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      <image:caption>Small Shifts builds on practical experience delivering breathwork and physiology-based programmes within NHS settings, informed by research into breathing, stress, sleep and recovery. In a 2025 evaluation with Cornwall Partnership NHS Foundation Trust, a structured breathwork programme was associated with statistically significant improvements in self-reported stress and sleep quality among participating NHS staff. These findings have helped inform the Small Shifts approach, which combines an understanding of physiology with practical experiences people can apply in their own lives Read our published study in the South West Clinical School Journal (2025).</image:caption>
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