Table 2.

Design elements of computer game, accessibility, working alliance, and learning in immersion.

Area	Elements	Description
Computer Game
	Challenge	Overcoming obstacles and challenges to master and beat games
	Companionship	Socializing and cooperating with others
	Exploration	Unfamiliar places, hidden things, different strategies, discovery
	Fantasy	Enjoyment of fantasy worlds, fictional characters, unreal abilities, imaginary creatures, role-playing
	Fidelity	Realistic 3D graphics, animation, sounds
Accessibility
	Perceivable	Content is easy to see, hear; presented in different ways
	Operable and navigable	Function available from keyboard; users can find content and navigate easily; creates no well-being issues
	Understandable	Text is readable and understandable; game operates in predictable ways
	Robust and reliable	Interpretation clear, minimal errors, secure, compatible
Working alliance
	Goal	The outcome the person values and perceives will improve their circumstances
	Tasks	A series of relevant and efficacious tasks, which the person perceives will assist in attaining the goal
	Bond	Positive personal attachments such as trustworthiness, confidence, expertness, attractiveness, acceptance, empathy, nonjudgmental, and sincerity
Learning in immersion
	Activity	Through tasks, puzzles, movement, and feedback
	Expert guidance	Builds on and adjusts existing knowledge
	Modeling of behavior	Behaviors learned by observation and modeling
	Community of practice	Where newcomers conduct simple, low-risk tasks, becoming familiar with language and organizing
	Sensory, actional, and symbolic factors	Replicates the experience of being in a 3D space; participant able to initiate actions; content triggers semantic responses
	Multiple perspectives	Changing a participant’s view of an object from external to internal
	Simulation of the real world	Aids transfer of knowledge from conceptual to real-life