Wellness Interventions in Psychiatrically Ill Patients: Impact of WILD 5 Wellness, a Five-Domain Mental Health Wellness Intervention on Depression, Anxiety, and Wellness.
Level 4 - case-series / case-control
Single-arm pre-post study without a control group
PubMed 31738111 · doi:10.1177/1078390319886883
What was done
A single-arm pre-post study evaluated the first 30 days of the WILD 5 Wellness program—a 90-day self-management intervention covering exercise, mindfulness, sleep, social connectedness, and nutrition—in 41 adults with psychiatric disorders receiving psychiatric treatment. Participants were recruited through online and outpatient clinic advertisements and logged their participation using workbooks and online surveys. Outcomes measured on Day 1 and Day 30 were the Patient Health Questionnaire-9 (mood), Generalized Anxiety Disorder 7-Item Scale (anxiety), Sleep Condition Indicator (sleep quality), Sheehan Disability Scale (functionality), and HERO Wellness Scale (mental wellness).
What was found
Participants showed statistically significant improvements across all five measured instruments (mood, anxiety, sleep quality, functionality, and overall wellness) at Day 30. The abstract reports no numerical scores, effect sizes, or p-values.
Why it matters
This study provides preliminary data suggesting a multi-domain lifestyle and wellness self-management program can be implemented alongside standard psychiatric care.
Limits
The study lacked a control group, making it impossible to separate intervention effects from concurrent psychiatric treatment, natural recovery, or placebo response. The sample size was small (n = 41), only the initial 30 days of a 90-day program were evaluated, specific diagnoses were not specified, and all outcomes relied on self-report measures.
Cited by
- supports The WILD 5 program, developed by Rakesh and Saundra Jain, is an intervention combining exercise, diet, sleep, social connectivity, and mindfulness.