Speech pathologists possess expertise in upper airway function, traditionally applied in dysphagia, laryngeal hypersensitivity disorders, and voice disorders. However, our skills can impact a wider range of disorders, including those we may not typically reach. One in five Australians suffers from chronic pain, with the risk of depression four times higher than that of the general population. This pilot study demonstrates how speech pathologists can play a role in managing chronic pain, an area typically overseen by chronic pain consultants, physiotherapists, and psychologists. Through research and clinical application, our profession can extend its scope to deliver meaningful interventions for individuals with chronic pain, where breathing techniques contribute to symptom management.

Objective: This study explored the perceptions of adults with chronic pain who participated in a telehealth-based group breathing intervention and collected preliminary outcomes.

Results: Participants (n=8) attended three group sessions focused on breathing techniques and their application in daily life. Thematic analysis of interviews and focus groups revealed four key themes: the ‘how and why’ of breathing skills, value versus treatment burden, empowerment, and connection. These themes highlighted participants' learning experiences, perceived benefits of the intervention, and a sense of empowerment gained from managing their condition. Clinically meaningful improvements were noted in stress, depression, and self-efficacy, with participants reporting increased confidence in daily activities at a 12-week follow-up. More research is needed to confirm long-term benefits and explore the broader application of these interventions.

Conclusion: This study, the first to explore a telehealth-based group breathing intervention for chronic pain, illustrates how speech pathologists can expand their practice into non-traditional areas. By leveraging our knowledge of upper airway and breathing mechanics, we can deliver impactful interventions that improve patient outcomes beyond traditional caseloads. This work encourages speech pathologists to consider the broader application of our skills across diverse patient groups.

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