Health Requirements Compliance Anxiety Scale (HRCA-S): A Scale Development, Validity, and Reliability Study on Pilots

Öz

Purpose: This study aims to determine the level of "anxiety about meeting health requirements" experienced by pilots due to the periodic medical requirements they must fulfill to maintain their flight licenses, and to develop an original scale for this purpose by addressing a gap in the literature. Design/methodology/approach: This study employs a scale development methodology. A field study was conducted with 100 pilots working in Türkiye. The psychometric suitability of the scale was tested through validity and reliability analyses. Findings: The findings indicate that the developed "Health Requirements Compliance Anxiety Scale" has a valid and reliable structure consisting of 9 items and a single dimension, explaining 64% of the total variance. It was determined that pilots experience a moderate level of anxiety about losing their medical certificates. Originality: This study contributes to the literature by presenting a psychometric tool that, for the first time, can directly measure the concept of "anxiety about meeting health requirements," offering a significant contribution to both academic literature and the human resources and safety management practices of airline companies.

Anahtar Kelimeler

• Health Requirements Anxiety
• Aviation Safety
• Human Resources Management
• Scale Development
• Career Sustainability

Sağlık Gerekliliklerini Karşılama Kaygısı Ölçeği (PSKK-Ö): Pilotlar Üzerinde Bir Ölçek Geliştirme, Geçerlik ve Güvenirlik Çalışması

Öz

Amaç: Bu çalışmanın amacı, pilotların uçuş lisanslarını koruyabilmek için yerine getirmeleri gereken periyodik tıbbi gerekliliklerin üzerlerinde yarattığı 'sağlık gereklilikleri karşılama kaygısı' düzeyini belirlemek ve literatürdeki boşluktan hareketle bu amaca yönelik özgün bir ölçek geliştirmektir. Yöntem: Çalışma, ölçek geliştirme yöntemi kullanılarak yürütülmüştür. Araştırma kapsamında, Türkiye'de görev yapan 100 pilot ile saha çalışması gerçekleştirilmiştir. Ölçeğin psikometrik uygunluğu geçerlilik ve güvenilirlik analizleri ile test edilmiştir. Bulgular: Bulgular, geliştirilen "Sağlık Gereklilikleri Karşılama Kaygı Ölçeği"nin 9 madde ve tek boyuttan oluşan, toplam varyansın %64'ünü açıklayan geçerli ve güvenilir bir yapıya sahip olduğunu göstermektedir. Pilotların sağlık sertifikalarını kaybetme konusunda orta düzeyde bir kaygı yaşadıkları tespit edilmiştir. Özgün Katkı: Bu çalışma, literatürde ilk kez "sağlık gerekliliklerini karşılama kaygısı" kavramını doğrudan ölçebilen psikometrik bir araç sunarak hem akademik yazına hem de havayolu işletmelerinin insan kaynakları ve emniyet yönetimi uygulamalarına önemli bir katkı sağlamaktadır.

Anahtar Kelimeler

• Sağlık Gereklilikleri Kaygısı
• Havacılık Emniyeti
• İnsan Kaynakları Yönetimi
• Ölçek Geliştirme
• Kariyer Sürdürülebilirliği

Kaynakça

1. Altunoğlu, B., & Akınet, M. (2025). Flight delay prediction with airport traffic density data from an aviation risk management perspective. Journal of Aviation, 9 (2), 372-381. https://doi.org/10.30518/jav.1638338
2. Anderson, J. C., & Gerbing, D. W. (1988). Structural equation modeling in practice: a review and recommended two-step approach. Psychological Bulletin, 103 (3), 411-423. https://doi.org/10.1037/0033-2909.103.3.411
3. Aydemir, Ö., Kirpinar, İ., Sati, L. S., Uykur, B., & Cengis, U. (2012). Sağlık anksiyetesi ölçeği'nin Türkçe için güvenilirlik ve geçerlilik çalışması. Nöro Psikiyatri Arşivi, 50 (4), 325-331. https://doi.org/10.4274/npa.y6383
4. Boateng, G. O., Neilands, T. B., Frongillo, E. A., Melgar-Quiñonez, H. R., & Young, S. L. (2018). Best practices for developing and validating scales for health, social, and behavioral research: a primer. Frontiers in Public Health, 6, 149. https://doi.org/10.3389/fpubh.2018.00149
5. Bongers, H. (2025). Healthcare avoidance and stress risks in the New Zealand population of pilots and air traffic controllers [Yüksek lisans tezi, Massey University]. Massey Research Online.
6. Bor, R., Field, G., & Scragg, P. (2002). The mental health of pilots: an overview. Counselling Psychology Quarterly, 15 (3), 239-256. https://doi.org/10.1080/09515070210143471
7. Brislin, R. W. (1970). Back-translation for cross-cultural research. Journal of Cross-Cultural Psychology, 1 (3), 185-216. https://doi.org/10.1177/135910457000100301
8. Budak, G. & Gürbüz, S. (2017). Öznel kariyer başarısı: bir ölçek uyarlama çalışması. İş ve İnsan Dergisi, 4 (2), 87-99. https://doi.org/10.18394/iid.280529

9. Byrne, B. M. (2016). Structural equation modeling with amos: basic concepts, applications, and programming (3rd ed.). Routledge.
10. Churchill, G. A., Jr. (1979). A paradigm for developing better measures of marketing constructs. Journal of Marketing Research, 16 (1), 64-73. http://dx.doi.org/10.2307/3150876
11. Ćosić, K., Popović, S., Šarlija, M., & Kesedžić, I. (2024). Enhancing aviation safety through AI-driven mental health management for pilots and air traffic controllers. Cyberpsychology, Behavior, and Social Networking, 27 (7), 451-459. https://doi.org/10.1089/cyber.2023.0737
12. Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16 (3), 297-334. https://doi.org/10.1007/BF02310555
13. DeVellis, R. F. (2017). Scale development: Theory and applications (4th ed.). Sage Publications.
14. Efthymiou, M., Usher, D., O'Connell, J. F., Warnock-Smith, D., & Conyngham, G. (2021). The factors influencing entry level airline pilot retention: an empirical study of Ryanair. Journal of Air Transport Management, 91, 101997. https://doi.org/10.1016/j.jairtraman.2020.101997
15. Engür, M., Kiremitci, O. & Boz, B. (2019). Job demands and resources scale for physical education teachers: Is it valid in Turkish culture? Cypriot Journal of Educational Sciences, 14 (1). https://doi.org/10.18844/cjes.v14i1.3807
16. Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18 (1), 39-50. https://doi.org/10.2307/3151312
17. Greenhaus, J. H., Callanan, G. A., & Godshalk, V. M. (2010). Career management (4th ed.). Sage Publications.
18. Groner, O., Frenkel-Nir, Y., Erlich-Shoham, Y., Shoval, G., & Gordon, B. (2022). Medically disqualifying conditions among aircrew candidates. Aerospace Medicine and Human Performance, 93 (4), 384-389. https://doi.org/10.3357/AMHP.6001.2022
19. Guide, P. C. (1991). An analytical study of the effects of age and experience on flight safety (Publication No. 75) [Master's thesis, Embry-Riddle Aeronautical University]. Scholarly Commons. https://commons.erau.edu/db-theses/75
20. Hair, J. F., Babin, B. J., Anderson, R. E., & Black, W. C. (2019). Multivariate data analysis (8th ed.). Cengage Learning.
21. Hinkin, T. R. (1995). A review of scale development practices in the study of organizations. Journal Of Management, 21 (5), 967-988. https://doi.org/10.1016/0149-2063(95)90050-0
22. Hirschi, A. (2018). The fourth industrial revolution: issues and implications for career research and practice. The Career Development Quarterly, 66 (3), 192-204. https://doi.org/10.1002/cdq.12142
23. Hu, L.-t., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6 (1), 1-55. https://doi.org/10.1080/10705519909540118
24. IATA. (2023). Annual review 2023. International Air Transport Association.
25. ICAO. (2021a). Annual report 2021. International Civil Aviation Organization. https://www.icao.int/sites/default/files/secretariat/OfficeOfInternalOversight/Annual-Reports/C.222.WP.15143.FINAL.pdf
26. ICAO. (2021b). ICAO Releases new data on status of global aviation gender equality. Uniting Aviation. https://unitingaviation.com/news/capacity-efficiency/icao-releases-new-data-on-status-of-global-aviation-gender-equality/
27. Kanbur, E., Kanbur, A. & Özdemir, B. (2017). Psikolojik dayanıklılık ile örgütsel vatandaşlık davranışı arasındaki ilişkide iş doyumunun aracılık rolü: Havacılık sektöründe bir araştırma. İş ve İnsan Dergisi, 4 (2), 127-141. https://doi.org/10.18394/iid.321941
28. Kline, R. B. (2015). Principles and practice of structural equation modeling (4th ed.). Guilford Press. Maurino, D. E., Reason, J., Johnston, N., & Lee, R. B. (2017). Beyond aviation human factors: Safety in high technology systems. CRC Press.
29. Mert, İ. S. & Abubakar, A. M. (2020). Arabuluculuk yetkinliği ölçeği: Bir ölçek geliştirme çalışması. İş ve İnsan Dergisi, 7 (1), 49-57. https://doi.org/10.18394/iid.629474
30. Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). Mcgraw-Hill.
31. Op den Kamp, E. M., Bakker, A. B., Tims, M., Demerouti, E., & de Wijs, J. J. (2024). Working with a chronic health condition: The implications of proactive vitality management for occupational health and performance. Journal of Vocational Behavior, 150, 103987. https://doi.org/10.1016/j.jvb.2024.103987
32. Patel, T., Thaker, S., & Sharda, J. (2023). Health care avoidance among Canadian pilots due to fear of medical certificate loss: A national cross-sectional survey study. Journal of Occupational and Environmental Medicine, 65 (3), 226-232. https://doi.org/10.1097/JOM.0000000000002763
33. Pinto Bandeira, M. C. G. da S., Correia, A. R., & Martins, M. R. (2018). General model analysis of aeronautical accidents involving human and organizational factors. Journal of Air Transport Management, 69, 137-146. https://doi.org/10.1016/J.JAIRTRAMAN.2018.01.007
34. Ra, M. J. (2025). Stressors and their effects on safety and service performance: An integrative review of aviation human factors. Korean Journal of Aerospace and Environmental Medicine, 35 (3), 118-123. https://doi.org/10.46246/KJAsEM.250021
35. Reason, J. T. (1990). Human error. Cambridge University Press. Rice, S., Winter, S. R., Kraemer, K., Mehta, R., & Oyman, K. (2015). How do depression medications taken by pilots affect passengers' willingness to fly? A mediation analysis. Review of European Studies, 7 (11), 200-210. https://doi.org/10.5539/res.v7n11p200
36. SHGM. (2025). Sivil havacılık talimatları. Sivil Havacılık Genel Müdürlüğü.
37. Soh, F. W., Woo, J. H. A., Low, J. W., Fong, K. L., & Low, C. H. R. (2025). Aviation medicine's role in safeguarding aviation safety. Singapore Medical Journal, 66 (Suppl 1), 57-62. https://doi.org/10.4103/singaporemedj.SMJ-2025-064
38. Sürücü, L. & Şeşen, H. (2020). İnsan kaynakları yönetim uygulamalarının iş stresi üzerindeki etkisi: Hizmet sektöründe bir araştırma. İş ve İnsan Dergisi, 7 (2), 255-265. https://doi.org/10.18394/iid.717066
39. Tranfield, D., Denyer, D., & Smart, P. (2003). Towards a methodology for developing evidence-informed management knowledge by means of systematic review. British Journal of Management, 14 (3), 207-222. https://doi.org/10.1111/1467-8551.00375
40. Tuncal, A. & Çeken, S. (2025). Yapay zekâ kaygısının gelecek kaygısı ve yenilikçi davranışlar üzerindeki etkisi: Üniversite öğrencileri üzerine bir uygulama. İş ve İnsan Dergisi, 12 (2), 118-132. https://doi.org/10.18394/iid.1594301
41. Watkins, M. W. (2018). Exploratory factor analysis: A guide to best practice. Journal of Black Psychology, 44 (3), 219-246. https://doi.org/10.1177/0095798418771807
42. Wu, A. C., Donnelly-McLay, D., Weisskopf, M. G., McNeely, E., Betancourt, T. S., & Allen, J. G. (2016). Airplane pilot mental health and suicidal thoughts: A cross-sectional descriptive study via anonymous web-based survey. Environmental Health, 15 (1), 121. https://doi.org/10.1186/s12940-016-0200-6
43. Yılmaz, Ö., & Dirik, G. (2018). Sağlık bilişleri anketi (SBA)'nin Türkçe versiyonunun psikometrik özelliklerinin incelenmesi. Nesne Psikoloji Dergisi, 6 (13), 329-351. https://doi.org/10.7816/nesne-06-13-05