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Everyone Breathes: a mixed methods evaluation of a combined Feldenkrais and vocal improvisation group within an adult mental health Recovery College setting

Megan Cartier, Jhian Cadimas, David Sulkin, Owen Reilly, Joanna Harries, Jenny Hill, Lucas Robson, Sophie Harris, Catherine Elizabeth Carr

Frontiers in Psychiatry February 19, 2026 DOI: 10.3389/fpsyt.2026.1735103 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational mixed methods design Peer reviewed
Sample size 8
Population Adults living with mental health challenges attending a Recovery College workshop
Interventions Feldenkrais method group vocal improvisation breathwork
Duration Questionnaires at workshop beginning, end, and two weeks later; focus group on the third day
Topics Breathwork
Keywords Feldenkrais method Mental health Mixed methods Recovery college Vocal improvisation
Key findings The authors report that the Everyone Breathes workshop was well-received and safe, with participants describing benefits for breathing, body connection, self-expression, and group support. Wellbeing improved on average by 3.14 points to a moderate score of 25.9 (SD 2.9). The authors suggest the pilot evaluation indicates potential to improve wellbeing in a relatively short timeframe, though they call for future research to formally assess effectiveness.

Abstract

BackgroundA range of singing interventions exist for mental health contexts, but few have incorporated group-based body, breathwork and vocal improvisation. The Feldenkrais method has potential to support singing interventions by raising attention to body and breath. This study aimed to describe practice and evaluate experiences and outcomes of a Feldenkrais and group vocal improvisation workshop provided by professional musicians and a Feldenkrais practitioner in a Recovery College setting.MethodsWe used an observational mixed methods design. The workshop was held by a Recovery College for adults living with mental health challenges. All group attendees were invited to participate in the evaluation. Those who consented completed questionnaires at the workshop beginning, end, and two weeks later. We assessed mental wellbeing alongside goals, emotions, group appraisal, un/helpful and important events. Researchers attended as participant observers and conducted a focus group on the third day. We used interpretive content analysis to understand group content and evaluations. Quantitative data were analysed descriptively.ResultsEight service users (4 male, 5 white British, mean age=43) consented to participate. Group practice was summarised following TIDieR principles and emphasised equality and collaboration. Service users were attracted to the unusual course content, with a strong wish to connect with others and learn. Feldenkrais movement facilitated authentic vocal exploration, expression and creativity. This was experienced initially with some anxiety, but later supported bonding, enjoyment and fun. Experiences were positive, with benefits relating to capacity to breathe, connection to the body, ability to express themselves and find an authentic voice, as well as gain group support. Wellbeing improved on average by 3.14 (range 1–8) to a moderate wellbeing score of 25.9 with a standard deviation (SD) of 2.9. The workshop intensity and course focus were highlighted as areas for future development.DiscussionThe Everyone Breathes workshop offers an intensive, creative, and supportive experience within the Recovery College context. The pilot evaluation suggests the group was well-received, safe and has potential to improve wellbeing in a relatively short timeframe. Future research should explore how to develop content and broaden opportunities for wider implementation to enable formal assessments of effectiveness.

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
Breathe with the Waves (BWW)—Creating and Assessing the Potential of a New Stress Management Intervention for Oncology Personnel Oncology healthcare professionals in Canada 2025 Mixed-methods exploratory study n = 20

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