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Can a 12-week breathwork protocol reduce stress and anxiety in paramedic students?

high confidence  ·  Last reviewed May 13, 2026

Paramedic students face high rates of stress and anxiety, which can lead to long-term mental health issues. A recent randomized controlled trial tested whether a structured 12-week breathwork protocol could help. The answer is yes: the study found that paramedic students who practiced slow, diaphragmatic breathing twice daily reported significantly lower stress and anxiety compared to a control group 59.

What the research says

A single-blind randomized controlled trial with 98 paramedic students from two Australian universities evaluated the A52 Breath Method, a structured breathwork protocol 59. Participants practiced slow, diaphragmatic breathing (5-second inhale, 5-second exhale, 2-second hold) twice daily for 12 weeks, using video and guided audio instruction 59. At the end of the study, the breathwork group showed significantly lower stress, anxiety, and depression scores on the Depression Anxiety Stress Scale-21 (DASS-21) compared to the control group 59. The study also measured improvements in insomnia, resilience, and psychological wellbeing 59. These findings are specific to paramedic students, but they align with broader research showing that mind-body interventions can reduce stress and anxiety in healthcare workers 26. For example, a meta-analysis found that virtual reality interventions significantly reduced stress and anxiety in healthcare workers 2, and an 8-week mindfulness-based art therapy program reduced stress in oncology nurses 6. However, not all relaxation-based interventions show significant effects; a meta-analysis of yoga and relaxation for pediatric cancer caregivers found non-significant results 8. The breathwork trial stands out for its rigorous design and positive outcomes in a high-stress population 59.

What to ask your doctor

  • Could a structured breathwork program like the A52 Breath Method be a helpful addition to my stress management routine?
  • Are there any risks or precautions I should consider before starting a daily breathwork practice?
  • How does breathwork compare with other stress-reduction approaches you might recommend?
  • Can you help me find resources or guidance to learn slow, diaphragmatic breathing properly?
  • Should I monitor any specific symptoms while practicing breathwork, and when should I follow up with you?

This question is drawn from common patient questions about this topic and answered using cited medical research. We do not provide individualized advice.