Figure - PMC

Skip to main content

An official website of the United States government

Here's how you know

Here's how you know

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

View full-text article in PMC

. 2026 Sep 30;28:e93549. doi: 10.2196/93549

Search in PMC
Search in PubMed
View in NLM Catalog
Add to search

©Hirokazu Kumazaki, Hiroko Kamide, Takahiro Miyashita, Hidenobu Sumioka, Yuichiro Yoshikawa, Hiroshi Ishiguro. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 30.09.2026.

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 the Journal of Medical Internet Research (ISSN 1438-8871), is properly cited. The complete bibliographic information, a link to the original publication on https://www.jmir.org/, as well as this copyright and license information must be included.

PMC Copyright notice

Illustration of the TCR (a training system that enables users to perform role-based behaviors using a computer graphics avatar in a real, bustling commercial facility) intervention setting. The user (right) pushes a button or speaks into a microphone connected to a PC that controls the computer graphics (CG) avatar (AVACOM) displayed in a real, bustling commercial facility. Using the avatar, the user can communicate with unfamiliar individuals in real time. A peer sitting next to the operator was responsible for observing and evaluating the operator’s behavior. A trainer behind them provided encouragement, feedback, and persuasion to help the participants believe they could succeed after the intervention.