The use of guided imagery in this population assumes that a child’s imagination has the potential to affect health, and our findings support the assumption. Across the sample, imaging ability was present at baseline. Furthermore, following the guided imagery training and its subsequent use (to varying degrees) over one month, participants’ imaging ability increased significantly. This finding is important be- cause it suggests that with time and practice, children can become better at using their imaging skills to manage pain. And because this finding is specific to school-age children, it also reinforces the importance of offering guided imagery to this age group