Table 2.

Major themes and issues underpinning the framework analysis

Major themes	Related issues
Temporality	Time taken to sit at computer, use keyboard, gain ability to move avatar, recognize scenario, identify with the avatar; overall time spent in Second Life and looking at the screen
Accessibility	Technical and physical barriers; chair and body position in relation to screen; moving and interacting in the virtual space; facilitators’ support of skills development
Context	Physical characteristics of user compared with avatar; recognition of scenario; facilitation style; role of support worker; culture of Grace Eyre; users’ previous experience of computers
Cognitive presence	Reaction to user interface, authentic scenario; identification with scenario; structure of scenario; visual cues; engagement with interactive activities; spontaneous recall of previous experience; relationship to avatar; emotional response to avatar actions; engagement with “nurse” robot; engagement with chat-based interaction; control; autonomy; enjoyment
Recall	Number of accurate statements, distortions, confabulations, and imported information