Proper design of ECA's appears to be and remain challenging All the beforementioned developments (CASA effect, persuasive technology, affective computing, ECA's) gave rise to the idea that, within virtual environments, computers can take on roles that are normally taken by humans such as virtual support providers for patients in eHealth environments and as virtual tutors for students within electronic learning environments. So, back in 2001, it looked like it would be a matter of time for ECA's to become successful. However, reality turned out differently. To date, ECA's are not fulfilling their roles at a scale as one would expect. Compared to chatbots, disembodied dialogue-based artefacts that have close resemblances with ECA's, ECA's are not as often guiding visitors of medical or business websites. So, what happened? Various studies have evaluated ECA research thereby including ECA studies as far back as 20 years. The meta study of Schroeder and Gotch (2015) on persisting issues in pedagogical agent research underscores that the effectiveness of including agent in a learning environment remains debatable. As part of their recommendations the authors advise treatment and control conditions that should not differ on more than a single dimension in order to precisely find out what ECA element contributes to what kind of outcome Furthermore, they promote the development and usage of low-cost ECA's as to stimulate adoption of ECA's as adjuncts in eLearning environments. Veletsianos and Russell (2014) equally state that ECA's in pedagogical contexts have not yet lived up to their promise. As an important cause they refer to the lack of both qualitative and interpretive studies, that prohibit gaining a deeper understanding of the ECA study field. Furthermore, the authors postulate that a multiplicity of variables, such as agent role, voice, and voice quality, interact in complex ways, making generalizations difficult. In addition, they recommend the deployment of agents in naturalistic contexts and open-ended environments. Finally, Veletsianos and Russell (2014) advocate the investigation of ECA's in long-term interventions, echoing the earlier statement of the seminal study of . In a similar vein, Weiss, evaluate ECA research. The authors take an interesting, contrary stance by stating that a speech dialogue with a computer is still far from self-evident. Direct manipulation, meaning clicking on buttons and icons has advantages compared to a speech dialogue, such as clear and predictable results. Within their ECA review, Johnson and Bickmore, T. W., & Picard, R. W. (2005). Establishing and maintaining long-term human-computer relationships. ACM Transactions on Computer-Human Interaction (TOCHI), 12(2), 293-327.