Table 5.

Recommendations for future implementation.

Improve consent rates and compliance by implementing curriculum:

1. In a class with a health or wellness-directed curriculum; 2. In-person, in the classroom setting; 3. With increased school and parent engagement prior to, during, and following implementation.

Improve compliance and effectiveness by providing:

4. Guided instruction that better supports students in adapting the breathing practice pace to meet their bodies' needs, for their comfort and benefit; 5. More teacher training in how to more effectively support and guide students.

Demonstrate benefits and improve participation by collecting data on:

6. Short-term stress, such as STAI-State and CO2TT, immediately before and after breathing practices to show students the practices' immediate benefits and motivate continued practice; 7. Outcomes such as focus or test-related anxiety to demonstrate academic-related benefits.

CO₂TT, carbon dioxide tolerance test; STAI, State-Trait Anxiety Inventory.