Evidence map›Paper›PMID 42356599›Full record

ArticleSensors (Basel, Switzerland)2026

Consumer-Grade Wearable Sensors for Classifying Pilot Workload and Stress During Real Flight Training: A Leave-One-Subject-Out Validation Study.

Rongbing Xu, Shi Cao, Michael Barnett-Cowan, Elizabeth Irving, Ewa Niechwiej-Szwedo, Suzanne Kearns

Abstract readValidation Study
In one paragraph

Article in Sensors (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rongbing XuDepartment of Systems Design Engineering, University of Waterloo, Waterloo, ON N2L 3G1, Canada.ORCID 0000-0001-7845-5265
Shi CaoDepartment of Systems Design Engineering, University of Waterloo, Waterloo, ON N2L 3G1, Canada.ORCID 0000-0002-6448-6674
Michael Barnett-CowanWaterloo Institute for Sustainable Aeronautics, University of Waterloo, Waterloo, ON N2L 3G1, Canada.ORCID 0000-0002-2839-8562
Elizabeth IrvingWaterloo Institute for Sustainable Aeronautics, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
Ewa Niechwiej-SzwedoWaterloo Institute for Sustainable Aeronautics, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
Suzanne KearnsWaterloo Institute for Sustainable Aeronautics, University of Waterloo, Waterloo, ON N2L 3G1, Canada.ORCID 0000-0001-8806-6730

Funding

Natural Sciences and Engineering Research Council of Canada GGPIN-2024-04808
6 · The paper itself

Abstract

Consumer-grade wearable sensors may enable continuous monitoring of pilot workload and stress during flight training, yet most prior studies rely on simulators, raw-score labelling, and within-subject validation, limiting generalisability. This study evaluates whether electrodermal activity (EDA), electrocardiogram (ECG)-derived features, and wrist skin temperature, recorded from an Empatica Embrace Plus and a Polar H10 during real Cessna 172 flight training, can classify pilots' task-relative workload and stress deviations. Thirty-five pilots completed four flight segments and rated workload and stress after each. Fold-safe two-way residual binary labels removed inter-pilot scale-use differences and task-level effects, and five classifiers were evaluated under leave-one-subject-out (LOSO) cross-validation with Benjamini-Hochberg FDR correction. Under LOSO, a Linear SVC on combined features classified stress (macro F1 = 0.607) and XGBoost on EDA classified workload (macro F1 = 0.598) significantly above chance (padj=0.033); both remained stable under nested cross-validation with an inner hyperparameter search (nested 0.606 and 0.561). A LightGBM model on EDA gave a numerically higher stress score (0.611) that did not survive nested validation. Subject-dependent within-subject validation produced higher apparent performance (macro F1 = 0.853 for stress and 0.791 for workload), but a stricter within-pilot analysis was unstable. These contrasts indicate that personalised classification may be feasible after calibration, whereas uncalibrated cross-pilot prediction in real flight remains modest, with post-flight debriefing the most plausible near-term application.

Indexed as

Stress, PhysiologicalWearable Electronic DevicesWorkloadElectrocardiographyGalvanic Skin ResponseHumansSkin Temperatureaviation human factorsleave-one-subject-outphysiological signalspilot stresspilot workloadreal flightwearable sensors

Identifiers

PMID42356599
PMCPMC13306266

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.