategic roadmap, airports can plan ahead to mitigate the impact of future scenarios. The importance of future research and the use of existing research are discussed.

Data-Driven Analysis of Airport Security Checkpoint Operations

Airport security checkpoints are the most important bottleneck in airport operations, but few studies aim to empirically understand them better. In this work we address this lack of data-driven quantitative analysis and insights about the security checkpoint process. To this end, we followed a total of 2277 passengers through the security checkpoint process at Rotterdam The Hague Airport (RTM), and published detailed timing data about their journey through the process. This dataset is unique in scientific literature, and can aid future researchers in the modelling and analysis of the security checkpoint. Our analysis showed important differences between six identified passenger types. Business passengers were found to be the fastest group, while passengers with reduced mobility (PRM) and families were the slowest two groups. We also identified events that hindered the performance of the security checkpoint, in which groups of passengers had to wait long for security employees or other passengers. A total of 335 such events occurred, with an average of 2.3 passengers affected per event. It was found that a passenger that had a high luggage drop time was followed by an event in 27% of the cases, which was the most frequent cause. To mitigate this waiting time of subsequent passengers in the security checkpoint process, we performed an experiment with a so-called service lane. This lane was used to process passengers that are expected to be slow, while the remaining lanes processed the other passengers. It was found that the mean throughput of the service lane setups was higher than the average throughput of the standard lanes, making it a promising setup to investigate further.

Aviophobia assessment: validating the Flight Anxiety Situations Questionnaire as a clinical identification measure

An Internet survey was conducted to validate the Flight Anxiety Situations Questionnaire (FAS; Van Gerwen, Spinhoven, Van Dyck, & Diekstra, 1999) as a clinical identification measure for aviophobia. Nine hundred and seventy six people completed the survey. Using further criteria, the total pool was reduced to 98 aviophobics and 474 non-phobics. Receiver operating characteristic analysis and chi-square tests of associations indicated that minimal scores of 56 (as previously reported in research) and 70 on the FAS were useful predictors of being a flying phobic. However, the empirically derived cut-off score of 70 on the FAS had the best overall balance of Type I and Type II error, such that the diagnostic standard for flying phobia was set neither too low nor too high. Given that 60.3% of participants were university students, results may not be generalizable to the general population but may be particularly useful for researchers at these settings.

HEALTH-RELATED LIFESTYLE AND PATTERNS OF BEHAVIOR RELATED TO HEALTH EFFECTS OF LEISURE TRAVEL

Whether or not leisure travel might have positive effects on personal health was investigated. During a short leisure trip, saliva samples were collected from 40 females. Levels of salivary cortisol and chromogranin A (CgA) were evaluated by enzyme-linked immunosorbent assay (ELISA). To quantitatively evaluate the health-related lifestyle and the patterns of behavior of the subjects, we also administered written questionnaires. For samples taken during the trip, there was a significant increase in the levels of CgA. Meanwhile, there was a significant increase in the levels of cortisol after the tour. These tendencies were more pronounced in individuals who scored well for health-related lifestyle. These findings suggest that the effects of travel were more beneficial for persons with positive characteristics related to health-related lifestyle.