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. 2025 Aug 22;20(8):e0330820. doi: 10.1371/journal.pone.0330820

A multi-criteria decision-making framework for managing the safety of marine recreational powered platforms: Integration with the SHELL model

Shao-Hua Hsu 1,*, Yo-Kang Yang 2, Ya-Fan Ho 1, Meng-Tsung Lee 2, Jao-Chuan Lin 2,*
Editor: Yi-Che Shih3
PMCID: PMC12373208  PMID: 40845031

Abstract

The rise of marine recreational activities has led to a growing use of marine recreational powered platforms, raising safety concerns related to navigation. In Taiwan, the current regulatory system for such platforms remains fragmented and under debate. This study aims to support policy development by identifying key safety management priorities. This study utilized the four core components of the SHELL model, which include Software, Hardware, Environment, and Liveware, as the analytical foundation and identified 20 preliminary safety criteria through an extensive review of relevant literature. A Modified Delphi Method and DEMATEL analysis were applied to gather expert insights and prioritize 10 representative indicators. The resulting Influence Network Relation Map revealed that “Comprehensive Management Regulations” had the highest causal influence across all dimensions. Additionally, “Basic Navigation Concepts” and “Emergency Response and Safety Knowledge” were found to be the most central elements. Based on these findings, the study recommends targeted measures including enhanced regulation, improved training, radar monitoring, and spatial planning to reduce navigation risks and promote safer marine recreation. Building on the above findings, this study confirms the effectiveness of an innovative integration of the SHELL model and the DEMATEL method, which provides a structured and adaptive framework capable of systematically identifying systemic navigational risks in marine recreational activities.

Introduction

In recent years, with rapid global economic growth, elevated living standards, and increased demand for leisure tourism, there has been a continuous rise in population engaging with coastal national scenic areas, swimming beaches, tourist fishing ports, and maritime recreational activities [13]. Consequently, following the trend of increased maritime activities, the demand for various powered platforms has correspondingly increased, diversifying marine leisure activities and enhancing maritime recreational experiences [4]. These include PORTA-BOTE, Quickboats, Insta-Boat, Uui-Float fishing vessels, Go-kart boats, Kayaks, Inflatable boats, and Styrofoam vessels [5]. These platforms are characterized by their portability, economic accessibility, and ease of acquisition. However, the popularization of such powered platforms has led to the emergence of associated safety concerns and potential risks. This is particularly critical in navigation safety incidents, which invariably involve the lives and property of vessel occupants. Such incidents may result not only in vessel damage and submersion but also in personnel injury, maritime disappearances, and fatalities [69].

In Taiwan’s maritime waters from 2016 to 2023, there were 1,046 reported casualties during water recreational activities, with an additional 160 powered platform rescue operations conducted. With an average of approximately 20 powered platform incidents annually, these equipments are increasingly recognized as potential navigational hazards [10,11]. Consequently, in Taiwan’s maritime zones, which encompass critically important shipping channels, powered platforms present a significant challenge to navigational safety. Unlike crew members of large commercial vessels, yachts, or cruise ships who must undergo formal training in accordance with the 《International Convention on Standards of Training, Certification and Watchkeeping for Seafarers》, operators of these platforms often lack adequate navigational safety awareness. This deficiency underscores the imperative necessity for conducting comprehensive research into the navigational safety risks associated with powered platforms.

According to Taiwan’s current “Water Recreation Activity Management Regulations” and “Safety Guidelines for Powered Platforms and Operator Requirements,” water recreational activities are categorized into three classifications based on their characteristics: “Activities Requiring Powered Platforms,” “Activities Not Requiring Powered Platforms,” and “Shore Fishing Activities.” The activities requiring powered platforms are further subdivided as follows [12]:

  • Activities utilizing human-powered platforms: kayaking, stand-up paddling.

  • Activities utilizing natural-powered platforms: surfing, windsurfing, kitesurfing.

  • Activities utilizing mechanically-powered platforms: water skiing, parasailing, banana boats, towable tubes, personal watercraft, inflatable boats, and other powered platforms.

Furthermore, distinct regulatory requirements are established for powered platforms based on passenger capacity: “2 or fewer persons” versus “3 or more persons.” Operators of powered platforms with a capacity of 3 or more persons are required to possess a powered small vessel or yacht operator’s license. Conversely, operators of powered platforms with a capacity of 2 or fewer persons must obtain educational training certification from government-accredited professional institutions prior to operation. However, despite these regulatory provisions established by governmental authorities, significant regulatory gaps persist. Notably, when individuals engage in water-related activities using self-manufactured powered platforms or independently purchased powered platforms, insufficient regulatory oversight may result in latent safety risks, contributing to frequent accident occurrences.

The SHELL model provides a framework for examining the interconnections between personnel, equipment, and environment in high-risk contexts. The model’s nomenclature derives from the initial letters of its dimensional components: Software, Hardware, Environment, Liveware and Liveware, enabling identification of interdimensional relationships and their impact on system performance and safety [13]. This framework has been extensively applied in analyzing human factors in aviation safety [1417], medical occupational risk factors [1820], and other risk management methodologies [21,22]. In maritime incident research, studies have primarily focused on human factors in vessel accidents [2325], with limited investigation into navigational safety aspects of water recreational platforms. Therefore, this study advocates the application of the SHELL model to assess the safety of powered platforms. Unlike the commonly employed HFACS-MA (Human Factors Analysis and Classification System–Maritime Adaptation) framework [2628] in maritime safety research, the SHELL model offers a systems-oriented perspective that integrates four critical dimensions: personnel, equipment, environment, and interpersonal interaction. This integrative approach effectively addresses the limitations of existing risk assessments for recreational activities, which often tend to be overly technical or narrowly focused.

According to International Maritime Organization statistics, human factors directly or indirectly contribute to over 80% of maritime navigational incidents [29]. These incidents typically result not from singular causation but from complex concatenations of multiple factors [30,31]. The European Union’s vessel safety assessment framework categorizes navigational risk factors into four dimensions: Personnel, Hardware, Software, and Environment [32], highlighting the necessity of conducting multidimensional and systematic risk analyses. For instance, the SHEL model has been applied in studies investigating human-related maritime incidents and in developing preventive strategies for ship collision avoidance [3335].

This study employs the SHELL model as its theoretical framework to investigate the risks associated with marine recreational powered platforms. Through a systematic examination of the internal dynamics among the four key elements—Software, Hardware, Environment, and Liveware—the study conducts a detailed analysis of their interrelationships in order to establish effective, evidence-based decision-making protocols for safety management.

Given that this research specifically focuses on recreational powered platform activities characterized by non-professional users and a lack of formal regulatory oversight, particular emphasis is placed on the interactions between Liveware–Liveware and Environment–Liveware dimensions. This analytical orientation marks a critical departure from conventional studies that predominantly emphasize technical or operational aspects, enabling a more accurate reflection of the risk patterns inherent in informal maritime practices especially those shaped by experiential disparities among users and environmental uncertainties.

Grounded in the overarching goal of enhancing maritime safety, this study seeks to develop a comprehensive safety management criteria framework tailored to the operational realities of powered platform usage in water-based recreational activities. By identifying and analyzing the correlations among key risk management indicators, the research aims to formulate an integrated strategy framework that can support more responsive and informed decision-making processes for marine recreation management authorities.

Methods

With the advancement of various industries, increasing attention has been given to the development and application of safety management evaluation frameworks across sectors to enhance responses to critical types of risk. In particular, research has emphasized the importance of systematically integrating occupational and process risk assessments [36]. To address uncertainties inherent in such evaluations, researchers have adopted a wide array of quantitative and managerial techniques, including credibility-weighted expert judgment, the Delphi method, fuzzy logic, Bayesian inference, sensitivity analysis, and fuzzy number scoring [3640]. Despite these advancements, uncertainty remains a significant challenge in safety management due to factors such as discrepancies in expert judgment, data insufficiencies, and semantic ambiguities in information.

To mitigate such uncertainty-related issues, this study adopts the SHELL model, Delphi method, and DEMATEL approach. The SHELL theoretical framework ensures that the proposed safety management criteria comprehensively incorporate the dimensions of personnel, hardware, environment, and software, thus providing a rational structure for safety assessment. The Delphi method facilitates the integration of expert experience, professional insight, and collective intelligence, reducing individual bias and enabling the transformation of high-uncertainty scenarios into stable and high-consensus safety judgments [40]. Meanwhile, the DEMATEL method is applied to construct a causal network among risk criteria, clarifying the interrelationships among safety management indicators and assisting in the identification of key influence pathways.

This study adopted social science research methodologies for conceptualization, analysis, comparison, and assessment, supplemented by expert interviews, to synthesize and consolidate findings, ultimately proposing concrete and feasible recommendations. This study conducted a two-phase questionnaire survey. The first phase was administered on September 29, 2024, and concluded on October 11, 2024. The second phase was carried out on October 15, 2024, and completed on October 27 of the same year.

Modified delphi method (MDM)

The MDM optimizes the traditional Delphi process by streamlining the investigation procedure. MDM eliminates complex investigation iterations by utilizing relevant literature and expert interviews to design a semi-structured first-round survey, significantly enhancing expert response rates and reducing inconsistent investigation outcomes. This approach maintains the essential elements of the traditional Delphi method while streamlining its more complex processes, enabling scholars to focus more effectively on research objectives [41,42].

The implementation process of the MDM comprises five sequential steps:

  • Step 1: Consolidate investigation content through literature review and design the survey using rating scales.

  • Step 2: Identify and establish a Delphi expert panel comprising scholars well-versed in the research topic and elucidate the research objectives.

  • Step 3: Establish implementation criteria for the MDM, distribute and collect investigation.

  • Step 4: Synthesize collective expert panel opinions through quantitative analysis, and request panel members to provide feedback or modifications.

  • Step 5: Verify consensus consistency in investigation results. If consensus is achieved, conclude the investigation phase; if consensus is not reached, adjust and modify investigation content and repeat steps 3 and 4 until consensus is attained.

Consequently, to ensure smooth investigation administration, this study employed the MDM for investigation design and survey implementation, utilizing Likert-Type scale for expert panel responses. The scale points correspond to: “1 - Very Unimportant,” “2 - Unimportant,” “3 - Neutral,” “4 - Important,” and “5 - Very Important,” where higher scores indicate stronger agreement. The mean value for each criteria factor represents its average intensity.

For evaluating expert group consensus levels regarding criteria factors, this study employed the Coefficient of Variance (CV) as the expert judgment criterion. Criteria factors with mean values exceeding 4 and coefficient of variance less than or equal to 0.5 were designated as representative risk management criteria for this study. Furthermore, to verify consensus achievement among all expert panel members, the Consensus Deviation Index (CDI) was calculated for investigation criteria content [43,44].

  • Assuming that in the tth round of the MDM survey, the score given by the hth expert for the jth item is Xjht, then the mean and standard deviation of R experts’ scores for j items in the tth round investigation, denoted as Xjt and Sjt respectively, are expressed as follows:

Xjt=1Rh=1RXjht,j,t (1)
Sjt=1(R1)h=1R(XjhtXjht)2,j,t (2)
  • For investigation round tth, the coefficient of variation CVjt for item j is calculated as follows:

CVjt=SjtXjt,j,t (3)
  • The consistency deviation index is calculated as follows, where a smaller numerical result indicates higher consensus among expert panel members regarding the specific criteria factor.

CDIjt=Sjtmaxj(Xjt),j,t (4)

DEMATEL

The DEMATEL methodology originated in 1972 at the Battelle Memorial Institute of Geneva, Switzerland, effectively integrates expert knowledge and utilizes the Influential Network Relation Map (INRM) to elucidate the causal relationships and influence intensity among various criteria. Through visual representation, it assists decision-makers in analyzing, identifying, and formulating optimal management decisions and improvement strategies [45,46].

Therefore, based on DEMATEL’s methodology for analyzing the characteristics of issues and their criteria, as well as the interrelationship intensity among these criteria, the implementation procedures are presented as follows:

  • Step 1: Relational Factors Between Criteria and Establish Measurement Scale:

This research initially screened preliminary criteria through Rough Set Theory, followed by the MDM to establish and clearly define the criteria. Subsequently, through expert investigation, the inter-relational influence values between criteria were obtained. A five-point measurement scale of 1, 2, 3, 4, and 5 was employed, representing “Very low influence (1)”, “Low influence (2)”, “Moderate influence (3)”, “High influence (4)”, and “Very high influence (5)”, respectively [34].

  • Step 2: Construct Direct-Relation Matrix:

The Direct-Relation Matrix is derived from investigation responses. When there are n criteria, the degree of influence between each pair of criteria is compared, resulting in an n × n n×n Direct-Relation Matrix X, where Xij represents the degree of influence from criteria i to criteria j. Since the diagonal elements of matrix X represent self-influence and are set to 0, the Direct-Relation Matrix X is expressed as:

X=[0X12X1nX210X2nXn1Xn20] (5)
  • Step 3: Construct Normalized Direct-Influence Matrix):

In this step, the standardized influence matrix is denoted as N, with the standardization criterion value set as k. The calculation of the standardized direct influence matrix N is as follows:

N = k X (6)
k=1max[max1inj=1nXij,max1jni=1nXij] (7)
  • Step 4: Calculation of Total-Influence Matrix:

The Total-Influence Matrix T is calculated as follows, where I represents the identity matrix:

lims(N+N2 +N3 +  +Ns) = N(I  N)1 (8)
  • Step 5: Calculation of 𝐝i and rj values:

Through matrix row and column operations, calculates the values of di and rj by summing each row and column respectively. Here, di represents the row sum of the total influence matrix T, while rj represents the column sum. Let Tij denote the criteria factor in the total influence matrix T, where i, j ∈ {1, 2, 3,..., n}. The calculation of row and column sums in the total influence matrix T can be expressed as follows:

di=\nolimitsi=1ntij              ( i=1,2,3,,n) (9)
rj=\nolimitsj=1ntij            (j=1,2,3,,n) (10)
  • Step 6: Calculation of (di+rj) and (𝐝irj) values:

Based on the calculated values of di and rj the values of (di+rj) and (dirj) can be obtained, where (di+rj) represents the prominence index, indicating the total degree to which an criteria influences and is influenced by other criteria. This enables the understanding of the criteria’s central role in the issue under investigation. The (di+rj) value, known as the relation index, represents the net effect that distinguishes the degree to which criteria influences others versus being influenced by others. This relation index facilitates the classification of criteria into cause and effect groups. When the relation index is positive, the criteria is categorized as a cause criteria; conversely, a negative value designates the criteria as an effect criteria [47].

  • Step 7: Construction and Analysis of Influence Network Relation Map:

The Influence Network Relation Map is constructed with centrality (di+rj) as the horizontal axis and the net effect degree (dirj) as the vertical axis. The coordinates are determined by the centrality value and net effect degree of each criteria. The map is divided into 4 quadrants by two perpendicular lines: one representing the mean centrality value and the other where the net effect degree equals 0. Through the distribution pattern of criteria across these quadrants, one can analyze the causal relationships, core significance, and inter-criteria relationships.

Preliminary criteria framework

MDM expert panel

The MDM represents the collective decision-making of expert groups. Given that this study explores a complex topic involving multiple dimensions, including human factors, powered equipment, and environmental conditions, it can be categorized as a research area with substantial variability in perspectives. As such, limiting the number of expert participants to between 5 and 10 individuals is considered appropriate [48,49].

This study employed a purposive sampling strategy to assemble a multidisciplinary panel of experts, with the aim of ensuring the validity of expert input and the relevance of insights to the specific context of marine recreational powered platform risk management. Expert selection was guided by clearly defined criteria, emphasizing substantial professional experience and academic specialization closely aligned with the study’s focus. The panel was intentionally composed to represent three key stakeholder domains: governmental policy and enforcement agencies, academic institutions specializing in maritime safety and ocean governance, and frontline user communities with direct operational knowledge. Moreover, the expert panel was deliberately designed to ensure balanced representation across sectors and disciplines, with all participants possessing over ten years of practical or research experience in relevant fields. To further minimize regional bias and enhance the external validity of the study’s findings, the selected experts included individuals not only with national-level policy and implementation experience but also with exposure to international safety governance practices, thereby increasing the transferability of consensus outcomes to broader operational contexts, as shown in Table 1.

Table 1. Expert composition table.

Expertise Domain Affiliated Years of Experience
Government Agencies Fleet Branch, CGA, OAC 18
Offshore Flotilla 5, Fleet Branch 22
Maritime and Port Bureau, MOTC 11
Academia Central Police University 10
National Taiwan Ocean University 11
National Kaohsiung University of Science and Technology 15
Civil Representatives Marine Rescue Association 30
Recreational Fishing Practitioners 21
Powered Platform Users 15

Preliminary criteria framework

In this study, preliminary safety management criteria were developed for each of the four dimensions of the SHELL model, drawing upon a comprehensive review of literature pertaining to maritime safety, causal analysis of maritime incidents, and risk factors associated with marine recreational platforms. To enhance the contextual validity and practical relevance of the proposed framework within the Taiwanese coastal recreation environment, in-depth interviews were conducted with 9 experts possessing extensive experience in maritime safety governance, marine leisure platform operations, and ocean policy. This expert consultation process facilitated the validation of the 4 dimensional structure and the selection of 20 initial criteria tailored to the specific risk landscape of recreational marine activities in Taiwan as shown in Table 2.

Table 2. Literature review table.

Dimensions Code Criteria Literature Review Source
Software S1 Comprehensive Management Regulations [5054]
S2 Equipment Safety Certification System
S3 Standard Guidelines for Operation
S4 Safety Education and Training Courses
S5 Regular Inspection Management
Hardware H1 Platform Functionality and Performance [30,50,51,55]
H2 Emergency Rescue Equipment Functionality and Performance
H3 Communication and Safety Equipment
H4 Structural Integrity
H5 Regular Inspection and Maintenance
Environmental E1 Local Maritime Geographic Environment [5659]
E2 Maritime Weather Condition Changes
E3 Local Hydrological and Ocean Current Conditions
E4 Marine Traffic Conditions
E5 Local Customs and Marine Operation Practices
Liveware L1 Emergency Response and Safety Knowledge [50,51,56,59,60]
L2 Operational Skills and Proficiency
L3 Self-awareness of Physical Condition
L4 Marine Safety Awareness
L5 Basic Navigation Concepts

The “Software dimension” encompasses the influence of institutional design and procedural frameworks on risk management effectiveness. Specifically, “Comprehensive Management Regulations” examines whether central and local governments have established comprehensive and enforceable regulatory frameworks for marine recreational powered platform management. “Equipment Safety Certification System” assesses equipment compliance with mandatory safety inspection and technical assessment standards. The remaining 3 criteria focus on the institutionalization of safety measures, specifically “Standard Guidelines for Operation “, “Safety Education and Training Courses”, and “Regular Inspection Management”. Collectively, all 5 criteria within the Software dimension form an essential foundation for operational safety and regulatory management [5054].The Hardware dimension encompasses the performance and technical conditions of equipment that affect the operational safety of powered platforms. “Platform Functionality and Performance” and “Structural Integrity” address the functionality of mechanical systems and the structural integrity of the platform, both of which are fundamental to navigational safety. “Emergency Rescue Equipment Functionality and Performance” and “Communication and Safety Equipment” focus on the availability and condition of emergency rescue equipment and communication warning systems, which are critical for timely response during accidents. “Regular Inspection and Maintenance” highlights the importance of routine inspection and maintenance in ensuring the continued reliability of all systems. Taken together, these 5 criteria constitute a critical foundation for the assessment and management of safety risks associated with mechanical systems and operational infrastructure [30,50,51,55].

The Environment dimension encompasses key natural and cultural conditions affecting powered platform safety. “Local Maritime Geographic Environment” and “Local Hydrological and Ocean Current Conditions” refer to geographic and hydrological features such as reef distribution, water depth, tides, and currents that influence navigational stability. “Maritime Weather Condition Changes” highlights the importance of responding to sudden weather and sea changes, including wind, waves, and visibility. “Marine Traffic Conditions” concerns the density and organization of marine traffic, which may create navigational congestion. “Local Customs and Marine Operation Practices” addresses local customs and traditional marine practices that shape user behavior. Collectively, these 5 criteria reflect the multifaceted environmental risks that must be managed in coastal recreational settings [5659].

The Liveware dimension encompasses human factors that affect the safe operation of powered platforms. “Emergency Response and Safety Knowledge” and “Marine Safety Awareness” emphasize users’ ability to recognize risks, take preventive measures, and respond effectively in emergencies. “Operational Skills and Proficiency “ and “Self-awareness of Physical Condition” pertain to operational proficiency and self-assessment of physical and mental readiness to ensure safe handling. “Basic Navigation Concepts” focuses on the understanding and application of basic navigational principles. In combination, these 5 criteria highlight the critical role of individual knowledge, judgment, and skills in ensuring safety within recreational marine environments.

Results and discussion

This study conducted two rounds of expert questionnaires. The first phase employed a modified Delphi questionnaire, during which the experts’ responses were used to calculate the mean value, standard deviation, and coefficient of variation for each criterion. Thereby establishing a representative risk management criteria framework for this study. Based on these results and predefined selection thresholds, the criteria were screened and confirmed for inclusion in the second-phase DEMATEL questionnaire. The final analytical results were through the application of DEMATEL methodology and analysis of the INRM, along with related data analysis and discussion, the correlations among risk criteria were obtained. Comprehensive discussions were conducted across academic, governmental, and civil representative categories, leading to substantive recommendations for future management strategies regarding powered platform risk management.

The research findings indicate that the coefficients of variation (CV) for all criteria factors were less than 0.5, with 95% of criteria factors showing CV below 0.3, as shown in Table 3. This demonstrates that high consensus was achieved in the first round of the MDM investigation during phase one of this study.

Table 3. MDM investigation statistical analysis.

Criteria Code Mean Value SD CV Ranking
S1 4.56 0.53 0.12 2
S2 4.56 0.53 0.12 2
S3 3.33 1.00 0.3 20
S4 3.67 1.22 0.33 15
S5 3.67 1.00 0.27 15
H1 4.00 0.71 0.18 11
H2 4.11 1.05 0.26 9
H3 4.00 1.12 0.28 11
H4 4.11 0.60 0.15 9
H5 3.67 0.71 0.19 15
E1 4.00 0.50 0.13 11
E2 4.22 0.44 0.10 6
E3 4.33 0.71 0.16 4
E4 4.22 0.83 0.20 6
E5 3.56 0.53 0.15 19
L1 4.67 0.50 0.11 1
L2 4.00 0.87 0.22 11
L3 3.67 1.00 0.27 15
L4 4.33 0.87 0.20 4
L5 4.22 0.97 0.23 6
4.04

This study aimed to identify and prioritize key risk management indicators by conducting expert evaluations of 20 preliminary criteria. Nine domain experts assessed each item in terms of its importance and relevance. As shown in Table 4, the overall mean of the means across all expert responses was 4.04, which exceeds the commonly accepted importance threshold of 4.0 on a five-point Likert-type scale. Based on this result, the study adopted a selection criterion whereby indicators with a mean of means greater than 4.04 and a CV less than or equal to 0.3 were retained as representative factors for subsequent risk management analysis [61,62].

Table 4. Results for the determination of criteria.

Criteria Code Selection Criteria Select Results
Mean Value>4.04 CV ≦ 0.3
S1 4.56 > 4.04 0.12 ≦ 0.3 Retained
S2 4.56 > 4.04 0.12 ≦ 0.3 Retained
S3 3.33 < 4.04 0.3 ≦ 0.3 Removed
S4 3.67 < 4.04 0.33 > 0.3 Removed
S5 3.67 < 4.04 0.27 ≦ 0.3 Removed
H1 4.00 < 4.04 0.18 ≦ 0.3 Removed
H2 4.11 > 4.04 0.26 ≦ 0.3 Retained
H3 4.00 < 4.04 0.28 ≦ 0.3 Removed
H4 4.11 > 4.04 0.15 ≦ 0.3 Retained
H5 3.67 < 4.04 0.19 ≦ 0.3 Removed
E1 4.00 < 4.04 0.13 ≦ 0.3 Removed
E2 4.22 > 4.04 0.10 ≦ 0.3 Retained
E3 4.33 > 4.04 0.16 ≦ 0.3 Retained
E4 4.22 > 4.04 0.20 ≦ 0.3 Retained
E5 3.56 < 4.04 0.15 ≦ 0.3 Removed
L1 4.67 > 4.04 0.11 ≦ 0.3 Retained
L2 4.00 < 4.04 0.22 ≦ 0.3 Removed
L3 3.67 < 4.04 0.27 ≦ 0.3 Removed
L4 4.33 > 4.04 0.20 ≦ 0.3 Retained
L5 4.22 > 4.04 0.23 ≦ 0.3 Retained

CV: coefficients of variation.

The comprehensive analysis reveals the 5 most critical evaluation criteria factors for powered platform navigation safety risk management, namely: “ Emergency Response and Safety Knowledge,” “Comprehensive Management Regulations,” “ Equipment Safety Certification System,” “Marine Safety Awareness,” and “Local Hydrological and Ocean Current Conditions.” Notably, “Comprehensive Management Regulations” and “Equipment Safety Certification System” share identical mean values, jointly ranking second in importance, while “Marine Safety Awareness “ and “ Local Hydrological and Ocean Current Conditions “ also share equal mean values, jointly ranking fourth in importance.

Safety management criteria factors with mean values below 4.0 include 6 factors: “Self-awareness of Physical Condition,” “Regular Inspection and Maintenance,” “Safety Education and Training Courses,” “Regular Inspection Management,” “Local Customs and Marine Operation Practices,” and “Standard Guidelines for Operation.” These factors are considered less significant when evaluating powered platform navigation safety risk management.

Furthermore, criteria factors with mean values equal to 4.0, while still considered very important, include: “Operational Skills and Proficiency,” “Platform Functionality and Performance,” “Communication and Safety Equipment,” and “Local Maritime Geographic Environment.” However, as this study aims to conduct analysis using highly representative and critically important criteria factors, only those with mean values exceeding 4.04 were selected for the second phase DEMATEL investigation. Fig 1 illustrates the framework of representative criteria factors for powered platform navigation safety risk management in this study.

Fig 1. Safety management criteria framework.

Fig 1

Through the DEMATEL process, a 10*10 direct relation matrix X is first obtained. Within this matrix, since variables cannot directly compare influence levels with themselves, the diagonal values in matrix X are all 0, as shown in Table 5.

Table 5. Direct relation matrix X.

X S1 S2 H2 H4 E2 E3 E4 L1 L4 L5 Total
S1 0.00 3.11 2.78 3.11 1.44 1.67 3.00 2.22 2.33 2.67 22.33
S2 2.33 0.00 2.89 3.11 2.33 1.67 2.33 2.44 2.11 1.67 20.89
H2 1.67 2.44 0.00 1.33 1.56 1.67 1.56 3.22 2.00 1.44 16.89
H4 1.67 2.78 1.67 0.00 2.22 1.33 1.78 1.78 1.33 1.56 16.11
E2 1.00 2.00 2.44 2.33 0.00 3.67 2.44 2.56 2.56 2.33 21.33
E3 1.67 1.67 2.11 1.56 3.33 0.00 2.67 2.44 2.56 2.56 20.56
E4 2.00 1.78 1.56 1.11 2.56 2.00 0.00 2.11 2.44 3.11 18.67
L1 2.00 2.11 3.00 1.78 2.67 2.44 2.11 0.00 3.67 2.89 22.67
L4 2.33 1.44 1.67 1.56 2.89 2.44 2.56 3.67 0.00 3.11 21.67
L5 2.11 1.78 2.56 1.89 2.67 2.44 2.67 3.22 3.11 0.00 22.44

Following the normalization calculations and DEMATEL procedures, the total influence matrix T is obtained, as presented in Table 6. This table demonstrates the interrelationships among the 10 criteria, indicating high levels of correlation and dependency between criteria. This provides decision-makers with a basis for determining management priorities among various criteria to achieve effective safety management outcomes.

Table 6. Total-influence matrix T.

T S1 S2 H2 H4 E2 E3 E4 L1 L4 L5 di
S1 0.50 0.67 0.70 0.63 0.69 0.63 0.72 0.77 0.73 0.72 6.76
S2 0.55 0.52 0.67 0.60 0.68 0.60 0.66 0.73 0.69 0.65 6.34
H2 0.46 0.53 0.47 0.46 0.56 0.52 0.54 0.66 0.59 0.55 5.33
H4 0.43 0.52 0.51 0.39 0.56 0.48 0.52 0.58 0.54 0.52 5.05
E2 0.52 0.61 0.67 0.58 0.61 0.69 0.68 0.76 0.72 0.69 6.53
E3 0.53 0.58 0.65 0.54 0.72 0.54 0.68 0.74 0.71 0.69 6.38
E4 0.51 0.55 0.58 0.49 0.65 0.58 0.53 0.68 0.66 0.66 5.89
L1 0.59 0.64 0.73 0.60 0.75 0.68 0.71 0.71 0.80 0.75 6.96
L4 0.58 0.60 0.67 0.57 0.74 0.67 0.71 0.82 0.65 0.74 6.75
L5 0.59 0.63 0.71 0.60 0.75 0.68 0.72 0.82 0.78 0.64 6.90
rj 5.25 5.84 6.36 5.46 6.70 6.08 6.47 7.26 6.86 6.61

By calculating the divalue, rj value, centrality (di+rj) value, and net effect degree (dirj) value for each criteria, we can further elucidate the relative importance among the 10 criteria. According to Table 5, “Emergency Response and Safety Knowledge” exhibits the highest centrality value (di+rj), indicating its substantial core influence on the research subject. “Comprehensive Management Regulations “ demonstrates the highest positive net effect degree (dirj), categorizing it as a cause-type criteria with significant influence over other criteria. Conversely, “Emergency Rescue Equipment Functionality and Performance” shows the lowest net effect degree (dirj) with a negative value, classifying it as an effect-type criteria that is susceptible to influence from other criteria.

Table 7 presents the centrality and net effect degree values for each criteria factor. These values are plotted on a two-dimensional coordinate system to create a Network Relationship Map, as illustrated in Fig 2. In this figure, the orange vertical line represents the mean centrality value (di+rj=12.58), while the green horizontal line indicates the mean net effect degree value (dirj= 0.00). Criteria positioned above the horizontal axis are categorized as cause-type criteria, while those below are classified as effect-type criteria.

Table 7. The values of the centrality (𝐝i+rj) and net effect (𝐝irj).

Criteria Code 𝐝i rj 𝐝i+rj 𝐝irj
S1 6.76 5.25 12.01 1.50
S2 6.34 5.84 12.18 0.51
H2 5.33 6.36 11.70 −1.03
H4 5.05 5.46 10.50 −0.41
E2 6.53 6.70 13.23 −0.17
E3 6.38 6.08 12.46 0.30
E4 5.89 6.47 12.37 −0.58
L1 6.96 7.26 14.22 −0.31
L4 6.75 6.86 13.61 −0.11
L5 6.90 6.61 13.51 0.29
12.58 0

Fig 2. Influence network relation map.

Fig 2

Based on the Network Relationship Diagram shown in Fig 2, the distribution of key criteria factors for “Powered Platform Navigation Safety Risk Management” can be analyzed as follows:

Top-right quadrant indicates criteria with high centrality and positive influence. “Fundamental navigation concepts” represents the sole criterion positioned within this quadrant, signifying unanimous consensus among all participants regarding its exceptional combination of high influence and high relevance. This unique criterion constitutes the most critical core indicator for the present research domain and warrants classification as the highest priority element. Top-left quadrant represents criteria characterized by low centrality but positive influence. This quadrant includes 3 specific criteria: “ Comprehensive Management Regulations,” “ Equipment Safety Certification System,” and “ Local Hydrological and Ocean Current Conditions.” These criteria are classified as driving needs, indicating that while their influence is relatively low, their high degree of relevance allows them to affect certain other criteria within the framework.

Bottom-left quadrant indicates criteria with low centrality and negative influence. This quadrant comprises 3 specific elements: “Structural Integrity”, “Marine Traffic Conditions” and “Emergency Rescue Equipment Functionality and Performance”. These criteria demonstrate a high degree of independence and limited relevance to other factors within the system. Given their minimal interaction and negligible impact on other criteria, they are typically addressed through independent or standalone management strategies. Bottom-right quadrant indicates criteria with high centrality and negative influence. This quadrant includes 3 specific criteria: “Marine Safety Awareness”, “Emergency Response and Safety Knowledge” and “Maritime Weather Condition Changes”. These criteria are considered high-priority for management due to their central systemic role, yet they do not require direct intervention. Instead, their outcomes can be effectively influenced by addressing the interrelated criteria located in the top-right and top-left quadrants. By strengthening or establishing the four key criteria within those quadrants, a cascading effect can be achieved, indirectly improving the performance of the bottom-right quadrant criteria.

To conduct an in-depth analysis of the inter-relationships among criteria factors, this study established a significance threshold value of 0.63, representing the mean value of criteria factors. The purpose of setting this threshold value is to eliminate criteria with less significant correlations and facilitate further interpretation of the relationships and mutual influences among criteria factors.

In Fig 3, arrows indicate the directional influence between criteria factors. Solid double-headed arrows represent bidirectional influences between criteria factors, while dashed single-headed arrows indicate unidirectional influence from one criteria factor to another. Among the key criteria factors for “Powered Platform Navigation Safety Risk Management,” four factors belong to the cause group that directly influence other criteria factors: “Comprehensive Management Regulations,” “Equipment Safety Certification System,” “Basic Navigation Concepts,” and “Local Hydrological and Ocean Current Conditions.”

Fig 3. Criteria relationship map.

Fig 3

Regarding “Comprehensive Management Regulations,” this criteria factor influences seven other criteria: “Emergency Response and Safety Knowledge,” “Marine Safety Awareness,” “Basic Navigation Concepts,” “ Emergency Rescue Equipment Functionality and Performance,” “Equipment Safety Certification System,” “Maritime Weather Condition Changes,” and “ Marine Traffic Conditions.” This demonstrates that establishing comprehensive management regulations enables effective management of these seven criteria. Thus, the primary step in powered platform risk management is establishing appropriate regulations for the platform itself and its various water activities, including comprehensive central and local government management frameworks and safety certification standards [6365]. Establishing comprehensive integrated management regulations and safety certification standards by central and local governments enables undifferentiated regulatory management, providing clear guidelines for public compliance. Additionally, it strengthens regulatory enforcement and increases the costs of non-compliance, creating a safer and more reliable marine recreational environment for users.

For “Equipment Safety Certification System,” this criteria factor influences 6 criteria: “Emergency Response and Safety Knowledge,” “Marine Safety Awareness,” “Basic Navigation Concepts,” “ Emergency Rescue Equipment Functionality and Performance,” “ Maritime Weather Condition Changes,” and “ Marine Traffic Conditions.” This implies that establishing product safety certification procedures, including product testing and durability safety standard assessments [6668], can enhance management of these criteria factors. The establishment of product safety certification procedures, including product testing and durability safety standard assessment, can comprehensively enhance the management standards of maritime recreational motorized platforms. In the long term, a well-developed equipment safety certification system ensures that marine recreational powered platforms circulating in the market meet minimum safety requirements, improving equipment reliability and service life, reducing incidents caused by equipment failure, and providing users with safer maritime recreational tools.

Concerning “Basic Navigation Concepts,” this criteria factor influences 6 criteria: “Emergency Response and Safety Knowledge,” “Marine Safety Awareness,” “ Emergency Rescue Equipment Functionality and Performance,” “ Maritime Weather Condition Changes,” “Local Hydrological and Ocean Current Conditions,” and “ Marine Traffic Conditions.” Establishing fundamental navigation knowledge for users, including basic navigation rules, collision avoidance rules, and navigation mark identification [6970]. The establishment of fundamental navigational knowledge among users is crucial for enhancing the long-term safety of marine recreational powered platforms. This foundational navigational knowledge not only assists users in preventing accidents but also enables them to make appropriate judgments during hazardous situations, thereby reducing the risk of casualties. It significantly elevates users’ risk awareness and safety consciousness regarding safety standards, comprehensively strengthening navigational safety and ensuring the sustainable development of maritime recreational activities.

Regarding “Local Hydrological and Ocean Current Conditions,” this criteria factor influences six criteria: “Emergency Response and Safety Knowledge,” “Marine Safety Awareness,” “Basic Navigation Concepts,” “Emergency Rescue Equipment Functionality and Performance,” “Maritime Weather Condition Changes,” and “ Marine Traffic Conditions.” When users are adequately informed about hydrological factors affecting navigation, such as tides, ocean currents, and water temperature [71,72], this knowledge enhances navigation safety management across these six criteria. Additionally, through marine spatial planning [73,74], recreational use spaces can be regulated to ensure maritime safety. For instance, the delineation of exclusive marine recreational zones that are spatially segregated from fishing grounds and commercial navigation routes, combined with the implementation of rescue monitoring systems and emergency response infrastructure within these designated areas, can significantly mitigate the risk of inter-user conflicts and maritime accidents. Such spatial planning not only enhances the personal safety of recreational users but also contributes to the sustainable management of marine resources and facilitates the multifunctional and equitable use of ocean space.

Drawing upon the findings of this study, recent incidents provide compelling evidence of the practical implications of structural standards and operator competence in enhancing navigational safety. For instance, in January 2024, four anglers operated 2 powered platforms for offshore fishing. One platform lost propulsion after taking on water under rough sea conditions and was subsequently capsized when waves pushed it against a breakwater. This incident suggests that, had the platform’s structural integrity been assured through certified quality standards and the operators possessed fundamental maritime safety knowledge, the risk of capsizing could have been significantly mitigated.

A similar incident occurred in April 2024, involving two anglers who were thrown overboard after their powered platform capsized while at sea. This case underscores the potential value of real-time coastal radar surveillance and enhanced platform seaworthiness. Improved structural resilience and timely monitoring capabilities could have strengthened the platform’s ability to withstand adverse sea conditions and ensured a more effective emergency response.

These cases collectively reinforce the need for a dual emphasis on platform design certification and safety-oriented user education as foundational elements of a robust recreational marine safety management framework.

In examining the framework for managing the navigational safety of marine recreational powered platforms, this study identifies several potential challenges. These include imbalanced resource allocation, inconsistent technical standards, limited monitoring capacity, and difficulties in user education.

  • The unequal distribution of safety management resources between central and local governments may lead to inconsistencies in safety standards and administrative enforcement across different regions. Inter-agency coordination further poses a significant challenge, potentially reducing the overall efficiency of policy implementation.

  • Given the diverse types and configurations of marine recreational powered platforms, establishing a unified and applicable safety certification standard presents substantial technical difficulties. Additionally, industry stakeholders may resist such regulatory measures due to cost concerns, further complicating enforcement.

  • When these platforms operate in more remote offshore areas, their small size and distant location may hinder real-time tracking by coastal radar systems, resulting in delayed emergency response and increased rescue difficulty.

  • Participants in recreational marine activities often lack safety awareness or show resistance toward mandatory safety requirements, thereby posing obstacles to the cultivation of a safety-oriented culture in the marine leisure sector.

This study contributes to the advancement of existing scholarship by applying the SHELL model to a previously underexplored context, specifically the safety management of marine recreational powered platforms. While earlier research has primarily focused on the application of the SHELL framework within aviation and structured maritime operations, its use in decentralized environments that involve individual users and informal practices remains limited. This is particularly true when the model is combined with expert judgment approaches for evaluating complex criteria.

By adjusting the SHELL model to reflect the realities of informal operator behavior, loosely defined regulatory structures, and highly variable environmental conditions, this research offers new theoretical perspectives on how individuals, procedures, physical systems, and natural surroundings interact within hazardous recreational settings. The empirical results underscore the essential role of the relationship between personnel and procedural components, especially in areas such as insufficient safety training, weak enforcement mechanisms, and inconsistent levels of user knowledge. These issues are often overlooked in studies focused on formal commercial maritime systems.

Through a critical evaluation of its academic contribution, this study demonstrates that combining the SHELL framework with expert-based evaluation methods, including structured group consultation and relationship modeling, improves both the identification of influential risk factors and the ability to prioritize them under conditions where resources are limited. This methodological approach transforms the SHELL model from a descriptive framework into a practical system that supports decision making and guides the development of adaptive marine safety policies. In doing so, the research enriches theoretical understanding and provides applicable insights for other maritime sectors that lack formal regulation.

This study conducts a comparative analysis of the proposed SHELL-based framework alongside other established safety models and regional regulatory systems. From a theoretical perspective, the Human Factors Analysis and Classification System (HFACS) has been widely applied in postincident investigations across structured domains such as aviation and military operations. However, its foundational assumptions, including the presence of formal supervisory mechanisms, hierarchical decision-making processes, and standardized operational procedures, are typically not present in general maritime recreational environments. In such settings, users of marine recreational powered platforms often operate independently and without formal regulatory oversight. In contrast, the adapted SHELL framework developed in this study emphasizes dynamic analysis of operational interfaces, enabling forward-looking risk evaluation under conditions characterized by procedural flexibility and uncertain governance.

At the level of regulatory practice, Japan’s framework under the Small Vessel Registration Ordinance classifies platforms shorter than three meters in length and with engine power below 1.5 kilowatts as mini-vessels. Although these platforms are exempt from registration and formal safety inspections, Japan promotes basic operator knowledge through the distribution of a “Mini-Vessel Safety Manual,” which encourages familiarity with navigation rules and essential engine operation. In South Korea, the Water Leisure Safety Act provides a legislative basis for maintaining the safety and order of water-based recreational activities. These systems depend on strong institutional capacity and widespread public adherence to regulations, conditions that are often not yet established in jurisdictions where safety governance remains in an early stage of development.

In contrast, Taiwan’s current approach to maritime recreational safety is characterized by fragmented oversight, particularly in areas such as license administration, enforcement coordination, and user education. To respond to these challenges, the SHELL-based framework proposed in this study offers a flexible and expandable tool for identifying critical safety risks, allocating limited regulatory resources, and supporting the gradual evolution of policy. Its modular structure allows for phased implementation in settings where institutional capacity is still being developed. Moreover, the analytical model can be extended to other contexts where individual autonomy and limited oversight coincide, such as personal watercraft use and adventure tourism.

This comparative assessment highlights the distinct value of the present study by demonstrating that a conceptually grounded and practically adaptable framework can contribute meaningfully to safety governance in environments that do not align with traditional safety model assumptions. In doing so, the study enhances maritime safety theory and provides an actionable tool for policy development in emerging and insufficiently regulated operational domains.

The analytical framework developed in this study integrates the SHELL model with the Delphi method and DEMATEL analysis. It offers considerable flexibility in addressing challenges associated with emerging maritime equipment and non-traditional vessels that currently fall outside comprehensive regulatory oversight. This approach can be extended to Pacific Island nations such as Fiji and Palau, where marine tourism is highly active yet regulatory systems remain underdeveloped, reflecting conditions similar to those in Taiwan. Implementing preventive measures at an early stage is critical to mitigating the escalation of systemic risks [7577]. Notably, Palau has effectively achieved its marine management and conservation objectives through a high level of local community and stakeholder engagement [78]. In addition, the proposed framework is relevant to other island countries in Asia, such as the Philippines. Similar to Taiwan, the Philippines is often affected by typhoons and strong ocean currents like the Kuroshio Current. These environmental challenges highlight the urgent need to strengthen maritime safety systems and improve the regulation of motorized recreational vessels, in order to reduce risks and better protect public safety and property [78]. Moreover, both Taiwan and the Philippines face significant challenges in integrated management and are subject to high levels of risk pressure associated with marine recreational activities [79,80]. The methodology supports the formulation of structured safety certification systems and coordination mechanisms among stakeholders. By adjusting key contextual variables such as stakeholder roles, environmental conditions, and institutional frameworks, this framework contributes to strategic safety management and policy development in comparable settings. Such applications also allow for the validation of its generalizability and robustness across diverse maritime governance environments.

Conclusions

In recent years, the rapid expansion of marine tourism has resulted in a marked increase in the use of powered recreational platforms by tourists, which has, in turn, underscored the pressing need for effective maritime safety governance. To address this emerging issue, this study introduces an innovative analytical framework that combines the SHELL model with the Delphi method and DEMATEL analysis. This framework provides both a structured and systematic foundation and the adaptability required to meet the demands of diverse administrative environments. It facilitates the formulation of a comprehensive set of safety management criteria tailored to the characteristics of powered recreational platforms. For governmental agencies and maritime regulators, the outcomes of this study serve as a reference for prioritizing key criteria and interpreting their interrelationships. These insights support the design of focused policy interventions, including the formulation of unified regulatory measures, the implementation of foundational navigation training programs, and the allocation of specific maritime areas to strengthen oversight responsibilities.

Viewed holistically, the proposed methodology and recommendations demonstrate a coherent integration of theoretical precision and practical utility. Although developed within the context of Taiwan’s maritime regulatory environment, the framework possesses considerable potential for application in other coastal and island nations that encounter comparable institutional constraints. Moreover, the findings expose systemic gaps between policy formulation and practical execution, as evidenced through real incidents. As illustrated in the 2024 case, measures such as promoting public understanding of basic navigational knowledge, restricting leisure activities to designated maritime areas, and introducing safety surveillance systems for recreational users may collectively enhance maritime safety. These efforts contribute to the timely dissemination of warning information and support the operational management of coastal activities and emergency response personnel.

From a comprehensive perspective, this study offers a representative and integrative methodological approach with high relevance to both academic inquiry and policy implementation. It provides a valuable reference for improving the governance of recreational maritime vessels, particularly in jurisdictions where regulatory structures are incomplete or remain in a fragmented state.

Supporting information

S1 File. Survey data and result analysis for each criterion from 9 experts.

(DOCX)

pone.0330820.s001.docx (18.1KB, docx)
S2 File. DEMATEL questionnaire.

(DOCX)

pone.0330820.s002.docx (50.1KB, docx)

Data Availability

All relevant data are within the manuscript and its Supporting Information files.

Funding Statement

The author(s) received no specific funding for this work.

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Decision Letter 0

Yi-Che Shih

27 May 2025

PONE-D-25-20340A Multi-Criteria Decision-Making Framework for Managing the Safety of Marine Recreational Powered Platforms: Integration with the SHELL ModelPLOS ONE

Dear Dr. Hsu,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

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We look forward to receiving your revised manuscript.

Kind regards,

Yi-Che Shih, Ph.D.

Academic Editor

PLOS ONE

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Additional Editor Comments :

We have now completed the reviewing process of your article PONE-D-25-20340 entitled ""A Multi-Criteria Decision-Making Framework for Managing the Safety of Marine Recreational Powered Platforms: Integration with the SHELL Model"

submitted to the PLOS One.

According to the reviewers' comments, this manuscript needs major revision before consideration for acceptance.

Please read the reviewers' recommendations listed below and revise your article in light of their comments.

We look forward to receiving your resubmission soon.

Reviewer #1

This study focuses on marine recreational activities, addressing a critical gap in navigational safety management. The integration of the SHELL MODEL’s four-dimensional framework ("Software," "Hardware," "Environment," and "Liveware") demonstrates interdisciplinary rigor. However, several methodological and theoretical refinements are recommended to strengthen the manuscript’s validity and impact.

1. While the SHELL MODEL is well-established in safety science, the manuscript must explicitly justify the selection of specific indicators under each dimension. For instance, how were the 20 initial criteria derived, and why were these 10 prioritized? A detailed explanation of the framework’s completeness and credibility is essential.

2. The Modified Delphi and DEMATEL processes lack clarity in key methodological details. For example: How were the 10 experts selected? What theoretical or empirical bases informed the consensus thresholds for criterion retention? How were dissenting opinions resolved?

3. The reliance on traditional multi-criteria decision analysis (MCDA) methodslimits the study’s novelty. To advance the field, the authors should: Critically assess how their approach extends existing literature. Discuss theoretical implications (e.g., how the findings reshape SHELL MODEL applications in maritime safety).

4. The manuscript needs to conduct comparative discussions with alternative safety frameworks or regional regulatory systems. Including such analyses would highlight the study’s unique value proposition and contextualize its recommendations within broader safety management paradigms.

Reviewer #2

• The study applies an innovative integration of the SHELL model and DEMATEL within a marine safety research field. However, there are still some areas that need improvement before acceptance.

1. The abstract part is repetitive phrasing, especially with "powered platform" and overly dense technical jargon. It is recommended that the author simplify and condense the abstract for accessibility.

2. Although this article provides a good overview of SHELL and maritime risk, the exact research gap (i.e., why SHELL+MCDM is more effective for powered platforms than HFACS or existing frameworks) needs more precise articulation. It is suggested that the author could explicitly contrast the limitations of prior models like HFACS and state why SHELL is better suited for recreational risk environments.

3. The manuscript cites a significant number of references, but these are not sufficiently integrated to support the research logic and discussions. It is recommended that the authors integrate Table 2 more effectively into the main text. For example, clarify how each dimension (software, hardware, etc.) is justified based on the cited references. Use subheadings or summary paragraphs to guide readers in understanding the standard-setting process.

4. On page 11, the authors mentioned total of 9 participants were selected from different fields. For a highly heterogeneous topic, this number is relatively small. It is recommend that the authors explain why 9 participants are sufficient to reach a consensus and address potential biases (such as local vs. international applicability).

5. Pages 19, 20. The author shows that Figures 2 and 3 (INRM & Criteria Relationship Map) are important but not clearly explained. It is suggested that the author could add brief figure captions explaining the quadrant's meaning and how practitioners can interpret them. For example: "Top-right quadrant indicates criteria with high centrality and positive influence…"

6. For the journal market and its international readership, discussions and case studies of this manuscript are limited to Taiwan and may restrict broader impact. Authors are encouraged to briefly discuss how this framework could be adapted to other countries facing similar regulatory gaps, such as those in Southeast Asia or the Pacific Islands.

7. On pages 25-26 the conclusion part. The conclusion repeats the research findings but fails to highlight new content and its significant contributions. It is recommended that the authors add a summary of the findings, such as the innovative integration of SHELL and DEMATEL, a practical tool for policymakers in leisure marine safety, validation of recommendations using empirical events, etc.

8. Before considering accepting the article, it is recommended that some revisions be made.

[Note: HTML markup is below. Please do not edit.]

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

Reviewer #2: Partly

**********

2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #2: Yes

**********

3. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

Reviewer #2: Yes

**********

4. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #2: Yes

**********

5. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: This study focuses on marine recreational activities, addressing a critical gap in navigational safety management. The integration of the SHELL MODEL’s four-dimensional framework ("Software," "Hardware," "Environment," and "Liveware") demonstrates interdisciplinary rigor. However, several methodological and theoretical refinements are recommended to strengthen the manuscript’s validity and impact.

1. While the SHELL MODEL is well-established in safety science, the manuscript must explicitly justify the selection of specific indicators under each dimension. For instance, how were the 20 initial criteria derived, and why were these 10 prioritized? A detailed explanation of the framework’s completeness and credibility is essential.

2. The Modified Delphi and DEMATEL processes lack clarity in key methodological details. For example: How were the 10 experts selected? What theoretical or empirical bases informed the consensus thresholds for criterion retention? How were dissenting opinions resolved?

3. The reliance on traditional multi-criteria decision analysis (MCDA) methodslimits the study’s novelty. To advance the field, the authors should: Critically assess how their approach extends existing literature. Discuss theoretical implications (e.g., how the findings reshape SHELL MODEL applications in maritime safety).

4. The manuscript needs to conduct comparative discussions with alternative safety frameworks or regional regulatory systems. Including such analyses would highlight the study’s unique value proposition and contextualize its recommendations within broader safety management paradigms.

Reviewer #2: • The study applies an innovative integration of the SHELL model and DEMATEL within a marine safety research field. However, there are still some areas that need improvement before acceptance.

1. The abstract part is repetitive phrasing, especially with "powered platform" and overly dense technical jargon. It is recommended that the author simplify and condense the abstract for accessibility.

2. Although this article provides a good overview of SHELL and maritime risk, the exact research gap (i.e., why SHELL+MCDM is more effective for powered platforms than HFACS or existing frameworks) needs more precise articulation. It is suggested that the author could explicitly contrast the limitations of prior models like HFACS and state why SHELL is better suited for recreational risk environments.

3. The manuscript cites a significant number of references, but these are not sufficiently integrated to support the research logic and discussions. It is recommended that the authors integrate Table 2 more effectively into the main text. For example, clarify how each dimension (software, hardware, etc.) is justified based on the cited references. Use subheadings or summary paragraphs to guide readers in understanding the standard-setting process.

4. On page 11, the authors mentioned total of 9 participants were selected from different fields. For a highly heterogeneous topic, this number is relatively small. It is recommend that the authors explain why 9 participants are sufficient to reach a consensus and address potential biases (such as local vs. international applicability).

5. Pages 19, 20. The author shows that Figures 2 and 3 (INRM & Criteria Relationship Map) are important but not clearly explained. It is suggested that the author could add brief figure captions explaining the quadrant's meaning and how practitioners can interpret them. For example: "Top-right quadrant indicates criteria with high centrality and positive influence…"

6. For the journal market and its international readership, discussions and case studies of this manuscript are limited to Taiwan and may restrict broader impact. Authors are encouraged to briefly discuss how this framework could be adapted to other countries facing similar regulatory gaps, such as those in Southeast Asia or the Pacific Islands.

7. On pages 25-26 the conclusion part. The conclusion repeats the research findings but fails to highlight new content and its significant contributions. It is recommended that the authors add a summary of the findings, such as the innovative integration of SHELL and DEMATEL, a practical tool for policymakers in leisure marine safety, validation of recommendations using empirical events, etc.

8. Before considering accepting the article, it is recommended that some revisions be made.

**********

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Reviewer #1: No

Reviewer #2: No

**********

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PLoS One. 2025 Aug 22;20(8):e0330820. doi: 10.1371/journal.pone.0330820.r002

Author response to Decision Letter 1


23 Jun 2025

Response to Reviewers

Reviewer #1�

This study focuses on marine recreational activities, addressing a critical gap in navigational safety management. The integration of the SHELL MODEL’s four-dimensional framework ("Software," "Hardware," "Environment," and "Liveware") demonstrates interdisciplinary rigor. However, several methodological and theoretical refinements are recommended to strengthen the manuscript’s validity and impact.

Authors’ Reply: We sincerely appreciate the reviewer’s positive recognition of the study’s thematic focus and the interdisciplinary integration of its methodological framework. We will revise the manuscript accordingly in response to each point, with the aim of further enhancing the scholarly significance and practical relevance of the research findings. Detailed responses to the specific suggestions are provided below.

1. While the SHELL MODEL is well-established in safety science, the manuscript must explicitly justify the selection of specific indicators under each dimension. For instance, how were the 20 initial criteria derived, and why were these 10 prioritized? A detailed explanation of the framework’s completeness and credibility is essential.

Authors’ Reply: Thanks for the valuable comment. In response, we have revised and expanded the section concerning the initial indicator framework (please refer to the revised manuscript, pages 20 to 23, 26). The detailed explanation is as follows�

(1) Derivation of the 20 Initial Indicators: (please refer to the revised manuscript, page 20)

This study conducted a comprehensive literature review focusing on maritime safety, causal analysis of maritime accidents, and risk factors associated with recreational maritime platforms. Based on the attributes of each SHELL dimension, 20 preliminary criteria were systematically compiled to reflect the relevant risk domains.

(2) Selection Basis for the 10 Core Indicators: (please refer to the revised manuscript, page 26)

A Delphi survey was conducted with nine experts, each possessing over 10 years of experience in maritime safety, marine law enforcement, and ocean governance practices. Indicators with a mean score greater than 4.05 and a coefficient of variation less than 0.3 were selected as the most representative 10 indicators for subsequent DEMATEL analysis.

(3) Explanation of Framework Completeness and Credibility: (please refer to the revised manuscript, pages 21 to 23)

We have added a detailed explanation of the core criteria selected under each of the four SHELL dimensions. In addition, expert feedback confirmed the rationality, criticality, completeness, and credibility of the selected indicators, thereby reinforcing the validity of the overall analytical framework.

2. The Modified Delphi and DEMATEL processes lack clarity in key methodological details. For example: How were the 10 experts selected? What theoretical or empirical bases informed the consensus thresholds for criterion retention? How were dissenting opinions resolved?

Authors’ Reply: Thanks for the valuable comment. Our detailed responses are as follows: (please refer to the revised manuscript, page 18, 25, 26)

(1) Expert Selection Process: (please refer to the revised manuscript, page 18)

This study employed purposive sampling to recruit a representative panel of experts across key domains, including maritime safety enforcement, maritime governance, search and rescue operations, and user engagement. All experts possessed over 10 years of practical or research experience in their respective fields, ensuring both disciplinary depth and cross-sectoral breadth. To ensure balanced input, three experts were selected from each of the following sectors: government agencies, academia, and civil society, resulting in a total of nine panelists.

(2) Consensus Threshold Criteria: (please refer to the revised manuscript, page 26)

To ensure that the retained criteria reflected both relevance and consensus, indicators with a mean score below 4.05 and a coefficient of variation (CV) greater than 0.3 were excluded. These thresholds were adopted to capture both the central tendency and the degree of dispersion in expert evaluations.

(3) Handling of Divergent Opinions: (please refer to the revised manuscript, page 25)

After the first round of the Delphi process, results indicated high consistency across responses: all criteria had a CV lower than 0.5, and 95% had a CV below 0.3, suggesting a strong level of agreement. Nevertheless, in the event of significant divergence among expert opinions, a second Delphi round would have been conducted to refine judgments and reach consensus, in alignment with the iterative feedback mechanism of the Delphi method.

3. The reliance on traditional multi-criteria decision analysis (MCDA) methodslimits the study’s novelty. To advance the field, the authors should: Critically assess how their approach extends existing literature. Discuss theoretical implications (e.g., how the findings reshape SHELL MODEL applications in maritime safety).

Authors’ Reply: Thanks for the valuable comment. In response to this suggestion, we have revised and expanded the discussion and conclusion sections of the manuscript (please refer to the revised manuscript, pages 41-42). These revisions include an extended review of relevant literature and a critical assessment of how the integration of the SHELL model with the Delphi and DEMATEL methods contributes to the development of an innovative framework for maritime safety management.

4. The manuscript needs to conduct comparative discussions with alternative safety frameworks or regional regulatory systems. Including such analyses would highlight the study’s unique value proposition and contextualize its recommendations within broader safety management paradigms.

Authors’ Reply: Thanks for the valuable comment. In response to this comment, we have revised the discussion section to include additional content (please refer to the revised manuscript, pages 43 to 45). Specifically, we added a comparative analysis between the management framework proposed in this study, which integrates the SHELL model, the MDM method, and the DEMATEL technique, and the Human Factors Analysis and Classification System (HFACS). Furthermore, we have highlighted the practical applicability and potential of this framework in regions with insufficient regulatory mechanisms or fragmented maritime safety governance.

Reviewer #2�

• The study applies an innovative integration of the SHELL model and DEMATEL within a marine safety research field. However, there are still some areas that need improvement before acceptance.

Authors’ Reply: Thanks for the valuable comment. We sincerely appreciate the reviewer’s positive recognition of the integration of the SHELL model with the MDM and DEMATEL methodologies. In response, we have carefully addressed each comment with corresponding revisions aimed at enhancing the constructiveness and practical relevance of the study. Detailed responses to the specific suggestions are provided below.

1. The abstract part is repetitive phrasing, especially with "powered platform" and overly dense technical jargon. It is recommended that the author simplify and condense the abstract for accessibility.

Authors’ Reply: Thanks for the valuable comment. We have thoroughly revised the abstract to reduce redundancy and improve wording. In addition, the content has been reorganized to enhance conciseness and clarity, while ensuring that the core contributions of the study are accurately preserved.

2. Although this article provides a good overview of SHELL and maritime risk, the exact research gap (i.e., why SHELL+MCDM is more effective for powered platforms than HFACS or existing frameworks) needs more precise articulation. It is suggested that the author could explicitly contrast the limitations of prior models like HFACS and state why SHELL is better suited for recreational risk environments.

Authors’ Reply: Thanks for the valuable comment. In response to this comment, we have revised the introduction and discussion sections (please refer to the revised manuscript, pages 43 to 45) to elaborate on the limitations of alternative frameworks such as HFACS, and to further clarify the rationale for adopting the integrated approach of the SHELL model with MDM and MCDM methods, as well as its suitability for application in the context of recreational maritime safety.

3. The manuscript cites a significant number of references, but these are not sufficiently integrated to support the research logic and discussions. It is recommended that the authors integrate Table 2 more effectively into the main text. For example, clarify how each dimension (software, hardware, etc.) is justified based on the cited references. Use subheadings or summary paragraphs to guide readers in understanding the standard-setting process.

Authors’ Reply: Thanks for the valuable comment. In response to this comment, we have revised the relevant content (please refer to the revised manuscript, pages 21 to 23) to provide a detailed explanation of each dimension of the SHELL model, including Software, Hardware, Environment, and Liveware. The corresponding criteria for each dimension have been clearly described and systematically incorporated into the main body of the manuscript.

4. On page 11, the authors mentioned total of 9 participants were selected from different fields. For a highly heterogeneous topic, this number is relatively small. It is recommend that the authors explain why 9 participants are sufficient to reach a consensus and address potential biases (such as local vs. international applicability).

Authors’ Reply: Thanks for the valuable comment. This study adopted purposive sampling, prioritizing expertise and perspective diversity over sample size in line with MDM principles. To ensure balanced representation, the panel comprised three experts each from government, academia, and the private sector, reflecting both regulatory and user-side views. Several members also had experience with international maritime safety frameworks, enhancing the cross-regional relevance of the findings. (please refer to the revised manuscript, page 20)

After the first round of the Delphi survey, the results indicated high levels of agreement: the CV for all criteria was below 0.5, and 95% of the criteria had a CV below 0.3. These results suggest a strong level of consensus (please refer to the revised manuscript, page 25). However, had there been significant divergence in expert opinions, a second round of the Delphi process would have been conducted to reach a stable consensus, in line with the fundamental principles of expert consultation in multi-criteria evaluation settings.

5. Pages 19, 20. The author shows that Figures 2 and 3 (INRM & Criteria Relationship Map) are important but not clearly explained. It is suggested that the author could add brief figure captions explaining the quadrant's meaning and how practitioners can interpret them. For example: "Top-right quadrant indicates criteria with high centrality and positive influence…"

Authors’ Reply: Thanks for the valuable comment. We have revised the figure captions to include explanations of the meaning represented by each of the four quadrants in the Influence Network Relation Map (INRM) and the Criteria Relationship Map, in order to assist readers in interpreting the analytical results (please refer to the revised manuscript, pages 32 to 34).

6. For the journal market and its international readership, discussions and case studies of this manuscript are limited to Taiwan and may restrict broader impact. Authors are encouraged to briefly discuss how this framework could be adapted to other countries facing similar regulatory gaps, such as those in Southeast Asia or the Pacific Islands.

Authors’ Reply: Thanks for the valuable comment. We have added a supplementary paragraph in the discussion section to briefly outline the potential applicability of the proposed analytical framework to other regions, such as Southeast Asia and the Pacific Islands (please refer to the revised manuscript, pages 42 to 45). In the conclusion section, we further summarize the contextual adaptability of the SHELL model when integrated with expert-based Delphi and DEMATEL methods. This integrated approach demonstrates its effectiveness in identifying systemic risks under conditions of weak regulatory capacity and offers a practical reference for policy planning, risk prioritization, and institutional development (please refer to the revised manuscript, page 47). These additions enhance the international and academic relevance of the study.

7. On pages 25-26 the conclusion part. The conclusion repeats the research findings but fails to highlight new content and its significant contributions. It is recommended that the authors add a summary of the findings, such as the innovative integration of SHELL and DEMATEL, a practical tool for policymakers in leisure marine safety, validation of recommendations using empirical events, etc.

Authors’ Reply: Thanks for the valuable comment. In response to this comment, we have revised the Conclusion section (please refer to the revised manuscript, pages 46 to 47) to emphasize the methodological contribution of integrating the SHELL model with the Delphi method and DEMATEL analysis. This combination is presented as a structured and practical tool for analyzing safety risks in the field of marine recreation. To strengthen the significance and applicability of our findings, we have also included reference to the previously mentioned 2024 incident and the implementation of a personnel safety monitoring system related to aquatic recreational activities, thereby reinforcing the study's practical relevance and potential impact.

8. Before considering accepting the article, it is recommended that some revisions be made.

Authors’ Reply: Thanks for the valuable comment. We sincerely thank the reviewer for the positive overall evaluation and valuable suggestions regarding this study. In response to the comments provided, we have carefully addressed and revised each point accordingly. We believe these revisions have significantly enhanced the quality and academic value of the manuscript, and we respectfully submit the revised version for your further consideration.

Attachment

Submitted filename: Response to Reviewers.docx

pone.0330820.s003.docx (27.9KB, docx)

Decision Letter 1

Yi-Che Shih

21 Jul 2025

PONE-D-25-20340R1A Multi-Criteria Decision-Making Framework for Managing the Safety of Marine Recreational Powered Platforms: Integration with the SHELL ModelPLOS ONE

Dear Dr. Hsu,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

Please submit your revised manuscript by Sep 04 2025 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org . When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file.

Please include the following items when submitting your revised manuscript:

  • A rebuttal letter that responds to each point raised by the academic editor and reviewer(s). You should upload this letter as a separate file labeled 'Response to Reviewers'.

  • A marked-up copy of your manuscript that highlights changes made to the original version. You should upload this as a separate file labeled 'Revised Manuscript with Track Changes'.

  • An unmarked version of your revised paper without tracked changes. You should upload this as a separate file labeled 'Manuscript'.

If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter.

If applicable, we recommend that you deposit your laboratory protocols in protocols.io to enhance the reproducibility of your results. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. For instructions see: https://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols . Additionally, PLOS ONE offers an option for publishing peer-reviewed Lab Protocol articles, which describe protocols hosted on protocols.io. Read more information on sharing protocols at https://plos.org/protocols?utm_medium=editorial-email&utm_source=authorletters&utm_campaign=protocols .

We look forward to receiving your revised manuscript.

Kind regards,

Yi-Che Shih, Ph.D.

Academic Editor

PLOS ONE

Journal Requirements:

If the reviewer comments include a recommendation to cite specific previously published works, please review and evaluate these publications to determine whether they are relevant and should be cited. There is no requirement to cite these works unless the editor has indicated otherwise. 

Please review your reference list to ensure that it is complete and correct. If you have cited papers that have been retracted, please include the rationale for doing so in the manuscript text, or remove these references and replace them with relevant current references. Any changes to the reference list should be mentioned in the rebuttal letter that accompanies your revised manuscript. If you need to cite a retracted article, indicate the article’s retracted status in the References list and also include a citation and full reference for the retraction notice.

Additional Editor Comments:

The revised manuscript is well-executed, methodologically sound, and directly relevant to safety governance in maritime recreation. With minor improvements in abstract clarity, table presentation, and brief global contextualization, the paper should be suitable for acceptance.

To further strengthen the manuscript before final acceptance:

• While improved, the abstract could be further enhanced by highlighting the unique contribution of the SHELL + DEMATEL integration in a single sentence near the end. Currently, it reads more like a summary than a pitch.

• Although a section is dedicated to discussing applicability to Southeast Asia and the Pacific Islands, the analysis is brief. Consider adding a short comparative note (1–2 sentences) on how regulatory gaps in one or two specific countries mirror Taiwan’s situation, with references if possible.

• Tables 4 and 7 are informative, but they are densely formatted. Adding clearer headings or footnotes for “centrality” and “net effect” values could improve reader comprehension.

[Note: HTML markup is below. Please do not edit.]

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

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Reviewer #3: All comments have been addressed

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Reviewer #3: Yes

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3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #3: Yes

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Reviewer #3: Yes

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Reviewer #3: Yes

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6. Review Comments to the Author

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Reviewer #3: This study addresses a significant research gap in the field of maritime safety management related to marine recreational activities. By integrating the SHELL model with DEMATEL in the maritime safety domain and utilizing the four-dimensional framework of the SHELL model (“Software,” “Hardware,” “Environment,” and “Liveware”), the research demonstrates interdisciplinary rigor and thus possesses innovative value. In the current revised version, all prior review comments have been adequately addressed, with each point systematically supplemented, explained, and discussed. Furthermore, substantial revisions have been made to both the methodological and theoretical aspects, which have effectively enhanced the validity and impact of this study.

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Reviewer #3: No

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PLoS One. 2025 Aug 22;20(8):e0330820. doi: 10.1371/journal.pone.0330820.r004

Author response to Decision Letter 2


3 Aug 2025

Additional Editor Comments Reply

Comment #1�

• While improved, the abstract could be further enhanced by highlighting the unique contribution of the SHELL + DEMATEL integration in a single sentence near the end. Currently, it reads more like a summary than a pitch.

Authors’ Reply: Thanks for the valuable comment. In response to this suggestion, we have added the following sentence to the abstract section of the manuscript to highlight the unique contribution and methodological innovation of this study�"Building on the above findings, this study confirms the effectiveness of an innovative integration of the SHELL model and the DEMATEL method, which provides a structured and adaptive framework capable of systematically identifying systemic navigational risks in marine recreational activities."

(Please refer to the revised manuscript, pages ii, iii.)

Comment #2�

• Although a section is dedicated to discussing applicability to Southeast Asia and the Pacific Islands, the analysis is brief. Consider adding a short comparative note (1–2 sentences) on how regulatory gaps in one or two specific countries mirror Taiwan’s situation, with references if possible.

Authors’ Reply: Thanks for the valuable comment. In addition to discussing the applicability of the research framework to Southeast Asia and Pacific Island nations, we further highlighted the similarities and regulatory gaps between these countries and Taiwan (Please refer to the revised manuscript, pages 41, 42). To enhance the completeness of the discussion, six additional references were incorporated (Please refer to the revised manuscript, page 51).

Comment #3�

• Tables 4 and 7 are informative, but they are densely formatted. Adding clearer headings or footnotes for “centrality” and “net effect” values could improve reader comprehension.

Authors’ Reply: Thanks for the comment. We have revised the titles of Tables 4 and 7 to enhance clarity (Please refer to the revised manuscript, pages 24, 28) and added a footnote to Table 4 (Please refer to the revised manuscript, page 24) to improve reader comprehension.

Attachment

Submitted filename: Response_to_Reviewers_auresp_2.docx

pone.0330820.s004.docx (19.8KB, docx)

Decision Letter 2

Yi-Che Shih

6 Aug 2025

A Multi-Criteria Decision-Making Framework for Managing the Safety of Marine Recreational Powered Platforms: Integration with the SHELL Model

PONE-D-25-20340R2

Dear Dr. Hsu,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

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Kind regards,

Yi-Che Shih, Ph.D.

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Congratution!

Reviewers' comments:

Acceptance letter

Yi-Che Shih

PONE-D-25-20340R2

PLOS ONE

Dear Dr. Hsu,

I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now being handed over to our production team.

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Kind regards,

PLOS ONE Editorial Office Staff

on behalf of

Dr. Yi-Che Shih

Academic Editor

PLOS ONE

Associated Data

    This section collects any data citations, data availability statements, or supplementary materials included in this article.

    Supplementary Materials

    S1 File. Survey data and result analysis for each criterion from 9 experts.

    (DOCX)

    pone.0330820.s001.docx (18.1KB, docx)
    S2 File. DEMATEL questionnaire.

    (DOCX)

    pone.0330820.s002.docx (50.1KB, docx)
    Attachment

    Submitted filename: Response to Reviewers.docx

    pone.0330820.s003.docx (27.9KB, docx)
    Attachment

    Submitted filename: Response_to_Reviewers_auresp_2.docx

    pone.0330820.s004.docx (19.8KB, docx)

    Data Availability Statement

    All relevant data are within the manuscript and its Supporting Information files.


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