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Walk‐and‐Talk Therapy Versus Conventional Indoor Therapy for Men With Low Mood: A Randomised Pilot Study.

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Title: Walk‐and‐Talk Therapy Versus Conventional Indoor Therapy for Men With Low Mood: A Randomised Pilot Study.
Authors: Dickmeyer, Andrea (AUTHOR), Smith, Jordan J. (AUTHOR), Halpin, Sean (AUTHOR), McMullen, Stacey (AUTHOR), Drew, Ryan (AUTHOR), Morgan, Philip (AUTHOR), Valkenborghs, Sarah (AUTHOR), Kay‐Lambkin, Frances (AUTHOR), Young, Myles D. (AUTHOR)
Source: Clinical Psychology & Psychotherapy. Jan/Feb2025, Vol. 32 Issue 1, p1-12. 12p.
Subjects: Treatment of psychological stress, Anxiety treatment, Psychotherapy, Men, Research funding, Statistical sampling, Pilot projects, Universities & colleges, Questionnaires, Affective disorders, Treatment effectiveness, Randomized controlled trials, Walking, Social support, Counseling, Therapeutic alliance, Mental depression, Physical activity, Regression analysis
Geographic Terms: Australia
Abstract: 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 'walk‐and‐talk' therapy compared to conventional indoor therapy for 37 men with low mood (mean [SD] PHQ‐9 score = 11.4 [5.0]; mean [SD] age = 44.1 [15.8] years). Over 6 weeks at the University of Newcastle participants received weekly 60‐min sessions delivered (i) while walking along a 4‐km route on campus or (ii) indoors in a psychology clinic, delivered by provisional psychologists using non‐directive supportive counselling. Outcomes included validated measures of depression, anxiety, stress and overall psychological distress, male‐type depression, mental well‐being, behavioural activation and therapeutic alliance. At post‐intervention, all pre‐registered feasibility benchmarks were exceeded including recruitment capability, retention (89%), average attendance (walk‐and‐talk: 91%, indoor: 89%), proportion of sessions delivered in intended setting (walk‐and‐talk: 100%, indoor: 98%) and overall perceived acceptability of the therapy (walk‐and‐talk: 4.4/5, indoor: 4.2/5, where 1 = poor and 5 = excellent). Linear mixed model analysis demonstrated both groups achieved similar improvements in depressive symptoms (d = −0.02), but the walk‐and‐talk group reported greater improvements in overall psychological distress (d = −0.5), anxiety (d = −0.4) and stress (d = −0.7). In contrast, male‐type depression improved more in the conventional indoor group (d = 0.6). Other outcomes were comparable between groups. Results indicate that walk‐and‐talk therapy may be acceptable and effective for men with depression. A powered trial to interrogate these effects and identify moderators of effectiveness is warranted. Trial Registration: Australian New Zealand Clinical Trials Registry number: ACTRN12622001318774. [ABSTRACT FROM AUTHOR]
Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Walk‐and‐Talk Therapy Versus Conventional Indoor Therapy for Men With Low Mood: A Randomised Pilot Study.
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  Data: <searchLink fieldCode="JN" term="%22Clinical+Psychology+%26+Psychotherapy%22">Clinical Psychology & Psychotherapy</searchLink>. Jan/Feb2025, Vol. 32 Issue 1, p1-12. 12p.
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  Data: 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 'walk‐and‐talk' therapy compared to conventional indoor therapy for 37 men with low mood (mean [SD] PHQ‐9 score = 11.4 [5.0]; mean [SD] age = 44.1 [15.8] years). Over 6 weeks at the University of Newcastle participants received weekly 60‐min sessions delivered (i) while walking along a 4‐km route on campus or (ii) indoors in a psychology clinic, delivered by provisional psychologists using non‐directive supportive counselling. Outcomes included validated measures of depression, anxiety, stress and overall psychological distress, male‐type depression, mental well‐being, behavioural activation and therapeutic alliance. At post‐intervention, all pre‐registered feasibility benchmarks were exceeded including recruitment capability, retention (89%), average attendance (walk‐and‐talk: 91%, indoor: 89%), proportion of sessions delivered in intended setting (walk‐and‐talk: 100%, indoor: 98%) and overall perceived acceptability of the therapy (walk‐and‐talk: 4.4/5, indoor: 4.2/5, where 1 = poor and 5 = excellent). Linear mixed model analysis demonstrated both groups achieved similar improvements in depressive symptoms (d = −0.02), but the walk‐and‐talk group reported greater improvements in overall psychological distress (d = −0.5), anxiety (d = −0.4) and stress (d = −0.7). In contrast, male‐type depression improved more in the conventional indoor group (d = 0.6). Other outcomes were comparable between groups. Results indicate that walk‐and‐talk therapy may be acceptable and effective for men with depression. A powered trial to interrogate these effects and identify moderators of effectiveness is warranted. Trial Registration: Australian New Zealand Clinical Trials Registry number: ACTRN12622001318774. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1002/cpp.70035
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        Text: English
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      – SubjectFull: Treatment of psychological stress
        Type: general
      – SubjectFull: Anxiety treatment
        Type: general
      – SubjectFull: Psychotherapy
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      – SubjectFull: Men
        Type: general
      – SubjectFull: Research funding
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      – SubjectFull: Statistical sampling
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      – SubjectFull: Pilot projects
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      – SubjectFull: Universities & colleges
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Affective disorders
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      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Randomized controlled trials
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      – SubjectFull: Walking
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      – SubjectFull: Social support
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      – SubjectFull: Counseling
        Type: general
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      – SubjectFull: Mental depression
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      – SubjectFull: Physical activity
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      – SubjectFull: Regression analysis
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      – SubjectFull: Australia
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