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. 2025 May 30;9:e74401. doi: 10.2196/74401

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©Junichi Fujita, Mizuho Takayama, Emi Kamono, Satoru Shinoda, Hiroyuki Yamaguchi, Tomoko Moroga, Mio Ishii, Tomoyuki Miyazaki. Originally published in JMIR Formative Research (https://formative.jmir.org), 30.05.2025.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Formative Research, is properly cited. The complete bibliographic information, a link to the original publication on https://formative.jmir.org, as well as this copyright and license information must be included.

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Sequential stages of the VR-based therapeutic journey. The figure depicts 3 sequential therapeutic environments: (A) Cityscape: designed to facilitate initial collaboration and trust formation; (B) Spaceship and Spaceport: structured for deep reflection through narrative sharing; and (C) Lunar Base: focused on personal growth and future orientation. Moon Rabbit (white figure) functions as the therapeutic facilitator, guiding structured activities and maintaining psychological safety throughout the program. This facilitation is crucial in creating a supportive environment that enables meaningful participant interaction and emotional expression. Alien 1 is named Ramune, colored green; alien 2 is named Puchi, colored purple; and alien 3 is named Maruhachi, colored yellow. VR: virtual reality.