Abstract
Imagery studies have varied widely in the methods used to deliver guided imagery interventions. This variation has led to difficulties comparing studies and uncertainty as to what methods should be followed. A review is needed to evaluate the interventions to date to inform applied recommendations. The aim of this systematic review was to (1) assess the quality of intervention design, (2) investigate the extent to which interventions vary, (3) highlight the different methods that should be considered in the design and implementation of future interventions, and (4) investigate adherence to some of the current theories and models of imagery use. A total of 20 interventions administered between the years 2001 and 2011 were compared over 17 main areas, including imagery ability, duration, script development, delivery method, and adherence to the PETTLEP model and the bio-informational theory. The results of this review found evidence of many inconsistencies between interventions and demonstrate a need for more comprehensive practical guidelines. Recommendations are offered for the design of future interventions, including increasing imagery practice time and the use of personalised imagery scripts. Numerous questions are raised to strengthen and direct future research such as the need for continued modification of scripts throughout an intervention.
Appendices
Element | Definition | Example |
Physical | The extent to which the physical aspect of the imagery reflects that of the actual movement (e.g. body position, equipment, and clothing). | A weightlifter imaging while adopting the lifting position on the weight bench and griping the weight in their hand. |
Environment | The imaged action should be carried out in the same environment as the actual action, both mentally (in the image) and/or physically (where the imagery is taking place). | A footballer imaging while standing on the match day pitch, in front of the goal posts and with a football in front of them. |
Task | The imaged action should correspond as closely as possible to the actual action and at the same level of expertise. | A script describing a golf putt that is technically identical to the putt realistically used during physical performance. |
Timing | The duration of the imaged action must be temporally equivalent to that of the physically performed action. | A basketball routine being imaged in real time. |
Learning | The imaged action should evolve as an action is learnt and refined. | Adding new softball performance scenarios to the imagery content, to reflect new match experiences and an increase in the players’ imagery ability. |
Emotion | The imaged action should include similar emotions and arousal levels to those experienced when actually performing the action. | A badminton player imaging feeling confident along with other positive emotions that are desired during performance. |
Perspective | The view point of the imagined action should allow for focus to be placed on the necessary part of the action (1PP vs. 3PP). | Synchronised skaters adopting their preferred visual perspective whilst imaging their routine. |
Notes: Appendix 1 uses definitions from Cumming and Ramsey (2008) and Holmes and Collins (2002) and examples from interventions included in the current review.
Reference | Sport/ task | Outcome measures | Success | PEDro/SCED | Baseline measure of IA | Monitoring IA (supervision) | Duration | |||
Weeks | Session (#/week) | Image (reps) | Total imagery | |||||||
Velentzas et al. (2011) | Volleyball serve | Performance & imagery ability | Full-change | 7/11p | Control for IA (VMIQ) | (Supervised) | 7 | 10 min (2/week) | 10 min (1) | 2 h 20 min |
Pain et al. (2011) | Football | Performance & perceived flow | No-change | 7/11s | ≥ Moderate IA (MIQ) | Questionnaire (independent) | 3 | 3 min (1/week) | 3 min (1) | 9 min |
Lebon et al. (2010) | Weight lifting | Performance | Mod-change | 4/11p | Control for IA (MIQ) | Questionnaire (supervised) | 4 | 3 min 10 s (3/week) | 2 s (95) | 38 min |
Ramsey et al. (2010) | Football penalty | Performance, SE & anxiety | Mod-change | 7/11p | ≥ Moderate IA (MIQ-R) | Questionnaire, diary (combination) | 6 | 1 min 40 s (4/week) | 10 s (10) | 40 min |
Ramsey et al. (2010) | Football penalty | Performance, SE & anxiety | Mod-change | 7/11p | ≥ Moderate IA(MIQ-R) | Questionnaire, diary (combination) | 6 | 1 min 40 s (4/week) | 10 s (10) | 40 min |
Mellalieu et al. (2009) | Rugby Union | Anxiety, confid & affect | Full-change | 7/11s | ≥ Moderate IA (MIQ-R) | Questionnaire, diary, meetings (combination) | 11 | 10 min (7/week) | 10 min (1) | 12 h 50 min |
Guillot et al. (2009) | Basketball | Performance | No-change | 4/11p | Control for IA (MIQ) | Questionnaire (supervised) | 5 | 11 min (2.4/week) | 1 min 13 s (9) | 2 h 12 min |
Smith et al. (2008) | Golf putting | Performance | Mod-change | 7/11p | ≥ Moderate IA (MIQ-R) | Meetings (independent) | 6 | 5 min (2/week) | 20 s (15) | 1 h |
Smith et al. (2008) | Golf putting | Performance | Full-change | 7/11p | ≥ Moderate IA (MIQ-R) | Meetings (independent) | 6 | 5 min (1/week) | 20 s (15) | 30 min |
Shearer et al. (2008) | Obstacle course | SE & task cohesion | Full-change | 7/11p | ≥ Moderate IA (MIQ-R) | Questionnaire, meetings (combination) | 6 | 10 min (5/week) | 10 min (1) | 5 h |
Smith et al. (2007) | Hockey penalty | Performance | Full-change | 7/11p | ≥ Moderate IA (MIQ-R) | Diary, meetings (independent) | 6 | 5 min (7/week) | 30 s (10) | 3 h 30 min |
Smith et al. (2007) | Hockey penalty | Performance | Mod-change | 7/11p | ≥ Moderate IA (MIQ-R) | Diary, meetings (independent) | 6 | 5 min (7/week) | 30 s (10) | 3 h 30 min |
Smith et al. (2007) | Hockey penalty | Performance | Mod-change | 7/11p | ≥ Moderate IA (MIQ-R) | Diary, meetings (independent) | 6 | 5 min (7/week) | 30 s (10) | 3 h 30 min |
Callow et al. (2005) | Horse racing | Confidence | Full-change | 7/11s | ≥ Moderate IA (MIQ-R) | Questionnaire, diary (combination) | 16 | 5 min (3.2/week) | 5 min (1) | 4 h 16 min |
Smith et al. (2004) | Golf putting | Performance | No-change | 8/11p | ≥ Moderate IA (VMIQ) | Questionnaire, diary (independent) | 6 | 2 min 30 s (7/week) | 10 s (15) | 1 h 45 min |
Calmels et al. (2004) | Softball | Imagery ability | Full-change | 8/11s | Observing IA change (VMIQ) | Questionnaire (independent) | 7 | 10 min (4/week) | 10 min (1) | 4 h 40 min |
Cumming et al. (2001) | Synchronised skating | Imagery use & ability | Mod-change | 4/11s | Observing IA change (MIQ) | Questionnaire (supervised) | 5 | 10 min (2/week) | 10 min (1) | 1 h 40 min |
Smith et al. (2001) | Hockey penalty | Performance | Mod-change | 8/11p | Control for IA (MIQ-R) | Diary, meetings (independent) | 7 | 3 min 20 s (3/week) | 10 s (20) | 1 h 10 min |
Smith et al. (2001) | Hockey penalty | Performance | Full-change | 8/11p | Control for IA (MIQ-R) | Diary, meetings (independent) | 7 | 3 min 20 s (3/week) | 10 s (20) | 1 h 10 min |
Callow et al. (2001) | Badminton | Confidence | Mod-change | 8/11s | ≥ Moderate IA (MIQ-R) | Diary, meetings (independent) | 3 | 5 min (7/week) | 5 min (1) | 1 h 45 min |
Notes: SE = self efficacy; IA = imagery ability, MIQ = Movement imagery questionnaire (Hall & Pongrac, 1983); MIQ-R = Movement imagery questionnaire revised (Hall & Martin, 1997); VMIQ, Vividness of movement imagery questionnaire (Isaac, Marks, & Russel, 1986).
Reference | SRM-propositions | Personalised | Modified | SR-training | Script presentation | Script timing | PETTLEP elements |
Velentzas et al. (2011) | SRM | No | No | No | Researcher read | Before imagery, during physical practice | Physical, Environment, Task, Emotion, Perspective |
Pain et al. (2011) | SRM | Yes | No | No | Audio | During imagery, before competition | Physical, Environment, Task, Emotion |
Lebon et al. (2010) | SR | No | No | No | Researcher read | Before imagery, during physical practice | Physical, Environment, Task, Timing, Perspective |
Ramsey et al. (2010) | SRM | No | No | No | Researcher or participant read | Before imagery, during and away from physical practice | Physical, Environment, Task, Emotion |
Ramsey et al. (2010) | S | No | No | No | Researcher or participant read | Before imagery, during and away from physical practice | Physical, Environment, Task |
Mellalieu et al. (2009) | SRM | Yes | No | No | Participant read | During imagery, before and away from competition | Physical, Environment, Task, Emotion |
Guillot et al. (2009) | SRM | No | No | No | Researcher read | Before imagery, during physical practice | Physical, Environment, Task, Timing, Emotion, Perspective |
Smith et al. (2008) | SRM | Yes | Yes | Yes | Participant read | Before imagery, away from physical practice | All |
Smith et al. (2008) | SRM | Yes | Yes | Yes | Participant read | Before imagery, during physical practice | All |
Shearer et al. (2008) | SRM | Yes | Yes | No | Participant read | During imagery, away from physical practice | Environment, Task, Learning, Emotion |
Smith et al. (2007) | SR | Yes | No | Yes | Participant read | Before imagery, during physical practice | Physical, Environment, Task, Timing, Perspective |
Smith et al. (2007) | SR | Yes | No | Yes | Participant read | Before imagery, away from physical practice | Physical, Task, Timing, Perspective |
Smith et al. (2007) | SR | Yes | No | Yes | Participant read | Before imagery, away from physical practice | Task, Timing, Perspective |
Callow et al. (2005) | SRM | Yes | No | No | Audio or participant read | During imagery, away from physical practice | Task, Emotion |
Smith et al. (2004) | SRM | Yes | No | Yes | Participant read | Before imagery, away from physical practice | Task Emotion |
Calmels et al. (2004) | SRM | Yes | Yes | Yes | Audio | During imagery, away from physical practice | Task, Learning, Emotion, Perspective |
Cumming et al. (2001) | SRM | No | No | No | Researcher read | During imagery, away from physical practice | Task, Emotion, Perspective |
Smith et al. (2001) | S | No | No | No | Participant read | Before imagery, away from physical practice | Task, Timing |
Smith et al. (2001) | SR | Yes | No | Yes | Participant read | Before imagery, away from physical practice | Task, Timing |
Callow et al. (2001) | SRM | No | Yes | No | Audio or participant read | During imagery, away from physical practice | Task, Learning, Emotion |
Notes: S = stimulus propositions; SR = stimulus and response propositions; SRM = stimulus, response and meaning propositions.
Comparison | Key Outcomes |
Quality of design | |
PEDro and SCED | Mean scores of 6.4/11 and 7.4/11, respectively. |
Imagery ability | |
Baseline | Baseline measures of imagery ability were used to control for individual differences (n = 5), measure pre to post changes in imagery ability (n = 2), and to screen for an above moderate level of imagery ability (n = 13). |
No association between baseline measures and intervention success (p = 0.920). | |
Monitoring | Methods of monitoring included qualitative interviews (n = 10), training diaries (n = 11), and single-item questionnaires (n = 10). |
No association between monitoring and intervention success (p = 0.480). | |
Interventions that involved unsupervised imagery use were associated with a greater degree of monitoring (p = 0.036). | |
Duration | |
Intervention | Interventions ranged from 3 to 16 weeks in length (M = 6.45, SD = 2.8). |
A strong, positive correlation between intervention duration (weeks) and intervention success (r = 0.670, p = 0.001). | |
Imagery sessions | Imagery sessions ranged from one per week to one per day (M = 4.08/week, SD = 2.19). |
No correlation between the frequency of imagery sessions and intervention success (r = 0.072, p = 0.38). | |
The amount of imagery use in a single session ranged from 1 min 40 s to 11 min (M = 5 min 43 s, SD = 3 min 11 s). | |
A moderate, positive correlation between the amount of imagery use in a single session and intervention success (r = 0.380, p = 0.048). | |
Single image | The number of times the same image was repeated within a single training session ranged between 1 and 95(M = 12.95, SD = 20.95). |
No significant correlation between the number of repetitions and intervention success (r = –0.228, p = 0.174). | |
The duration of a single image ranged from 2 s to 10 min (M = 3 min 21 s, SD = 4 min 12 s). | |
A near significant, moderate, positive correlation between duration of a single image and intervention success (r = 0.370, p = 0.057). | |
Total imagery use | The total time participants were engaged in imagery use throughout the intervention ranged from 9 min to 12 h 50 min (M = 2 h 39 min, SD = 2 h 49 min). |
A moderate, positive correlation between total imagery use and intervention success (r = 0.462, p = 0.021). | |
Script development | |
Content | Script content was informed using four sources of information: physical task, research, experience, and participants (PREP). |
SRM-propositions | SRM propositions were incorporated in the majority of interventions (n = 13). |
No association between SRM-proposition use and intervention success (p = 0.319). | |
A near significant association showed interventions with performance outcome measures to incorporate meaning propositions less often than studies with psychological outcome measures (p = 0.056). | |
Personalisation | Over half of the interventions incorporated personalised imagery (n = 12). |
Successful interventions associated with personalised imagery (p = 0.040). | |
Modification | Methods of script modification included intermittent consultations with participants (n = 3), layering (n = 1), and introducing new scripts (n = 1). |
No association between the modification of imagery scripts and intervention success (p = 0.430). | |
Delivery | |
SR-training | SR-training was used in less than half of the interventions (n = 8). |
No association between SR-training and intervention success (p = 0.758). | |
Script delivery format | Imagery was either read aloud to participants (n = 4), read by the participants (n = 10), audio recorded (n = 2) or participants were given a choice (n = 4). |
No association between delivery format and intervention success (p = 0.605). | |
Integration of script and imagery | In the majority of interventions, participants used the script prior to generating the imagery (n = 13). |
No association between the integration of script and imagery and intervention success (p = 0.494). | |
Timing | Imagery scripts were used during physical practice (n = 5), before competition (n = 1), away from physical practice and competition (n = 11) and a combination of all three (n = 3). |
No association between the time point of imagery use and intervention success (p = 0.146). | |
Instructions | Authors in the majority of interventions did not report the imagery instructions given to participants (n = 14). Those that did appeared to follow recommendations from the PETTLEP model. |
PETTLEP | Interventions incorporated an average of 4 PETTLEP elements. |
No correlation between the number of elements used and intervention success (r = 0.059, p = 0.828). | |
A strong, positive correlation between total PETTLEP elements used and year of study(r = 0.603, p = 0.017). |
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See Appendix 2 for a summary of the main details drawn from each of the 20 interventions and Appendix 3 for a summary of the main results.
©2013 by Walter de Gruyter Berlin / Boston