ABSTRACT

Introduction: The Bonny Method of Guided Imagery and Music (GIM) is a complex music therapy method that practitioners use in varied and individualized ways. To improve validity in a quantitative GIM research study and to build knowledge about clinical uses of GIM, we developed a process to monitor variation within GIM sessions.

Method: According to recommendations for complex intervention research, we undertook a process to develop a system to monitor variation to the GIM method that was focused on maintaining consistency of process and function of the GIM method. A team of GIM researchers, practitioners, and primary trainers identified elements of the GIM method and developed an instrument designed to capture variations in a GIM session. The instrument was piloted in 28 individual GIM sessions.

Results: The final version of the GIM Treatment Fidelity Instrument contained 17 items organized into four categories, and included a manual to provide additional clarity for each item. Pilot-testing confirmed that the instrument captured adequate detail for monitoring treatment fidelity and was efficient to use.

Discussion: The GIM Treatment Fidelity Instrument comprises the central part of a comprehensive process to monitor treatment fidelity in GIM research and has the potential to improve implementation and reporting of GIM research. Utilization of this process may help GIM researchers and therapists generate knowledge about implicit decision-making within GIM practice. This descriptive approach to monitoring treatment fidelity may also provide a model for research related to other complex music therapy approaches.

摘要

简介： 引导意象和音乐的邦尼方法 (GIM) 是一种复杂的音乐治疗方法，从业者以多种和个性化的方式使用。为了提高定量 GIM 研究的有效性并建立有关 GIM 临床用途的知识，我们开发了一个过程来监控 GIM 会话中的变化。

方法：根据对复杂干预研究的建议，我们进行了一个过程来开发一个系统来监控 GIM 方法的变化，该系统的重点是保持 GIM 方法的过程和功能的一致性。GIM 研究人员、从业者和初级培训师组成的团队确定了 GIM 方法的要素，并开发了一种工具，旨在捕捉 GIM 会话中的变化。该仪器在 28 个单独的 GIM 会议中进行了试点。

结果： GIM Treatment Fidelity Instrument 的最终版本包含 17 个项目，分为四个类别，并包括一本手册，以提供每个项目的额外清晰度。试点测试证实，该仪器捕获了足够的细节以监测治疗保真度，并且使用效率高。

讨论： GIM 治疗保真度工具包括监测 GIM 研究中治疗保真度的综合过程的核心部分，并具有改进 GIM 研究的实施和报告的潜力。利用这个过程可以帮助 GIM 研究人员和治疗师在 GIM 实践中产生关于隐性决策的知识。这种监测治疗保真度的描述性方法也可以为与其他复杂音乐治疗方法相关的研究提供一个模型。