{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T11:15:31Z","timestamp":1792062931505,"version":"4.4.0"},"reference-count":56,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T00:00:00Z","timestamp":1738713600000},"content-version":"vor","delay-in-days":35,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>While psychotherapy is effective for treating depression, men are less likely than women to attend and more likely to drop out. The value of alternative therapeutic approaches for men needs to be investigated. In this randomised pilot trial, we investigated the feasibility and preliminary efficacy of outdoor \u2018walk\u2010and\u2010talk\u2019 therapy compared to conventional indoor therapy for 37 men with low mood (mean [SD] PHQ\u20109 score\u2009=\u200911.4 [5.0]; mean [SD] age\u2009=\u200944.1 [15.8] years). Over 6\u2009weeks at the University of Newcastle participants received weekly 60\u2010min sessions delivered (i) while walking along a 4\u2010km route on campus or (ii) indoors in a psychology clinic, delivered by provisional psychologists using non\u2010directive supportive counselling. Outcomes included validated measures of depression, anxiety, stress and overall psychological distress, male\u2010type depression, mental well\u2010being, behavioural activation and therapeutic alliance. At post\u2010intervention, all pre\u2010registered feasibility benchmarks were exceeded including recruitment capability, retention (89%), average attendance (walk\u2010and\u2010talk: 91%, indoor: 89%), proportion of sessions delivered in intended setting (walk\u2010and\u2010talk: 100%, indoor: 98%) and overall perceived acceptability of the therapy (walk\u2010and\u2010talk: 4.4\/5, indoor: 4.2\/5, where 1\u2009=\u2009<jats:italic>poor<\/jats:italic> and 5\u2009=\u2009<jats:italic>excellent<\/jats:italic>). Linear mixed model analysis demonstrated both groups achieved similar improvements in depressive symptoms (<jats:italic>d<\/jats:italic>\u2009=\u2009\u22120.02), but the walk\u2010and\u2010talk group reported greater improvements in overall psychological distress (<jats:italic>d<\/jats:italic>\u2009=\u2009\u22120.5), anxiety (<jats:italic>d<\/jats:italic>\u2009=\u2009\u22120.4) and stress (<jats:italic>d<\/jats:italic>\u2009=\u2009\u22120.7). In contrast, male\u2010type depression improved more in the conventional indoor group (<jats:italic>d<\/jats:italic>\u2009=\u20090.6). Other outcomes were comparable between groups. Results indicate that walk\u2010and\u2010talk therapy may be acceptable and effective for men with depression. A powered trial to interrogate these effects and identify moderators of effectiveness is warranted.<\/jats:p><jats:p><jats:bold>Trial Registration:<\/jats:bold> Australian New Zealand Clinical Trials Registry number: ACTRN12622001318774.<\/jats:p>","DOI":"10.1002\/cpp.70035","type":"journal-article","created":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T11:20:29Z","timestamp":1738754429000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Walk\u2010and\u2010Talk Therapy Versus Conventional Indoor Therapy for Men With Low Mood: A Randomised Pilot Study"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-2215-5182","authenticated-orcid":false,"given":"Andrea","family":"Dickmeyer","sequence":"first","affiliation":[{"name":"School of Psychological Sciences The University of Newcastle  Callaghan New South Wales Australia"},{"name":"Centre for Active Living and Learning University 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