Table 2.

Trigger definitions and directions (i.e., if they indicate reduced or enhanced immersion)

Trigger#	Definition	Direction
T1	Destructive interaction between participants and persons outside the scenario	Negative
T2	A participant expresses that the expected equipment is missing or not functioning normally.	Negative
T3	Disturbing jumps in time and/or space	Negative
T4	All or part of the operations are pretended.	Negative
T5	Unnatural interaction with the patient and/or another person in the scenario	Negative
T6	Uncertainty in what is expected or can be done in the simulated scenario	Negative
T7	Technology that would not be part of a natural context disturbs the participants.	Negative
T8	Natural responses to stimuli in the scenario	Positive
T9	Natural interaction with the simulator	Positive
T10	Natural interaction and/or verbal communication with another person in the scenario	Positive