Simulator Sickness Questionnaire: Twenty Years Later

The present study used simulator sickness questionnaire data from nine different studies to validate and explore the work of the most widely used simulator sickness index. The ability to predict participant dropouts as a result of simulator sickness symptoms was also evaluated. Overall, participants experiencing nausea and nausea-related symptoms were the most likely to fail to complete simulations. Further, simulation specific factors that increase the discrepancy between visual and vestibular perceptions are also related to higher participant study dropout rates. As a result, it is suggested that simulations minimize turns, curves, stops, et cetera, if possible, in order to minimize participant simulation sickness symptoms. The present study highlights several factors to attend to in order to minimize elevated participant simulation sickness.