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. 2021 Feb 8;16(2):e0246705. doi: 10.1371/journal.pone.0246705

Evaluating the influential factors for life preserver donning tests

Ruiliang Yang 1, Zijiang Wu 2, Xiaoming Qian 2,*
Editor: Ahmed Mancy Mosa3
PMCID: PMC7870007  PMID: 33556145

Abstract

Life preservers often play a vital role in ensuring passenger safety in water-related accidents, while the difficulty of donning life preservers has been repeatedly proved even in a donning test. To evaluate the influencing factors for life preserver donning tests, 109 college students and 42 villagers were chosen as subjects. A total of fourteen variables with seven categorical variables and seven continuous variables were considered as potential influencing factors. T-test and one-way analysis of variance (ANOVA, for three or more categories) were used to judge whether grouping in categorical variables had a significant effect on the donning performance. Then all variables were offered into the stepwise linear regression (SLR) to evaluate the influential factors for life preserver donning tests. Results showed that four of fourteen variables, including gender, instruction condition, age group, and tool test time (representing the subject’s flexibility), had a significant effect on the donning performance. To evaluate the relationship between the donning performance and influencing factors, models of the retrieving time, the opening time, and the donning time were built based on the SLR analysis. The paper also highlights recommendations for modification of the donning test procedure, which helps to improve the validation and reliability of life preserver donning tests.

Introduction

Life preservers often play a vital role in ensuring passenger safety in water-related accidents and are required on an airplane in overwater operations by the regulations of many countries [1]. However, the difficulty of donning life preservers had been repeatedly proven by accident reports [2], research papers [35], and donning tests [68]. In the accident ditching on the Hudson River in 2009 [2], only 4 out of 150 passengers were able to correctly don their life preservers, which highlighted the unreliability of life preservers. To evaluate donning performance of the life preserver, Corbett et al. [6] tested typical life preservers in 2014. Results showed none of life preservers met the donning requirement of the Technical Standard Order (TSO) series standard. This finding was consistent with two other Federal Aviation Administration (FAA) reports [6,7]. Considering this fact that none of life preservers can reach the mandatory donning requirement, why are there still many life preservers on the market? The main reason is that donning tests of life preservers do not always yield reliable results, so the regulatory authorities and manufacturers often ignore the mandatory donning requirement of the life preserver [1]. Thus, it is necessary to research the influencing factors to improve the validation and reliability of donning tests. This paper aims to evaluate the influential factors for donning tests of adult life preservers, and propose recommendations for modification of the donning test procedure.

TSO-C13g [9] formulated by the Department of Transportation of the US specified the minimum performance of adult life preservers. It required: “at least 75% of the total number of test subjects, and at least 60% of the test subjects in each age group, can don the life preserver within 25 seconds” in the donning test, and “75% of the total number of test participants must complete package in less than 7 seconds” in the package opening test.

The influential factors related to the donning test in TSO-C13g [9] include age, gender, height, weight, and head circumference. The age requirement in TSO-C13g [9] was that test subjects should be distributed at least five groups: 20–29, 30–39, 40–49, 50–59, 60–69 years. Any age group may not exceed 30% of the total number. The gender requirement in TSO-C13g [9] was that the same sex should not exceed 60% of the total number of test subjects in the donning test. As for the package opening test, the package should be opened less than 7 seconds by at least 8 of 10 females over the age of 60, or within 10 seconds by 8 of 10 females with reduced dexterity. The subject characteristics defined by TSO-C13g [9] are shown in Table 1.

Table 1. Test subject characteristics.

5th percentile 50th percentile 95th percentile
Height (m) Weight (kg) Head circumference (cm) Height (m) Weight (kg) Height (m) Weight (kg) Head circumference (cm)
Male ≤1.7 ≤63.9 Nil 1.8 79.4~85.6 ≥1.9 ≥110.7 ≥60.4
Female ≤1.5 ≤51.4 ≤52.5 1.6 64.4~70.7 ≥1.7 ≥93.0 Nil

Method

Ethics statement

The study was approved by Human Research Ethics Committee for Non-Clinical Faculties of School of Mechanical Engineering, Tiangong University. All participants were verbally informed of the contents of the experiment, then signed their names to agree the experiment. The participants in the figures have given written informed consent to publish their images.

Experimental design

The research was conducted in a laboratory of Tiangong University. The laboratory was divided into two areas: an air carrier coach platform area (see Fig 1) and a preparation area (see Fig 2).

Fig 1. The air carrier coach platform area.

Fig 1

Fig 2. The preparation area.

Fig 2

The air carrier coach platform consisted of two rows of air carrier coach class triple-seat, an experimental monitoring system, and a simulated cabin floor. The air carrier coach was purchased from commercial airlines. Seats, seat belts, life preservers, and armrests were all in good condition, fully meeting the test requirements. The experimental monitoring system was composed of two surveillance cameras, which can monitor the test process from the front and back directions. The simulated cabin floor was made of 15mm high steel plate to simulate the floor of the commercial aircraft cabin.

The preparation area was utilized to record demographic information, fill in the questionnaire, and carry out the General Aptitude Test Battery (GATB) [10]. Demographic information included name, gender, age, height, urban/rural, villager/student, and wearing glasses or not. Measurement data included weight, body fat rate, and head circumference. Weight and body fat rate of test subjects were measured by Mi Body Composition Scale 2, and head circumference was measured by laboratory staffs.

The GATB is a test compiled by the Employment Insurance Bureau of the US Department of Labor, which has excellent reliability and validity to evaluate individual flexibility [10]. To more effectively describe human flexibility, the GATB used in this paper included self-test questions and tool tests. Self-test questions consisted of nine items (general intelligence, verbal ability, numerical aptitude, spatial relation, shape perception ability, clerical awareness, motor coordination ability, finger flexibility, and wrist flexibility). Each item was composed of five questions graded on a five-level scale (1, strong; 2, just strong; 3, average; 4, just weak; 5, weak). The total score of these nine items was regarded as a self-test score, and the max self-test score was 225. Tool tests included placing tool test, turning tool test, assembling tool test, and disassembling tool test. These tests required the test subjects can complete placing task, turning task, assembling task, and disassembling task as quickly as possible, and the total time of these four tasks was regarded as the tool test time. Lower self-test score and shorter tool test time meant participants were more flexible.

Participants and life preservers for test

A total of 151 subjects were recruited in the test, including 85 males and 66 females. Among the test subjects, 109 were undergraduates of Tiangong University and 42 were villagers near Tiangong University. None of the subjects had any knowledge of life preservers before this test.

Life preservers for the test were typical inflatable aviation life preservers used by major airlines at present. Each life preserver was composed of upper and lower chambers, straps, inflation gas reservoirs, oral inflation means, and survivor locator light.

Procedure

  1. Three or two subjects were in one group and participated together in the donning test. After entering the laboratory, the subjects should fill in the information collection form. Then weight, head circumference, and body fat rate of the subjects were measured and recorded by laboratory staff, followed by self-test questions and tool tests.

  2. Test subjects sat side by side in the second row of air carrier coach and fastened their seat belts. Two levels of instruction condition were used before the test. Instruction condition I was subject’s reading briefing card and staff’s oral briefing. Instruction condition II was subject’s reading briefing card and staff’s donning demonstration. After donning instruction was conducted, the donning test (see Fig 3) began.

  3. When the test subject retrieved the life preserver from under the seat, the test started timing. The subject opened the package and began to don it. When the test subject completed fastening and adjusting the life preserver straps, the test signaled to end the test.

  4. Overall TSO test time was composed of the retrieving time, the package opening time, and the donning time. The three types of time were divided according to the video after the test. Two time-division points were when the package was higher than the knee and when the life preserver was taken out of the package, respectively.

Fig 3. Life preserver donning tests.

Fig 3

The potential influential factors for life preserver donning tests

A total of fourteen variables with seven categorical variables and seven continuous variables were considered as potential influencing factors. Seven categorical variables include gender, urban/rural, villager/student, wearing glasses, instruction condition, seat, and age group, see Table 2. Seven continuous variables include height, weight, head circumference, body fat rate, metabolic rate, self-test score, and tool test time, see Table 3. Through data consolidation, Tables 2 and 3 summarizes the demographic information of all participants. About 56.3% of the participants were male, and 43.7% were female. Test subjects included 72.2% of college students and 27.8% of villagers. Aisle seat, middle seat, and window seat all accounted for about 1/3. According to TSO-C13g [9], five age groups used in this paper were <20, 20–29, 30–39, 40–49, and 50–59 years. About 53.0% of the participants were under the age of 20 years old. There were two levels of instruction condition. Instruction condition I was to let test subjects read the briefing card, then the staff orally briefed the donning process. Instruction condition II was to let test subjects read the briefing card, then the staff demonstrated how to don the life preserver.

Table 2. Potential categorical influential factors for life preserver donning tests.

Variable Potential categorical influential factor Category Frequency Percent (%)
x1 Gender Male 85 56.3
Female 66 43.7
x2 Urban/rural Urban 62 41.1
Rural 89 58.9
x3 Villager/student Villager 42 27.8
Student 109 72.2
x4 Wearing glasses Yes 76 50.3
No 75 49.7
x5 Seat Aisle seat 51 33.8
Middle seat 51 33.8
Window seat 49 32.4
x6 Age group <20 80 53.0
20–29 30 19.9
30–39 5 3.3
40–49 25 16.6
50–59 11 7.3
x7 Instruction condition Instruction condition I 122 80.8
Instruction condition II 29 19.2

Table 3. Potential continuous influential factors for life preserver donning tests.

Variable Potential continuous influential factor Mean Std. Min. 25th percentile Median 75th percentile Max.
x8 Height (cm) 169.2 8.7 152 161 170 177 192
x9 Weight (cm) 66.8 14.9 44.3 55.4 65.2 73.6 120.1
x10 Head circumference (cm) 56.8 2.2 50.5 55.2 56.7 58.2 67.6
x11 Body fat rate (%) 24.5 9.8 5 16.7 25.4 31.8 43.5
x12 Metabolic rate (w/m2) 1445.4 266 1005 1236.3 1393 1608 2377
x13 Self-test score 126.7 20.7 69 114 126 138 191
x14 Tool test time (s) 247.4 45.9 163 213.3 238 272.5 389

Statistical analysis

All data analyses were performed using SPSS (v22) software. To judge whether grouping in categorical variables had a significant effect on the donning performance, T-test was used for two-level categorical variables such as gender, urban/rural, villager/student, wearing glasses, and instruction condition. One-way analysis of variance (ANOVA) was adopted for categorical variables with three or more categories such as seat and age group. All variables were offered into the stepwise linear regression (SLR) [11] to avoid some of common problems associated. In the stepwise linear regression models, dummy variables were created for the categorical variables, using the first or lowest category as the reference category. Pearson correlation analysis [12] was also used to assess the strength of the relationship between dependent and independent variables. All tests were conducted at a significance level of 0.05.

Results

The retrieving time, the package opening time, and the donning time

The retrieving time, the package opening time, and the donning time were 5.8±4.2 seconds, 10.1±6.5 seconds, and 46.1±27.6 seconds, respectively. And 75th percentile of the retrieving time, the package opening time, and the donning time were 6.8 seconds, 12.8 seconds, and 57 seconds, respectively.

Table 4 showed the pass percentage in the package opening test and the donning test of different genders, different subjects, and different instruction conditions. Results showed that only 41.1% (62/151) of the subjects can open the package within 7 seconds, and only 21.2% (32/151) of study participants successfully donned a life preserver within 25 seconds. Both pass percentages lower than 75% required by TSO-C13g [9]. Male study participants had a higher pass percentage than female participants in the package opening test (47.8% of male students vs. 28.6% of female students, 61.1% of male villagers vs. 29.2% of female villagers) and the donning test (26.9% of male students vs. 16.7% of female students, 33.3% of male villagers vs. 4.2% of female villagers). The pass percentage under instruction condition I was significantly lower than that under instruction condition II (11.5% vs. 62.1%).

Table 4. The pass percentage of different genders, different subjects, and different instruction conditions.

Male student Female student Male villager Female villager Instruction condition I Instruction condition II Total
Number 67 42 18 24 122 29 151
Package opening time ≤ 7s, n (%) 32 (47.8%) 12 (28.6%) 11 (61.1%) 7 (29.2%) 48 (39.3%) 14 (48.3%) 62 (41.1%)
Donning time ≤ 25s, n (%) 18 (26.9%) 7 (16.7%) 6 (33.3%) 1 (4.2%) 14 (11.5%) 18 (62.1%) 32 (21.2%)

The post-test questionnaire

The post-test questionnaire showed that 85.4% (129/151) of the subjects had difficulty in correctly donning the life preserver. The main obstacles included: straps, confusion on top/bottom or front/back, confusion on the hole, package problem, nervous or hesitant, retrieving problem, and confusion on the briefing card.

About 27.2% (41/151) of the subjects reported that the straps were too long for them to know how to use. They often fail to fasten the straps correctly and had to wait for the staff or the neighbor to remind them to tighten properly. About 21.9% (33/151) of the subjects were confused about what was the top/bottom or front/back so that they cannot don the life preserver quickly. About 21.9% (33/151) of the subjects complained that the hole of the life preserver was too small to see, and prevented participants with glasses to don it quickly and correctly. For the sake of unification, all packages containing life preservers were made on site. Compared with the original package, the package was made of the same material but easier to open. But 21.9% (33/151) of the subjects still complained that the package was hard to open. In the donning test process, about 18.5% (28/151) of the subjects were nervous or hesitant, because they did not know what to do when they saw the life preserver. About 7.9% (12/151) of the subjects complained that they had trouble in retrieving packages under the seat, and seat belts restrained them and prevented them from retrieving packages quickly. About 6.0% (9/151) of the subjects questioned that the pictures in the briefing card were different from the actual life preservers, and regarded the card misled them.

T-test and ANOVA

T-test for potential influential factors with two-level categories was shown in Table 5. Results showed that gender had a significant effect on the retrieving time and the package opening time, while instruction condition was found to have a significant impact on the donning time.

Table 5. T-test for potential influential factors with two-level categories.

Influential factor Donning performance T Sig. Mean differences Standard error 95% confidence intervals
Lower Upper
Gender Retrieving time -2.017 .045* -1.379 0.684 -2.730 -0.028
Package opening time -3.284 .001* -3.629 1.105 -5.822 -1.436
Donning time .076 .939 0.346 4.550 -8.644 9.337
Urban/rural Retrieving time -.963 .337 -0.671 0.697 -2.047 0.706
Package opening time 1.885 .063 2.200 1.167 -0.118 4.517
Donning time -.402 .688 -1.844 4.585 -10.905 7.216
Villager/student Retrieving time -.120 .905 -0.092 0.767 -1.608 1.424
Package opening time .967 .335 1.149 1.189 -1.200 3.498
Donning time -1.105 .271 -5.541 5.016 -15.453 4.371
Wearing glasses Retrieving time -.498 .619 -0.342 0.687 -1.699 1.016
Package opening time -1.332 .185 -1.419 1.065 -3.526 0.688
Donning time .918 .360 4.131 4.501 -4.763 13.025
Instruction condition Retrieving time .716 .475 0.624 0.871 -1.097 2.346
Package opening time 1.459 .147 1.965 1.347 -0.696 4.626
Donning time 10.242 .000* 27.847 2.719 22.473 33.220

Note:

* p value is significant at 0.05.

ANOVA for potential influential factors with three or more categories was shown in Table 6. Results showed that age group had a significant effect on the donning time, but did not have a significant effect on the retrieving time and the package opening time. Results also showed that seat did not have a significant impact on the donning performance.

Table 6. ANOVA for potential influential factors with three or more categories.

Influential factor Donning performance Comparison Sum of squares Mean square F Sig.
Seat Retrieving time Between Groups 13.204 4.401 .245 .865
Within Groups 2645.604 17.997
Total 2658.808
Package opening time Between Groups 46.535 15.512 .358 .784
Within Groups 6375.544 43.371
Total 6422.079
Donning time Between Groups 776.807 258.936 .334 .800
Within Groups 113823.048 774.306
Total 114599.854
Age group Retrieving time Between Groups 35.566 8.892 .495 .740
Within Groups 2623.242 17.967
Total 2658.808
Package opening time Between Groups 203.994 50.999 1.197 .314
Within Groups 6218.085 42.590
Total 6422.079
Donning time Between Groups 9504.551 2376.138 3.301 .013*
Within Groups 105095.303 719.831
Total 114599.854

Note:

* p value is significant at 0.05.

The SLR

All variables were offered into the stepwise linear regression (SLR) to evaluate the influential factors for life preserver donning tests. Gender had a significant effect on the package opening time, and instruction condition was found to have a significant impact on the donning time. SLR also showed that tool test time had a significant effect on the retrieving time, the package opening time, and the donning time, while self-test score did not have a significant effect. Self-test was self-evaluating, and may not fully represent the subject’s flexibility due to the inconsistency of subjective cognition and evaluation standards. While tool test required the subject to perform hands-on tasks on site, which can better represent his or her flexibility.

The SLR models of the retrieving time, the package opening time, and the donning time took the following forms

yretrieving=0.019+0.023x14 (1)

(RMSE = 4.084, r2 = 0.059, F = 10.74, p = 0.002)

yopening=1.340+3.446x1+0.026x14 (2)

(RMSE = 6.214, r2 = 0.098, F = 9.162, p = 0.000)

ydonning=50.76127.001x7+0.111x14 (3)

(RMSE = 25.005, r2 = 0.182, F = 17.642, p = 0.000)

Where yretrieving, yopening, and ydonning were independent variables about the retrieving time, the package opening time, and the donning time, respectively. x14, x1, and x7 were the dependent variables about tool test time, gender, and instruction condition. r2 in three equations were low means that the x variables can explain a small part of the change in y. For example, r2 in the Eq (1) is low means the tool test time can explain a small part change in the retrieving time, but the retrieving time was not entirely dependent on the tool test time. Corbett et al. [6] also proved that r2 of the participant age and the donning test time was low.

Discussions

The difficulty of donning the life preserver

Table 4 and the post-test questionnaire showed the difficulty of donning the life preserver. Corbett et al. [6] regarded that the major difficulty to correct donning was the straps and confusion on top/bottom or front/back. Rasmussen and Steen [7] pointed out that the straps were the major obstacle. Package problem and retrieving problem for donning the life preserver both have a long history [1]. Passengers occasionally find difficulties in retrieving life preservers from under the seat [6,7,13], especially in low lighting and cold weather [14].

Obstacles not mentioned in previous studies included: confusion on the hole, nervous or hesitant, and confusion on the briefing card. Many subjects could not find the hole in the life preserver for a long time. The main reason was that there was no connection between the outer edges of two chambers, which made the participants initially thought that the hole was between the two chambers. Some subjects with glasses complained that the hole was too small for them. But the t-test results showed that wearing glasses did not have a significant effect on the donning performance, and gender also did not have a significant effect on the donning time. The problems of “nervous or hesitant” and “confusion on the briefing card” showed the subjects were not familiar with life preservers, the main reason was that the instruction was not enough, and the briefing cards were not accurate and detailed for them.

The retrieving test

Retrieving time is one of the most important parts of the donning performance of the life preserver, so the retrieving test should be included in TSO-C13 series standard. The retrieving time in this paper was 5.8±4.2 seconds, and the 75th percentile of retrieving time was 6.8 seconds. About 16.6% (25/151) of the subjects cannot retrieve a life preserver from under the seat within 7 seconds, which showed the troubles that some participants experienced with retrieving life preservers. FAA tests confirmed that many passengers may take at least 7 to 8 seconds to retrieve a life preserver [6,7]. Gowdy and DeWeese [13] investigated retrieving life preservers from under the seat in 2003. The mean retrieving time of four configurations was 7.4 seconds, 8.5 seconds, 13.3 seconds, and 15.3 seconds, respectively, which meant that some configurations cannot be considered as easy to retrieve life preservers. Based on the above analysis, it is recommended that 75% of the total number of test participants must complete retrieving the life preserver within 7 seconds in the retrieving test.

The factors related to the donning test in the standards

Age

Table 5 showed that age group had a significant effect on the donning time, but did not have a significant effect on the retrieving time and the package opening time. Corbett et al. [6] proved that age was correlated with the donning time (r2 = 0.0841, p <0.01). But they also regarded that age was correlated with the package opening time (r2 = 0.0324, p = 0.03), which was different from the finding of this paper. The reason was that the participants used in their research ranged from 23 to 75 years, while the participants in this test were all under 60 years old. Females over the age of 60 may take more time to open the package [6]. Runnarong et al. [15] pointed out that reach-to-grasp performance deteriorated with age. In the vibrotactile display test by Bao et al. [16], average reaction time for old adults was 60 ms slower than that for young adults.

To further assess the effect of different age groups on the donning time, the post hoc multiple comparisons of one-way ANOVA by the Least Significant Difference (LSD) test were used, see S1 Table. The age group of “20–29” was significantly different from other groups except for the group of “30–39”, and the differences between other groups were not significant.

Thus, although age was not included in the SLR model, it is reasonable to group ages in the donning test due to partly significant differences between age groups.

Gender

In the donning tests of this paper, the retrieving time, the package opening time, and the donning time of the male subjects were 5.2±3.3 seconds, 8.5±4.6 seconds, and 46.3±30.8 seconds, respectively. While those of female subjects were 6.6±5.0 seconds, 12.2±8.0 seconds, and 45.9±23.2 seconds, respectively. The retrieving time and the package opening time of male subjects were shorter than those of female subjects. Table 4 showed male study participants had a higher pass percentage than female participants in the package opening test and the donning test. Table 5 proved that gender had a significant effect on the retrieving time and the package opening time, and gender was included in the SLR model of the package opening time. Males typically have greater absolute levels of muscle size and strength than females [17]. Corbett et al. [6] proposed older females may have difficulty in opening the package. Their evidence was that an older woman spent 37.9 seconds in opening her life preserver from the package. Sialino et al. [18] also pointed out that older women perform consistently poorer on physical performance tests compared to men.

Gender had a significant effect on the package opening time, and older female subjects were relatively slower in opening packages, so it is reasonable that females over the age of 60 were chosen as subjects in the package opening test [9]. For the same reason, if the retrieving test was added in the revised TSO-C13 series standard, females over the age of 60 also should be chosen as subjects in the retrieving test.

Since gender had no significant effect on the donning time, the gender requirement, i.e., the same sex should not exceed 60% of the total number of test subjects, should be deleted in the donning test.

Test subject characteristics

The SLR models showed that height, weight, and head circumference did not have a significant effect on the retrieving time, the package opening time, and the donning time.

Pearson correlation analysis was used to assess the strength of the relationship between test subject characteristics and the donning performance, see S2 Table. The Pearson correlation coefficients were all very small (<0.4) and belonged to weak correlation or irrelevant. Pearson correlation also showed that test subject characteristics did not have a significant effect on the retrieving time, the package opening time, and the donning time, which coincided with the t-test results.

Conclusions and recommendations

This study once again proved the difficulty of retrieving life preservers, opening packages, and donning life preservers. Four of fourteen variables, including gender, instruction condition, age group, and tool test time, were identified as influencing factors for life preserver donning performance. Recommendations for modification of donning test procedure are as follows.

  1. Retrieving time is one of the most important parts of the donning performance, so the retrieving test should be included in TSO-C13g. Considering the subjects required by package opening test in TSO-C13g, it is recommended that retrieving the life preserver should be demonstrated with 7 seconds by 8 of 10 females the age of 60, without a preview of instructions. In cases for which additional participants are required, 75% of the total number of test participants must complete retrieving the life preserver within 7 seconds.

  2. The subject’s flexibility had a significant effect on the retrieving time, the opening time, and the donning time. Thus, there should be a certain percentage of test participants with different flexibility. It is recommended that tests of the subject’s flexibility such as the GATB should be conducted when selecting subjects, and the subjects with excellent, general and poor flexibility should be approximately equal.

  3. Since gender had no significant effect on the donning time, the gender requirement, i.e., the same sex should not exceed 60% of the total number of test subjects, should be deleted in the donning test. That is, as long as ensuring 10 females the age of 60 for the retrieving test and the package opening test, there is no gender requirement for the donning performance test when selecting subjects.

  4. Test subject characteristics such as height, weight, and head circumference did not have a significant effect on the donning performance, thus, the subject characteristics defined in TSO-C13g should be removed.

  5. Since the instruction condition had a significant effect on the life preserver donning test, different donning demonstrations in the donning test should correspond to different donning time requirements. There were three levels of instruction condition in TSO-C13g: no donning instruction, a typical preflight video briefing, and donning demonstration. According to this study, it is recommended that at least 75% of the total number of test subjects, and at least 60% of the test subjects in each age group, can don the life preserver within 25 seconds under donning demonstration, within 40 seconds under a typical preflight video briefing and within 50 seconds under no donning instruction.

  6. Life preservers and briefing cards should be optimized to ensure a better donning performance. The optimization of life preservers includes connecting outer edges of two chambers to avoid being misunderstood, color-coded straps instead of traditional straps, new type with the easy donning performance such as “vest” life preserver. The optimization of briefing cards includes lively colors, forms that exactly matches the life preserver aboard airplanes, separated briefing cards for adult life preserver.

This paper only studied a typical standard life preserver and two rows of air carrier coach class triple-seat. The participants were also limited to college students and villagers. The next research should expand more research objects to further verify the validity of the conclusions in this paper.

Supporting information

S1 Table. The post hoc multiple comparisons of one-way ANOVA by LSD test.

(DOCX)

S2 Table. Pearson correlation between test subject characteristics and donning performance.

(DOCX)

S1 File. The questionnaire and tool tests.

(DOCX)

S2 File. Detailed experiment data file.

(XLSX)

Acknowledgments

We thank Miss Jiehuan Lu for help in the experiments.

Data Availability

All relevant data are within the paper and its Supporting information files.

Funding Statement

This study was supported by the National Natural Science Foundation of China (No. U1933111).

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  • 8.Rueschhoff BJ, Higgins EA, Burr MJ, Branson DM. Development and evaluation of a prototype life preserver. Technical Report of the U.S. Federal Aviation Administration. Report No. DOT/FAA-AM-85-11, September 1985 https://www.faa.gov/data_research/research/med_humanfacs/oamtechreports/1980s/media/am85-11.pdf.
  • 9.TSO-C13g. Life preservers, Technical Standard Order of Federal Aviation Administration. Issued date: February 3, 2017.
  • 10.Stokes GS, Toth CS, Searcy CA, Stroupe JP, Carter GW. Construct/rational biodata dimensions to predict salesperson performance: report on the U.S. Department of Labor sales study. Hum. Resour. Manage. Rev. 1999; 9: 185–218. 10.1016/S1053-4822(99)00018-2 [DOI] [Google Scholar]
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  • 13.Gowdy V, DeWeese R. Human factors associated with the certification of airplane passenger seats: life preserver retrieval. Technical Report of the U.S. Federal Aviation Administration. Report no. DOT/FAA/AM-03/9, May 2003. https://www.faa.gov/data_research/research/med_humanfacs/oamtechreports/2000s/media/0309.pdf.
  • 14.Tahliani JM, Muller M. Transport water impact, Part II. Technical Report of the U.S. Federal Aviation Administration. Report no. DOT/FAA/AR-95/112. May 1996 https://apps.dtic.mil/dtic/tr/fulltext/u2/a310582.pdf.
  • 15.Runnarong N, Tretriluxana J, Waiyasil W, Sittisupapong P, Tretriluxana S. Age-related changes in reach-to-grasp movements with partial visual occlusion. PLoS ONE 2019; 14(8): e0221320 10.1371/journal.pone.0221320 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 16.Bao T, Su L, Kinnaird C, Kabeto M, Shull PB, Sienko KH. Vibrotactile display design: Quantifying the importance of age and various factors on reaction times. PLoS ONE 2019; 14(8): e0219737 10.1371/journal.pone.0219737 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 17.Jones MD, Wewege MA, Hackett DA, Keogh JWL, Hagstrom AD. Sex differences in adaptations in muscle strength and size following resistance training in older adults: A systematic review and meta-analysis. Sports Med. 2020. 10.1007/s40279-020-01388-4 [DOI] [PubMed] [Google Scholar]
  • 18.Sialino LD, Schaap LA, van Oostrom SH, Nooyens ACJ, Picavet HSJ, Twisk JWR, et al. Sex differences in physical performance by age, educational level, ethnic groups and birth cohort: The Longitudinal Aging Study Amsterdam. PLoS ONE 2019; 14(12): e0226342 10.1371/journal.pone.0226342 [DOI] [PMC free article] [PubMed] [Google Scholar]

Decision Letter 0

Ahmed Mancy Mosa

29 Dec 2020

PONE-D-20-34428

Evaluating the influential factors for life preserver donning tests

PLOS ONE

Dear Dr. Qian,

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Comments to the Author

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Reviewer #1: Yes

Reviewer #2: Partly

Reviewer #3: Yes

Reviewer #4: Partly

**********

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

Reviewer #1: Yes

Reviewer #2: N/A

Reviewer #3: Yes

Reviewer #4: Yes

**********

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Reviewer #1: Yes

Reviewer #2: No

Reviewer #3: Yes

Reviewer #4: Yes

**********

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Reviewer #1: Yes

Reviewer #2: No

Reviewer #3: Yes

Reviewer #4: 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: As we all know, Life preservers usually play a vital role in ensuring the safety of passengers. In order to evaluate the influencing factors of the Life preservers donning test, the author selected 109 college students and 42 villagers as the research objects. A total of fourteen variables are considered as potential influencing factors. T-test or one-way analysis of variance is used to determine whether the grouping of categorical variables has a significant impact on donning performance. In order to evaluate the relationship between donning performance and influencing factors, a model of retrieving time, opening time and donning time was established based on SLR analysis. Finally, a suggestion to modify the donning test program is introduced, which helps to improve the effectiveness and reliability of the donning test. The structure of the research content of the thesis is complete, the experiment is reasonable, and the data analysis is relatively complete. However, there are certain problems in the paper, and the overall quality of the paper can be improved after revision. Therefore, it is recommended a major revision. The specific issues are as follows:

1、There are several grammatical issues in the paper, I suggest that the author read through the full manuscript and carefully modify the deficiencies.

2、It is unclear that the data analysis and process techniques mentioned by the authors are their own proposed work or are they addressing existing work. Authors should clearly specify that and provide citation and reference to the existing work.

3、The quality of figures and their placement needs to be improved. At times, it becomes difficult the link the discussion with figures in the article. Lastly, the authors are requested to highlight their technical contribution more precisely and how it aligns with the publication criteria set by PLOS ONE.

4、Authors should provide discussions on their analysis results and they should also compare their results with existing and related studies.

5、The sample researched in the thesis seems to be a bit small. Appropriately increasing the sample size will make the research results more convincing; in addition, before the accident, passengers are generally out of psychological stress reaction stage, the ability to operate equipment will be reduced, and the data calculation process Should this part of the content be considered?

Reviewer #2: It is a messy article without suitable coherence.

The subject characteristics must be presented in the materials and method section.

All tables must be presented at result section.

Some tables, such as Table 7, are too long and is not suitable by this way for an article.

The discussion section should be rewritten based on the essay writing framework.

The article needs a general review.

Reviewer #3: I appreciate authors for conducting an interesting study to evaluate the influencing factor for life preserver donning tests.

Title of the study is Evaluating the influential factors for life preserver donning tests and objective of the study is to evaluate the influential factors for donning tests of adult life preservers and propose recommendations for modification of the donning test procedure.

An appropriate study design was selected, and the procedure described clearly. Results are presented properly. The conclusion was made according to the study result.

Well done!

Reviewer #4: The study “Evaluating the influential factors for life preserver donning tests” is interesting. This paper aims to evaluate the influential factors for donning tests of adult life preservers and propose recommendations for modification of the donning test procedure. The paper is well set, and the problem highlighted executed properly. However, attention should be given to the following highlighted points before resubmitting.

1. Line 26 T-test or ANOVA may be written as “T-test and ANOVA”

2. The character shorthand should defined on their first appearance and after that use accordingly. Line 48 TSO-C13, Line 49 FAA etc. these abbreviations is not defined. Or make a table which include all character shorthand. See for reference https://www.hindawi.com/journals/mpe/2020/1325071/

3. Table 1, Test subject characteristics (Head circumference (cm) 5th, 50th , and 95th for male, the 5th and 50th percentile are Nil while for female the 50th and 95th percentiles are Nile. Please elaborate this point that how come a specific percentile is Nil when 95th is available and 50th is Nil.

4. Lines 149 Check this percentage “About 56.3% of the participants were male, and 41.1% were female. Why the sum of two percentages is not 100 when the data are categorial having two categories i.e. Male and Female.

5. Lines 236 “The step stepwise linear regression (SLR) models of the retrieving time, the package opening time, and the donning time took the following forms Eq (1), Eq (2), and Eq (3). Where y retrieving, y opening, and y donning were the independent variables about the retrieving time, the package opening time, and the donning time, respectively. x14, x1, and x7 were the dependent variables about tool test time, gender, and instruction condition.” All the three models are significant at 5% level of significance but their R2 is very low, for Eq (1) it is 0.059, for Eq (2) is 0.098 and for Eq (3) is 0.182. Is there any specific reason that why R2 is low.

6. Lines 281 “Some subjects with glasses and some girl with long hair complained that the hole was too small for them. But the t test results showed that wearing glasses did not have a significant effect on the donning performance, and gender also did not have a significant effect on the donning time.” Here girl with long hair is not tested also test this variable as well.

7. In last more recent references should be added to broaden the view of readers and enhance the new contribution of this paper for comparison.

**********

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Reviewer #1: No

Reviewer #2: No

Reviewer #3: Yes: Saidur Mashreky

Reviewer #4: No

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Attachment

Submitted filename: Review.docx

PLoS One. 2021 Feb 8;16(2):e0246705. doi: 10.1371/journal.pone.0246705.r002

Author response to Decision Letter 0


13 Jan 2021

We would like to express our sincere thanks to the reviewers for the constructive and positive comments.

Replies to Anita Estes

As there are potentially identifying images in your manuscript, please confirm whether the participants also explicitly provided their consent for their images to be published.

There are 7 people in the revised manuscript, and they all signed the consent form for publication in PLOS ONE.

The following sentence was added to the revised manuscript.

The participants in the figures have given written informed consent to publish their images.

Replies to editor

1. Please ensure that your manuscript meets PLOS ONE's style requirements, including those for file naming ?

Ok. The revised manuscript meets PLOS ONE's style requirements.

2.Please provide additional details regarding participant consent. In the ethics statement in the Methods and online submission information, please ensure that you have specified (1) whether consent was informed and (2) what type you obtained (for instance, written or verbal, and if verbal, how it was documented and witnessed). If your study included minors, state whether you obtained consent from parents or guardians. If the need for consent was waived by the ethics committee, please include this information.

If you are reporting a retrospective study of medical records or archived samples, please ensure that you have discussed whether all data were fully anonymized before you accessed them and/or whether the IRB or ethics committee waived the requirement for informed consent. If patients provided informed written consent to have data from their medical records used in research, please include this information.

The study was approved by Human Research Ethics Committee for Non-Clinical Faculties of School of Mechanical Engineering, Tiangong University. All participants were verbally informed of the contents of the experiment, then signed their names to agree the experiment.

The ethics statement in the Methods and online submission information have specified the above information.

The study did not report any medical records or archived samples.

3. Please include captions for your Supporting Information files at the end of your manuscript, and update any in-text citations to match accordingly. Please see our Supporting Information guidelines for more information: http://journals.plos.org/plosone/s/supporting-information.

Ok. Captions for the Supporting Information files were included at the end of the revised manuscript, and in-text citations were updated to match accordingly.

4.We note that Figure 2 and 3 includes an image of a patient / participant in the study. As per the PLOS ONE policy (http://journals.plos.org/plosone/s/submission-guidelines#loc-human-subjects-research) on papers that include identifying, or potentially identifying, information, the individual(s) or parent(s)/guardian(s) must be informed of the terms of the PLOS open-access (CC-BY) license and provide specific permission for publication of these details under the terms of this license. Please download the Consent Form for Publication in a PLOS Journal (http://journals.plos.org/plosone/s/file?id=8ce6/plos-consent-form-english.pdf). The signed consent form should not be submitted with the manuscript, but should be securely filed in the individual's case notes. Please amend the methods section and ethics statement of the manuscript to explicitly state that the patient/participant has provided consent for publication: “The individual in this manuscript has given written informed consent (as outlined in PLOS consent form) to publish these case details”.

There are 7 people in Figures 2 and 3, and they all signed the consent form for publication in PLOS ONE.

Replies to Reviewer #1

1. There are several grammatical issues in the paper, I suggest that the author read through the full manuscript and carefully modify the deficiencies.

Thanks for the suggestion of the reviewer.

The authors read through the full manuscript and carefully modify some deficiencies. Then the manuscript was grammatically checked by the word grammar checker and Ginger, and then checked by a native English teacher.

2.It is unclear that the data analysis and process techniques mentioned by the authors are their own proposed work or are they addressing existing work. Authors should clearly specify that and provide citation and reference to the existing work.

Thanks for the suggestion of the reviewer.

The data analysis and process techniques in the manuscript are our own proposed work, and the statistical analysis used in this manuscript are very mature and reliable.

In the section of “discussion”, citation and reference to the existing work were specified to compare with this manuscript.

3.The quality of figures and their placement needs to be improved. At times, it becomes difficult the link the discussion with figures in the article. Lastly, the authors are requested to highlight their technical contribution more precisely and how it aligns with the publication criteria set by PLOS ONE.

Thanks for the suggestion of the reviewer.

In the original manuscript, Fig 3 included four small pictures, which may cause confusion. For more clarity, there was only one picture in Fig 3 in the revised manuscript.

The quality of figures in the revised manuscript all met the “Figure File Requirements” of the journal. The figure captions were inserted immediately after the first paragraph in which the figure is cited.

“Data Curation”, “Formal Analysis”, ”Funding Acquisition”, ” Investigation”, “Project Administration”, “Software” and “Resources” were added in the “Author Contributions” section, which highlighted the authors’ technical contribution more precisely.

4、Authors should provide discussions on their analysis results and they should also compare their results with existing and related studies.

Thanks for the suggestion of the reviewer.

Discussions on the analysis results and comparison of the results and related studies were provided in the revised manuscript.

(1) Three papers about the donning performance of life preservers were discussed and compared in the “Discussion” section.

[1] Corbett CL, Weed DB, Ruppel DJ, Larcher KG, McLean GA. Inflatable emergency equipment I: evaluation of individual inflatable aviation life preserver donning tests. Technical Report of the U.S. Federal Aviation Administration. Report no. DOT/FAA/AM-14/14. December 2014. Available from: https://www.faa.gov/data_research/research/med_humanfacs/oamtechreports/2010s/media/201414.pdf.

[2] Rasmussen PG, Steen J. Retrieval and donning of inflatable life preservers. Technical Report of the U.S. Federal Aviation Administration. Report No: AAC-119-83-5, July 1983.

[3] Gowdy V, DeWeese R. Human factors associated with the certification of airplane passenger seats: life preserver retrieval. Technical Report of the U.S. Federal Aviation Administration. Report no. DOT/FAA/AM-03/9, May 2003. Available from: https:// www.faa.gov/data_research/research/med_humanfacs/oamtechreports/2000s/media/0309.pdf.

(2) Four papers about the sex differences or age differences were discussed and compared in the “Discussion” section.

[1] Runnarong N, Tretriluxana J, Waiyasil W, Sittisupapong P, Tretriluxana S. Age-related changes in reach-to-grasp movements with partial visual occlusion. PLoS ONE 2019; 14(8): e0221320. doi: 10.1371/journal.pone.0221320.

[2]Bao T, Su L, Kinnaird C, Kabeto M, Shull PB, Sienko KH (2019) Vibrotactile display design: Quantifying the importance of age and various factors on reaction times. PLoS ONE 2019; 14(8): e0219737. doi: 10.1371/journal.pone.0219737.

[3] Jones MD, Wewege MA, Hackett DA, Keogh JWL, Hagstrom AD. Sex differences in adaptations in muscle strength and size following resistance training in older adults: A systematic review and meta-analysis. Sports Med. 2020. doi:10.1007/s40279-020-01388-4

[4]Sialino LD, Schaap LA, van Oostrom SH, Nooyens ACJ, Picavet HSJ, Twisk JWR, et al. Sex differences in physical performance by age, educational level, ethnic groups and birth cohort: The Longitudinal Aging Study Amsterdam. PLoS ONE 2019; 14(12): e0226342. doi: 10.1371/journal.pone.0226342.

5. The sample researched in the thesis seems to be a bit small. Appropriately increasing the sample size will make the research results more convincing; in addition, before the accident, passengers are generally out of psychological stress reaction stage, the ability to operate equipment will be reduced, and the data calculation process Should this part of the content be considered?

Thanks for the suggestion of the reviewer.

(1)According to TSO-C13g [1], at least 25 test subjects shall be employed in donning tests of an adult preserver. Furthermore, there were 6 people in each type donning test by the FAA report in 2014 [2].

In this manuscript, a total of 151 subjects were used in the donning test, which meets the sample requirements of the TSO-C13g. And the sample size was much more than that of the FAA report [2].

Of course, more sample size will make the research results more convincing, so the authors will use more samples in subsequent research.

[1] TSO-C13g. Life preservers, Technical Standard Order of Federal Aviation Administration. Issued date: February 3, 2017.

[2] Corbett CL, Weed DB, Ruppel DJ, Larcher KG, McLean GA. Inflatable emergency equipment I: evaluation of individual inflatable aviation life preserver donning tests. Technical Report of the U.S. Federal Aviation Administration. Report no. DOT/FAA/AM-14/14. December 2014. Available from: https://www.faa.gov/data_research/research/med_humanfacs/oamtechreports/2010s/media/201414.pdf.

(2) The donning test of TSO-C13g does not consider the psychological stress by the accident, because the donning test was carried out in the laboratory. The manuscript aims to evaluate influencing factors for life preserver donning tests, so the psychological stress by the accident was not considered in the manuscript.

Of course, psychological stress exists in the water-related accident, but difficult to be quantified in the laboratory. The authors will consider this content in subsequent research.

Replies to Reviewer #2

1. The subject characteristics must be presented in the materials and method section.

Ok. All subject characteristics were presented in the method section.

2.All tables must be presented at result section.

Ok. Tables 7 and 8 were moved to Supporting Information, and all tables were presented in the result section in the revised manuscript.

3. Some tables, such as Table 7, are too long and is not suitable by this way for an article.

Ok. Table 7 was move to Supporting Information in the revised manuscript.

4. The discussion section should be rewritten based on the essay writing framework.

The discussion section was rewritten based on the essay writing framework.

(1)“The post-test questionnaire” was moved from the discussion section to the result section.

(2)“The retrieving test” was moved from the discussion section to the result section.

(3)Tables 7 and 8 were moved to Supporting Information in the revised manuscript.

(4)Four papers were added in the discussion section for comparison, as follows:

[1] Runnarong N, Tretriluxana J, Waiyasil W, Sittisupapong P, Tretriluxana S. Age-related changes in reach-to-grasp movements with partial visual occlusion. PLoS ONE 2019; 14(8): e0221320. doi: 10.1371/journal.pone.0221320.

[2]Bao T, Su L, Kinnaird C, Kabeto M, Shull PB, Sienko KH (2019) Vibrotactile display design: Quantifying the importance of age and various factors on reaction times. PLoS ONE 2019; 14(8): e0219737. doi: 10.1371/journal.pone.0219737.

[3] Jones MD, Wewege MA, Hackett DA, Keogh JWL, Hagstrom AD. Sex differences in adaptations in muscle strength and size following resistance training in older adults: A systematic review and meta-analysis. Sports Med. 2020. doi:10.1007/s40279-020-01388-4

[4]Sialino LD, Schaap LA, van Oostrom SH, Nooyens ACJ, Picavet HSJ, Twisk JWR, et al. Sex differences in physical performance by age, educational level, ethnic groups and birth cohort: The Longitudinal Aging Study Amsterdam. PLoS ONE 2019; 14(12): e0226342. doi: 10.1371/journal.pone.0226342.

5. The article needs a general review.

The authors read through the full manuscript and carefully modify some deficiencies. Then the manuscript was grammatically checked by the word grammar checker and Ginger, and then checked by a native English teacher.

Replies to Reviewer #3

We would like to express our sincere thanks to the reviewer #3 for the constructive and positive comments.

Replies to Reviewer #4

1. Line 26 T-test or ANOVA may be written as “T-test and ANOVA”

Ok. “T-test or ANOVA” was changed to “T-test and ANOVA” in the revised manuscript.

2. The character shorthand should defined on their first appearance and after that use accordingly. Line 48 TSO-C13, Line 49 FAA etc. these abbreviations is not defined. Or make a table which include all character shorthand. See for reference https://www.hindawi.com/journals/mpe/2020/1325071/

Thanks for the suggestion of the reviewer. “TSO-C13” was changed to “Technical Standard Order (TSO)”, and “FAA” was changed to “Federal Aviation Administration (FAA)” in the revised manuscript.

3. Table 1, Test subject characteristics (Head circumference (cm) 5th, 50th , and 95th for male, the 5th and 50th percentile are Nil while for female the 50th and 95th percentiles are Nile. Please elaborate this point that how come a specific percentile is Nil when 95th is available and 50th is Nil.

“Nil” means “no requirement” in the TSO-C13g. According to TSO-C13g,test subjects are nominally defined as follows:

A 5th percentile male is no more than 1.7 m tall and weighs no more than 63.9 kg.

A 50th percentile female is 1.6 m tall and weighs 64.4 to 70.7 kg.

A 50th percentile male is 1.8 m tall and weighs 79.4 to 85.6 kg.

A 95th percentile female is at least 1.7 m tall and weighs at least93.0 kg.

A 95th percentile male is at least 1.9 m tall and weighs at least 110.7 kg with a head circumference of at least 60.4 cm.

The original form may be misunderstood, so in the revised manuscript it was revised to a more suitable form.

4. Lines 149 Check this percentage “About 56.3% of the participants were male, and 41.1% were female. Why the sum of two percentages is not 100 when the data are categorial having two categories i.e. Male and Female.

Thanks for the suggestion of the reviewer. This is a typographical error and has been corrected in the revised manuscript. The proportion of female in the table is 43.7%. This sentence is rewritten as:

About 56.3% of the participants were male, and 43.7% were female.

5. Lines 236 “The step stepwise linear regression (SLR) models of the retrieving time, the package opening time, and the donning time took the following forms Eq (1), Eq (2), and Eq (3). Where y retrieving, y opening, and y donning were the independent variables about the retrieving time, the package opening time, and the donning time, respectively. x14, x1, and x7 were the dependent variables about tool test time, gender, and instruction condition.” All the three models are significant at 5% level of significance but their R2 is very low, for Eq (1) it is 0.059, for Eq (2) is 0.098 and for Eq (3) is 0.182. Is there any specific reason that why R2 is low.

(1) r2 is low means that the x variable can explain only part of the change in y, and other variables may be added to explain the change in y. For example, r2 in the Eq. (1) is low means the tool test time can explain only part change in the retrieving time, but the retrieving time was not entirely dependent on the tool test time.

(2) Corbett et al. [1] also proved that age was correlated with the donning time (r2 = 0.0841, p <0.01). and the package opening time (r2 =0.0324, p=0.03). (Page 14 of Ref.[1])

[1] Corbett CL, Weed DB, Ruppel DJ, Larcher KG, McLean GA. Inflatable emergency equipment I: evaluation of individual inflatable aviation life preserver donning tests. Technical Report of the U.S. Federal Aviation Administration. Report no. DOT/FAA/AM-14/14. December 2014. Available from: https://www.faa.gov/data_research/research/med_humanfacs/oamtechreports/2010s/media/201414.pdf.

(3) The following paragraph was added in the revised manuscript.

r2 in three equations were low means that the x variables can explain a small part of the change in y. For example, r2 in Eq. (1) is low means the tool test time can explain a small part change in the retrieving time, but the retrieving time was not entirely dependent on the tool test time. Corbett et al. [6] also proved that r2 of the participant age and the donning test time was low.

6. Lines 281 “Some subjects with glasses and some girl with long hair complained that the hole was too small for them. But the t test results showed that wearing glasses did not have a significant effect on the donning performance, and gender also did not have a significant effect on the donning time.” Here girl with long hair is not tested also test this variable as well.

Because long hair is difficult to define, it is impossible to accurately distinguish long hair, medium hair and short hair. Therefore, long hair is not used as a variable in the manuscript.

The two sentences were rewritten as:

Some subjects with glasses that the hole was too small for them. But the t test results showed that wearing glasses did not have a significant effect on the donning performance, and gender also did not have a significant effect on the donning time.”

7. In last more recent references should be added to broaden the view of readers and enhance the new contribution of this paper for comparison.

Thanks for the suggestion of the reviewer.

Five papers were added in the revised manuscript for comparison, as follows:

[1] MacDonald CV, Brooks CJ , Kozey JW. Infant life jacket donning trials using children and their parents: Comparison to the Canadian standard. Int. J. Ind. Ergonom. 2016; 54:19-25. doi: 10.1016/j.ergon.2015.12.003

[2] Runnarong N, Tretriluxana J, Waiyasil W, Sittisupapong P, Tretriluxana S. Age-related changes in reach-to-grasp movements with partial visual occlusion. PLoS ONE 2019; 14(8): e0221320. doi: 10.1371/journal.pone.0221320.

[3] Bao T, Su L, Kinnaird C, Kabeto M, Shull PB, Sienko KH (2019) Vibrotactile display design: Quantifying the importance of age and various factors on reaction times. PLoS ONE 2019; 14(8): e0219737. doi: 10.1371/journal.pone.0219737.

[4] Jones MD, Wewege MA, Hackett DA, Keogh JWL, Hagstrom AD. Sex differences in adaptations in muscle strength and size following resistance training in older adults: A systematic review and meta-analysis. Sports Med. 2020. doi:10.1007/s40279-020-01388-4

[5]Sialino LD, Schaap LA, van Oostrom SH, Nooyens ACJ, Picavet HSJ, Twisk JWR, et al. Sex differences in physical performance by age, educational level, ethnic groups and birth cohort: The Longitudinal Aging Study Amsterdam. PLoS ONE 2019; 14(12): e0226342. doi: 10.1371/journal.pone.0226342.

Attachment

Submitted filename: Response to Reviewers.docx

Decision Letter 1

Ahmed Mancy Mosa

25 Jan 2021

Evaluating the influential factors for life preserver donning tests

PONE-D-20-34428R1

Dear Dr. Qian,

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.

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Reviewer #1: The structure of the research content of the thesis is complete, the experiment is reasonable, and the data analysis is relatively complete. The author has revised all the questions mentioned and it is recommended to accept.

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Acceptance letter

Ahmed Mancy Mosa

27 Jan 2021

PONE-D-20-34428R1

Evaluating the influential factors for life preserver donning tests

Dear Dr. Qian:

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

If your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org.

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on behalf of

Dr. Ahmed Mancy Mosa

Academic Editor

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Associated Data

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

    Supplementary Materials

    S1 Table. The post hoc multiple comparisons of one-way ANOVA by LSD test.

    (DOCX)

    S2 Table. Pearson correlation between test subject characteristics and donning performance.

    (DOCX)

    S1 File. The questionnaire and tool tests.

    (DOCX)

    S2 File. Detailed experiment data file.

    (XLSX)

    Attachment

    Submitted filename: Review.docx

    Attachment

    Submitted filename: Response to Reviewers.docx

    Data Availability Statement

    All relevant data are within the paper and its Supporting information files.


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