Traducción y adaptación transcultural al español del Simulator Sickness Questionnaire (Translation and cross-cultural adaptation to Spanish of the Simulator Sickness Questionnaire)
Open accessAbstract
La Realidad Virtual (RV) es una herramienta cada vez más presente en la valoración y tratamiento del paciente neurológico. Sin embargo, en ocasiones, la exposición a entornos inmersivos puede desencadenar efectos adversos. Detectar las posibles complicaciones de su uso se antoja fundamental para dotar de seguridad a sus aplicaciones terapéuticas. El objetivo de este trabajo ha sido realizar una traducción y adaptación transcultural del cuestionario Simulator Sickness Questionnaire (SSQ), empleado para valorar el cybersickness o sintomatología adversa asociada al uso de la RV, de cara a minimizar riesgos vinculados a su uso en población española. Se llevó a cabo una traducción, retrotraducción y adaptación del instrumento original y una validación de contenido y equivalencia semántica del cuestionario a través de la opinión de expertos, llegando a una versión preliminar evaluada en un ensayo piloto con 54 participantes. Tras la obtención de la versión preliminar en español, el análisis de validez de contenido mostró valores elevados (índice de validez de contenido ³ 0.89; valores de kappa ³ 0.89). 42 de los 54 participantes en el estudio (78%) entendieron el total de la equivalencia semántica planteada y el 100% de la muestra comprendió 13 de los 16 ítems adaptados (81%). El proceso de traducción y adaptación transcultural al castellano del SSQ llevado a cabo, ha dado como resultado una versión equivalente al cuestionario original, presentando una elevada concordancia semántica que facilitará el desarrollo de futuros estudios en población española sobre la sintomatología adversa que pudiera generar la RV. Abstract. Virtual Reality (VR) uses is growing in the assessment and treatment of neurological patients. However, immersive environments exposure can trigger adverse effects. Checking the possible complications of its use is essential to provide security to therapeutic approaches. The aim of this work has been to carry out a translation and cross-cultural adaptation of the Simulator Sickness Questionnaire (SSQ), used to assess cybersickness or adverse symptoms associated with VR, with the aim to decrease risks in the Spanish population. Forward-translation, back-translation and cross-cultural adaptation of the original questionnaire was carried out. Content validation and semantic equivalence was assessed by an expert panel, leading to a preliminary version evaluated in a pilot trial with 54 participants. After obtaining the preliminary version in Spanish, the content validity analysis showed high values (content validity index ³ 0.89 and kappa values ³ 0.89). 42 of the 54 participants (78%) understood the total semantic equivalence raised and 100% of the sample understood 13 of the 16 adapted items (81%). The translation and cross-cultural adaptation into Spanish of the SSQ was carried out in this study, showed an equivalent version to the original questionnaire, presenting a high semantic concordance and facilitating the development of future studies in the Spanish population on the adverse symptoms that VR could generate.
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The Spanish version of the Simulator Sickness Questionnaire presents high content validity (0.89) and a kappa index of 0.89.
“The Spanish version by [30] presents high content validity (0.89) and a kappa index also of 0.89.”
From Immersive Virtual Reality in Psychotherapeutic Interventions for Youth with Eating Disorders: A Pilot Study in a Rural Context (2025) · cites this paper as [30]
The Results report high content-validity indices, and Table 2 lists item-level I-CVI and kappa values of 0.898 and 0.896. It does not report 0.89 for either measure as a value for the Spanish questionnaire overall; the scale-level content-validity index is 0.986. (LLM, conf=0.84)
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Cites
Guidelines for the process of cross-cultural adaptation of self-report measures
Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000) · Spine · doi:10.1097/00007632-200012150-00014 · Cited by 14,542 · see citing works
Guillemin, F., Bombardier, C., & Beaton, D. (1993) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(93)90142-n · Cited by 6,060 · see citing works
Simulator Sickness Questionnaire: An Enhanced Method for Quantifying Simulator Sickness
Kennedy, R. S., Lane, N. E., Berbaum, K. S., & Lilienthal, M. G. (1993) · The International Journal of Aviation Psychology · doi:10.1207/s15327108ijap0303_3 · Cited by 5,457 · see citing works
Is the CVI an acceptable indicator of content validity? Appraisal and recommendations
Polit, D. F., Beck, C. T., & Owen, S. V. (2007) · Research in Nursing & Health · doi:10.1002/nur.20199 · Cited by 5,273 · see citing works
Sousa, V. D., & Rojjanasrirat, W. (2011) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2010.01434.x · Cited by 3,322 · see citing works
A discussion of cybersickness in virtual environments
LaViola, J. J. (2000) · ACM SIGCHI Bulletin · doi:10.1145/333329.333344 · Cited by 1,426 · see citing works
Virtual Reality Sickness: A Review of Causes and Measurements
Chang, E., Kim, H. T., & Yoo, B. (2020) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2020.1778351 · Cited by 977 · see citing works
Review on cybersickness in applications and visual displays
Rebenitsch, L., & Owen, C. (2016) · Virtual Reality · doi:10.1007/s10055-016-0285-9 · Cited by 971 · see citing works
(1995) · PubMed · Cited by 950 · see citing works
A Systematic Review of Cybersickness
Davis, S., Nesbitt, K., & Nalivaiko, E. (2014) · Proceedings of the 2014 Conference on Interactive Entertainment · doi:10.1145/2677758.2677780 · Cited by 506 · see citing works
Cross-cultural Adaptation and Validation of Heatth Status Measures
Guillemin, F. (1995) · Scandinavian Journal of Rheumatology · doi:10.3109/03009749509099285 · Cited by 462 · see citing works
Research in visually induced motion sickness
Kennedy, R. S., Drexler, J., & Kennedy, R. S. (2010) · Applied Ergonomics · doi:10.1016/j.apergo.2009.11.006 · Cited by 340 · see citing works
Effects of balance training using a virtual-reality system in older fallers
Duque, G., Boersma, Loza-Diaz, Hassan, Suárez, H., Geisinger, Suriyaarachchi, Sharma, & Demontiero (2013) · Clinical Interventions in Aging · doi:10.2147/cia.s41453 · Cited by 234 · see citing works
Kim, A., Darakjian, N., & Finley, J. M. (2017) · Journal of NeuroEngineering and Rehabilitation · doi:10.1186/s12984-017-0225-2 · Cited by 213 · see citing works
Cybersickness in the presence of scene rotational movements along different axes
Lo, W. T., & So, R. H. Y. (2001) · Applied Ergonomics · doi:10.1016/s0003-6870(00)00059-4 · Cited by 196 · see citing works
The treatment of phantom limb pain using immersive virtual reality: Three case studies
Murray, C. D., Pettifer, S. R., Howard, T. L. J., Patchick, E. L., Caillette, F., Kulkarni, J., & Bamford, C. (2007) · Disability and Rehabilitation · doi:10.1080/09638280601107385 · Cited by 177 · see citing works
Simulator Sickness Questionnaire: Twenty Years Later
Balk, S. A., Bertola, D. B., & Inman, V. W. (2013) · International Driving Symposium on Human Factors in Driver Assessment, Training and Vehicle Design (Driving Assessment Conference) · doi:10.17077/drivingassessment.1498 · Cited by 156 · see citing works
Yildirim, C. (2019) · Virtual Reality · doi:10.1007/s10055-019-00401-0 · Cited by 141 · see citing works
Immersive Virtual Reality for the Management of Pain in Community-Dwelling Older Adults
Benham, S., Kang, M., & Grampurohit, N. (2018) · OTJR Occupational Therapy Journal of Research · doi:10.1177/1539449218817291 · Cited by 89 · see citing works
Psychometric evaluation of the Simulator Sickness Questionnaire as a measure of cybersickness
Stone, W. B., III (2017) · doi:10.31274/etd-180810-5050 · Cited by 80 · see citing works
Kellogg, R. S., Kennedy, R. S., & Graybiel, A. (1965) · PubMed · Cited by 79 · see citing works
Bank, P. J. M., Cidota, M. A., Ouwehand, P. W., et al. (2018) · Journal of Medical Systems · doi:10.1007/s10916-018-1100-9 · Cited by 75 · see citing works
Díaz, I. A., Rodríguez, J. M. R., & Rodríguez-García, A.-M. (2018) · EDMETIC · doi:10.21071/edmetic.v7i1.10139 · Cited by 69 · see citing works
Translation and validation of ‘The Knee Society Clinical Rating System’ into Spanish
Ares, Ó., Castellet, E., Maculé, F., León, V., Montañez‐Heredia, E., Freire, A., Hinarejos, P., Montserrat, F., & Amillo, J. R. (2013) · Knee Surgery Sports Traumatology Arthroscopy · doi:10.1007/s00167-013-2412-4 · Cited by 47 · see citing works
Simulator Sickness Questionnaire: tradução e adaptação transcultural
de Carvalho, M. R., da Costa, R. T., & Nardi, A. E. (2011) · Jornal Brasileiro de Psiquiatria · doi:10.1590/s0047-20852011000400003 · Cited by 33 · see citing works
Campo-Prieto, P., Carral, J. M. C., de Oliveira, I. M., & Fuentes, G. R. (2020) · Retos · doi:10.47197/retos.v0i39.78195 · Cited by 18 · see citing works
Self-citationThe effects of visual deprivation on adaptation to a rotating environment.
Kennedy, R. S., Tolhurst, G. C., & Graybiel, A. (1965) · PsycEXTRA Dataset · doi:10.1037/e430802004-001 · Cited by 14 · see citing works
The effects of visual deprivation on adaptation to a rotating environment. NSAM-918.
Rs, K., Gc, T., & Graybiel, A. (1965) · PubMed · Cited by 14 · see citing works
Vega, M. D. L. Á. F., & Lomelí, D. G. (2020) · Retos · doi:10.47197/retos.v38i38.75225 · Cited by 7 · see citing works
Simulator Sickness in Fahrsimulationsumgebungen - drei Studien zu Human Factors
Hösch, A. (2018) · Common Library Network (Der Gemeinsame Bibliotheksverbund) · Cited by 4 · see citing works
Ruiz, M. L., Nieves, M. T. P., Arce, S. A., et al. (2019) · Revista de Neurología · doi:10.33588/rn.6912.2019148 · Cited by 4 · see citing works
Flagged first, then by citations
Research works printed but not linked: 4
- Bouchard, S., Robillard, G., y Renaud, P. (2007). Revising the factor structure of the simulator sickness questionnaire. Annual Review of CyberTheraphy Telemedicine, 5, 117-122.
- Calvo, J.M., Sánchez-Pedraza, R., & Peña-Solano, D.M. (2012). Tra- ducción y adaptación de la escala SQLS para medir calidad de vida en pacientes con esquizofrenia en Colombia. Revista de la Facultad de Medicina, 60(2), 95-102.
- Davison, S.M.C., Deeprose, C., & Terbeck, S. (2018). A comparison of immersive virtual reality with traditional neuropsychological measures in the assessment of executive functions. Acta Neuropsychiatrica, 30(2), 79-89. http://dx.doi.org/10.1017/ neu.2017. · DOI
- Guerra-Tapia, A., Buendía-Eisman, A., & Ferrando, J. (2018). Valida- ción de una adaptación transcultural al idioma español de la escala Hair Specific Skindex-29. Actas Dermo-Sifiliográficas, 109(5), 424-431.
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Sarrió-Colas, L., Reverté-Villarroya, S., Castellà-Culvi, A. B., Barberà-Roig, D., Gas-Prades, C., Coello-Segura, A., & Adell-Lleixà, M. (2025) · Applied Sciences · doi:10.3390/app15169013 · Cited by 3 · see citing works
- Authors
- Campo-Prieto, P., Rodríguez-Fuentes, G., & Cancela Carral, J. M.
- Affiliations
- Universidade de Vigo (ES)
- Venue
- Retos
- Publisher
- JURUFRA SL
- Published
- 2021-08-06
- Volume
- 43
- Pages
- 503-509
- ISSN
- 1579-1726 (ISSN-L)
- 1988-2041
- OpenAlex
- W3196624264
- Cited by
- 35
- References
- 31
- Citations by year
- 2026: 9 · 2025: 8 · 2024: 9 · 2023: 5 · 2022: 4
- FWCI
- 2.76
- Type
- journal article
- Language
- es
- Open access
- gold
- doi.org
- Licence
- Locations
- Retos (publishedVersion, cc-by-nc-nd)
- Investigo Institutional repository of UVigo (Universidade de Vigo) (submittedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Physical Sciences › Computer Science › Human-Computer Interaction › Virtual Reality Applications and Impacts
- Social Sciences › Education › Health Education and Validation
- Health Sciences › Medicine › Surgery › Nausea and vomiting management
- Keywords
- Simulator Sickness Questionnaire, cybersickness, virtual reality, cross-cultural adaptation, Spanish translation, content validity, semantic equivalence, neurological patients, immersive environments, questionnaire validation, pilot study, neurorehabilitation, patient safety
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