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Breathe with the Waves (BWW)—Creating and Assessing the Potential of a New Stress Management Intervention for Oncology Personnel

Lauren Deckelbaum, Nikita Guarascio, Marie-Pierre Bastien, Anik Cloutier, Maria Kondyli, Marie-Paule Latour, Émélie Rondeau, Serge Sultan

Current Oncology November 26, 2025 DOI: 10.3390/curroncol32110632 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Mixed-methods exploratory study Qualitative Peer reviewed
Sample size 20
Population Oncology healthcare professionals in Canada
Intervention Breathe with the Waves (BWW)
Topics Breathwork
Keywords Oncology Healthcare provider Stress management Intervention
Key points Oncology professionals rated the online breathing-based program Breathe with the Waves as highly acceptable, satisfactory, and relevant, and reported stress reduction, improved work performance, and increased mindfulness, alongside anticipated and experienced challenges. The authors propose it as a promising, accessible approach to supporting oncology personnel well-being and outline potential outcome measures for future studies.

Abstract

Healthcare providers in oncology experience exceptionally high stress rates. Research emphasizes that stress management programs must be quick to implement, flexible to accommodate demanding schedules, cost-effective, accessible to all staff, and tailored to the needs of oncology personnel. Programs that fail to meet these criteria often struggle with uptake and sustainability. This mixed-methods exploratory study aimed (1) to design an online stress management program, Breathe with the Waves (BWW), based on breathing techniques; (2) to evaluate its acceptability, satisfaction, and relevance; (3) to identify perceived benefits and challenges; and (4) to generate potential outcome measures for future studies. A team of Canadian researchers and end-users co-designed the intervention. Twenty oncology professionals completed BWW, which featured pre-recorded breathing videos, and provided feedback via questionnaires and semi-structured interviews. We used t-tests and Wilcoxon rank tests to analyze quantitative data, and template analysis for qualitative data. Participants found BWW highly acceptable, satisfactory, and relevant. Participants reported three categories of benefits: stress reduction, improved work performance, and increased mindfulness. Challenges included anticipated challenges and experienced challenges. Potential outcome measures fell into six categories: physical health, mental health, relational, work, mindfulness and personal practice. BWW, available in English and French, represents a promising and accessible approach to supporting the well-being of oncology personnel.

Comparable studies

Other qualitative studies on breathwork, most cited first.

Study Year Design Participants
The perceived impact of holotropic breathwork: An interpretive phenomenological analysis. 6 women and 6 men (ages 25-67) in Chile 2022 Qualitative study n = 12
phenomenological study on the lived positive experiences of Sudarshan Kriya Yoga breathwork practitioners Individuals who practice SKY Breath without experiencing adverse effects 2025 Qualitative study n = 9
Breathwork, nature connection, vaccine attitudes and wellbeing: A convergent mixed methods study in Wim Hof Method practitioners UK-based Wim Hof Method practitioners 2024 Mixed-methods study n = 137
Posttraumatic growth following culturally grounded intervention among tribal young women with dissociative disorders in Sikkim: an interpretative phenomenological analysis Tribal adolescent girls and young women from Sikkim with dissociative disorders 2026 Qualitative study n = 3
Everyone Breathes: a mixed methods evaluation of a combined Feldenkrais and vocal improvisation group within an adult mental health Recovery College setting Adults living with mental health challenges attending a Recovery College workshop 2026 Observational mixed methods design n = 8

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