• In most supermarkets food does not cost £3 per day...’: The impact of the school food voucher scheme during COVID-19

      Lalli, Gurpinder Singh (Wiley, 2022-07-14)
      Households with children eligible for Free School Meals (FSM) are at risk of food insecurity. This paper reports on a rapid-response study that investigated the impact of the school food voucher scheme during the COVID-19 crisis on young people, families and schools. It pays close attention to the reliance of the state on the good will of society and its citizens in feeding those most in need. The capabilities approach is used to highlight factors that inhibited and restricted use of the vouchers to produce the capability of having good nutrition for children in need of free school meals. The approach moves towards creating a society where children and young people are able to lead a life of their own choice and contribute to key policy decisions. This qualitative study funded by the British Education Research Association (BERA) was conducted between September 2020 and March 2021. The study posed two research questions: i) how have schools responded to COVID-19 in relation to food during holiday provision? ii) what have families identified as barriers to accessing the school food voucher scheme? Data collection involved online interviews with young people, schools and organisations (i.e. public health, director from the food industry etc.). The findings highlight the difficulties with accessing and using the school food voucher and implications for future policy directions. Due to this being a small scale study, it is not generalisable to the wider population but does highlight localised issues.
    • Using audio-mixing software to facilitate remote data collection of conversational interactions

      Wilsdon, Luke; Uther, Maria; Chadwick, Darren; Fullwood, Chris (ScienceOpen, 2022-07-12)
      This paper discusses the issues with using open source, audio-mixing technology to facilitate remote data collection of speech samples, which was needed specifically during the COVID-19 pandemic, but will also be beneficial in other contexts, e.g., to save on time and costs associated with travelling. We discuss practical constraints associated with remote data collection using this technology. We also consider issues around ethics, security, and data quality in using technology to record conversational interactions. We provide the example of using common tools such as MS Teams and smartphones and two types of software to conduct interviews to collect speech data as a proof-of-concept and offer further directions for research.
    • Investigating the experience of viewing extreme real-world violence online: naturalistic evidence from an online discussion forum

      Stubbs, Joshua; Nicklin, Laura; Wilsdon, Luke; Lloyd, Joanne (SAGE, 2022-07-07)
      This study investigates the psychological impact of viewing user-generated content depicting extreme real-world violence. Eight threads were harvested from publicly accessible online discussion forums in which people 17 discussed their experiences of witnessing real-world torture, maiming, or death online. Reflexive thematic analysis was used to systematically analyse these threads. The themes capture the contradictory ways in which people react to viewing extreme real-world violence online, with some finding it intensely distressing and others using it as a resource for psychological grounding or (perceived) strengthening. Based on this analysis, we highlight pathways that may lead to the cessation or continuation of viewing such content and argue that greater research on this seemingly common but under-studied experience is warranted.
    • Analysis of the physiological response in junior tennis players during short-term recovery: Understanding the magnitude of recovery until and after the 25 seconds rule

      Morais, Jorge E; Bragada, José A; Silva, Rui; Nevill, Alan M.; Nakamura, Fabio Y; Marinho, Daniel A (SAGE, 2022-07-03)
      Literature lacks evidence about the physiological recovery of tennis players between points. This study aimed to: (i) verify the heart rate (HR) and oxygen uptake (V̇O2) recovery variance in young tennis players from the end of a tennis drill until the 25-s mark and onwards (65-s limit), performed at several intensities, and (ii) test the curve fitting that better characterizes the players’ HR and V̇O2 recovery, from the end of the drill until the 65-s mark. The sample was composed of 13 male tennis players (age: 16.80 ± 1.61 years) recruited from a National Tennis Association. Players were instructed to perform a drill test (“two-line drill wide mode”) based on an intensity increment protocol. Three levels of intensity were used based on the reserve HR and V̇O2. A significance level effect was observed on the HRreserve and V̇O2reserve (P < .001). At all three levels of intensity, the first 25 s were enough to significantly (P < .001) recover the HRreserve and V̇O2reserve. The same significance trend (P < .001) was maintained until the 65 s but with a lower magnitude over time. Overall, the HR and V̇O2 curve fitting indicated a cubic relationship at the three levels of intensity (except the V̇O2 at the first level). Considering the specific test performed, players significantly elicited their physiological profile for every additional 10 s (after the 25-s rule) in the three levels of intensity performed. Despite this being a drill test and not a competitive point, coaches, players, and tennis organizations should be aware of these findings.
    • The impact of treatment with bile acid sequestrants on quality of life in patients with bile acid diarrhoea

      Kumar, Aditi; Galbraith, Niall; Al-Hassi, Hafid Omar; Jain, Manushri; Phipps, Oliver; Butterworth, Jeffrey; Steed, Helen; McLaughlin, John; Brookes, Matthew (BMC, 2022-07-02)
      Background Bile acid diarrhoea (BAD) can be severely debilitating and negatively affect patients’ quality of life (QoL). We carried out a multi-centre prospective study exploring QoL outcomes in patients with BAD after treatment with colesevelam. Methods Patients with or without a positive 23-seleno-25-homotaurocholic acid (SeHCAT) scan were recruited and categorised into four groups: SeHCAT negative control group (CG), idiopathic BAD, post-cholecystectomy (PC) and post-terminal ileal resection for Crohn’s disease (CD). Patients with a positive SeHCAT were treated with colesevelam and dosing was titrated to symptomatic response. Patients were reviewed at 4- and 8-weekly intervals and QoL was evaluated by EQ-5D-3L, SF-36, IBDQ-32 at each visit (where relevant). Patients with a negative SeHCAT (CG cohort) completed one set of questionnaires before being discharged from the study. Results 47 patients (BAD = 24, PC = 12, CD = 11) completed paired QoL questionnaires before and after treatment and 30 CG patients completed a baseline questionnaire. There was a significant improvement in IBDQ-32 mean scores before and after treatment in CD patients [134.6 (95%CI 112.5–156.6) and 158.4 (136.1–180.6), respectively (p = 0.007). Following treatment, BAD patients had significantly improved mean SF-36 scores in the “Role limitation due to physical health” dimension (p = 0.02) and in the overall mental component summary (p = 0.03). Prior to starting treatment, BAD patients had the lowest scores in the ‘activity’ dimension of the EQ-5D-3L (p = 0.04), which improved significantly after treatment (p = 0.002). Overall, the BAD and CD cohort showed improved mean scores with treatment in all components of the SF-36 and EQ-5D-3L, while the PC cohort showed a general decline in mean scores after treatment. 55% of patients clinically responded to treatment of which 41.7%, 58.3% and 81.8% responded from the BAD, PC and CD groups respectively. Correlations between those deemed as responders with improvements on the SF-36 and EQ-5D dimensions were not statistically significant. Conclusion Our results demonstrate improved QoL in the BAD and CD cohort with treatment. Further larger studies are recommended specifically investigating the PC cohort and whether patients may improve with newer treatments such as FXR agonists.
    • “You want to know that you’re safe”: Experiences of risk, restriction and resilience online among people with an intellectual disability

      Chadwick, Darren (Masaryk University Press, 2022-06-30)
      People with intellectual and developmental disabilities remain more digital excluded than many other groups within society. Perceived vulnerability of people with intellectual and developmental disabilities by those providing support may increase their digital exclusion and the digital divide. Few studies have considered online risk from the perspective of adults with intellectual and developmental disabilities. Online risks have previously been classified as contact, conduct and content but little is known about how adults with intellectual disabilities experience these specific risks. Underpinned by post-postivist and phenomenological epistemologies, perceptions and meanings of online risks for people with intellectual and developmental disabilities were gathered. Individual interviews were conducted with thirteen adults with intellectual and developmental disabilities who all identified themselves as self advocates. Interview discussions considered online risk experiences of being online and using social media. Data were audio recorded, transcribed verbatim and analysed using thematic analysis. Overarching themes of risk experiences, awareness and support to manage salient risks, and developing independence and resilience through online participation were identified. Accounts also identified concerns around online risks and carer gatekeeping as potential instrumental factors in digital exclusion, such exclusion was considered detrimental to wellbeing. Adults with intellectual disabilities with low support needs appeared more able to manage online risk than may be presupposed by a vulnerability-focused perspective. The importance of utilising language salient to the person when discussing risk was also highlighted. Experiential learning to better understand and manage salient online risks appears a way forward for both research and practice.
    • Brief remote intervention to manage food cravings and emotions during the COVID-19 pandemic: a pilot study

      Devonport, Tracey; Chao-Hwa Chen-Wilson; Wendy Nicholls; Claudio Robazza; Jonathan Y. Cagas; Javier Fernandez-Montalvo; Youngjun Choi; Montse C. Ruiz (Frontiers Media, 2022-06-30)
      As a result of the COVID-19 pandemic people have endured potentially stressful challenges which have influenced behaviours such as eating. This pilot study examined the effectiveness of two brief interventions aimed to help individuals deal with food cravings and associated emotional experiences. Participants were 165 individuals residing in United Kingdom, Finland, Philippines, Spain, Italy, Brazil, North America, South Korea, and China. The study was implemented remotely, thus without any contact with researchers, and involved two groups. Group one participants were requested to use daily diaries for seven consecutive days to assess the frequency of experience of their food cravings, frequency of giving in to cravings, and difficulty resisting cravings, as well as emotional states associated with their cravings. In addition to completing daily food diaries, participants in group two were asked to engage in mindful eating practice and forming implementation intentions. Participants assessed their perceived changes in eating, wellbeing, and health at the beginning and end of the intervention. Repeated measures MANOVAs indicated that participants experienced significantly less food cravings (i.e., craving experience, acting on cravings, difficulty resisting), as well as lower intensities of unpleasant states associated with cravings across time (T1 vs. T7). In contrast to our hypothesis, the main effects of the group (food craving diary vs. food craving diary and mindful eating practice) were not significant. Participants reported less eating and enhanced wellbeing at the end of the study (T7 vs. T1). Our findings can be used to inform future remote interventions to manage food cravings and associated emotions and highlight the need for alternative solutions to increase participant engagement.
    • Digital interventions for weight management in the NHS: An evaluation of patient experiences from two NHS trusts

      Shepherd, Karen; Devonport, Tracey; Nicholls, Wendy; Lloyd, Joanne; Tellwright, Henry; McArdle, Paul; Horton, Melanie; Rouse, Lawrence (Unpublished, 2022-06-29)
    • Online ultra-brief group acceptance and commitment therapy for eating behaviour

      Cotterill, Claire; Nicholls, Wendy; Galbraith, Niall; Bhogal, Manpal Singh (Unpublished, 2022-06-29)
    • Identifying factors that influence the eating behaviours of university students: A systematic review

      Johnson, Sally; Nicholls, Wendy; Galbraith, Niall; Derrer-Rendall, Nicola (Unpublished, 2022-06-29)
    • A seven-day remote intervention to manage food cravings and emotions during the COVID-19 pandemic

      Nicholls, Wendy; Devonport, Tracey; Montse, Ruiz; Youngjun, Choi; Chen-Wilson, Chao-Hwa (Josephine); Fernandez-Montalvo, Javier; Cagas, Jonathan; Robazza, Claudio (Unpublished, 2022-06-29)
    • A systematic review of inequalities in the mental health experiences of Black African, Black Caribbean and Black-mixed UK populations: implications for action

      Devonport, Tracey; Ward, Gavin; Morrissey, Hana; Burt, Christine; Patel, Rizwanah; Manning, Rachel; Paredes, Rachel; Nicholls, Wendy (Springer, 2022-06-29)
      Background: Measurable differences in the experience and treatment of mental health conditions have been found to exist between different racial categories of community groups. The objective of this research was to review the reported mental health of Black African-Caribbean communities in the UK, determinants of mental health, and interventions to enhance their experiences of mental health services. Method: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement was applied. To be included, papers must be: published in a peer reviewed journal; report on adult populations (over 18) from any of Black African, Black Caribbean or Black mixed people in the UK; and assess (quantitative), or discuss (qualitative) mental health experiences, determinants of mental health, or interventions intended to enhance experiences of mental health services among the target population. The aims, inclusion criteria, data extraction, and data quality evaluation were specified in advance. Searches were conducted using EBSCO (PsychInfo; MEDLINE; CINAHL Plus; psychology and behavioural sciences collection). The search strategy included search terms relating to the aim (see Appendix 1). Risk of bias was assessed using a standard tool, records were organised using Endnote, and data were extracted and synthesised using Microsoft Excel. Results: Thirty-six studies were included, of which 26 were quantitative and six reported exclusively on Black participants. Black populations were less likely to access mental health support via traditional pathways due to stigma and mistrust of mental health services. Black Africans especially, sought alternative help from community leaders, which increased the likelihood of accessing treatment at the point of crisis or breakdown, which in turn increased risk of being detained under the Mental Health Act and via the criminal justice system. Discussion: Findings suggest a cycle of poor mental health, coercive treatment, stigma, and mistrust of services as experienced by Black communities. Evidence was limited by poorly defined ethnic categories, especially where Black populations were subsumed into one category. It is recommended that mental health services work collaboratively with cultural and faith communities in supporting Black people to cope with mental illness, navigate mental health pathways, and provide culturally appropriate advice.
    • Reflecting on community development research: how peer researchers influence and shape community action projects

      Arnull, Elaine; Kanjilal, Mahuya (Oxford University Press, 2022-06-21)
      This paper explores how the selection of peer researchers influences and shapes peer research projects. It draws on two empirical studies formed from two community action projects in England. Peer research is a method for involving young people as coresearchers within their community or in specific settings such as educational environments and the two projects recruited school children of different ages and ethnic backgrounds; in both cases they were representative of the potential participant population. One project (Community House) was based in a junior school setting and concentrated on evaluating a community centre project. The second project (Knife Angel: Hear My Voice) was a youth work setting and brought together a group of young people to explore an intervention aimed at impacting crime and violence in the local community. This paper discusses how the demographic characteristics of the peer researchers shaped, influenced and impacted the success of both community action projects. We discuss how children and young people bring their unique skills to preparing the questionnaire and dissemination. Using researcher reflexivity, we consider the methodological implications of the findings and contribute to theory building about community action and the impact of participatory research.
    • FELTAG in rearview: FE from the past to the future through plague times

      Scott, Howard; Iredale, Alison; Harrison, Bob; Traxler, John; Smith, Matt (Edward Elgar, 2022-06-16)
    • The relationship of year group and sex on injury incidence and countermovement jump in adolescent ballet dancers: a cross-sectional analysis

      Kolokythas, Nico; Metsios, George S.; Galloway, Shaun; Allen, Nick; Wyon, Matthew (J.Michael Ryan Publishing Inc., 2022-06-15)
      Introduction: Pre-professional ballet training involves long training hours from an early age that could influence young dancers’ physical performance and injury incidence. This cross-sectional analysis investigated the relationship of year group and sex, with countermovement jump, and injury incidence (primary outcome) in adolescent ballet dancers at a pre-professional dance school. Method: Countermovement jump (CMJ) height was recorded at the start of the academic year on 179 participants (M=68, F=111) spread across eight year-groups. Injury aetiology and incidence was prospectively recorded over a six-month period (Sep - Feb) by the medical team using a time-loss definition. Results: Between-subject statistically significant differences were reported for sex (F=101.49; p<0.001), year group (F=12.57; p<0.001) and sex*year group (F=9.22; p<0.001). Mean CMJ across the year groups ranged between 24.7-41.3cm for males and 23.5-25.1cm for females. Injury incidence per dancer was 0.84 (CI:0.13,1.56) and injury incidence per 1000hrs dance was 1.94 (CI:1.63, 2.25). No statistically significant differences, between sexes or year groups, were reported for injury incidence per 1000 dance hours, and time-loss. Hours dancing was statistically significantly positively associated with CMJ (r=.481, p<0.05) and negatively associated with injury incidence (r=-.253, p<0.05) for males; for females it was positively associated with time loss (r=.254, p<0.05). Conclusion: Even though CMJ was cross-sectionally monitored, the expected increased physical abilities in males as they grew older and progressed through their training was observed. Females did not indicate similar increase in their physical ability, but they seemed to become more susceptible to injuries as they grow older. The lack of this speculative physiological development for the females may be associated with the ballet-only approach in their training. The use of CMJ as an injury screening tool may be limited, however, it could still be used as a tool to monitor physiological and fundamental motor skill development of adolescent dancers, as jumping is an integral part of ballet.
    • Perceived severity and management of low back pain in adult dancers in the United States

      Henn, Erica; Smith, Tina; Ambegaonkar, Jatin; Wyon, Matthew (J.Michael Ryan Publishing Inc., 2022-06-15)
      Introduction: Low back pain (LBP) lifetime prevalence in dancers reportedly ranges from 17%-88%. LBP can have negative secondary consequences on dancers’ lives and careers. Still, how LBP impacts dancer function and medical care-seeking behaviors, and whether these issues differ across dance genres, is understudied. Materials and Methods: 289 ballet, modern, and hip-hop dancers and teachers (median age=20.3 years; range:18-69) in the United States age 18 years and older completed an online 24 question survey assessing LBP related self-reported injury history, impact on their lives, and management strategies. We defined LBP as occurrence of acute or chronic pain in the lumbar or sacral regions of the back. Results: 257 participants (88.9% of 289 total) reported at least one instance of LBP during their lifetime and 220 participants reported LBP in the prior four weeks. Of these 220, 72 (32.7%) had LBP severe enough to limit their activities of daily living. Of the 213 who had LBP and danced during that time, 89 (41.8%) reported that LBP limited their dancing. Pain intensity (median:4 on a 0-10 scale, IQR:3.0) and LBP prevalence were similar across dance genres. Dancers sought multiple medical professionals, most often chiropractors (n=94, 33.8%), medical doctors (n=77, 27.7%), and physiotherapists (n=60, 21.6%). 90 dancers (35.0% of those with LBP) never sought medical care for their LBP at all. Dancers who did seek care reported higher pain intensities (median:4, IQR:3.8) than those who did not (median:3, IQR:3.0). Conclusion: Overall, most participants did suffer from LBP. LBP negatively impacts dancers’ everyday activities and dancing. Pain intensity and loss of function may impact care-seeking. Our findings highlight the need for all dance stakeholders to educate dancers about their health, provide resources for dancer healthcare, and proactively create an environment that supports injury reporting behaviors in dancers.
    • Neuromuscular training in pre-professional ballet dancers: A feasibility randomised controlled trial

      Kolokythas, Nico; Metsios, George S.; Galloway, Shaun; Allen, Nick; Wyon, Matthew (J.Michael Ryan Publishing Inc., 2022-06-15)
      Introduction: It is well documented that there is high prevalence of injuries in preprofessional and professional ballet dancers. Current evidence from high in quality and quantity research on injury prevention in sport, indicates that interventions can reduce injury risks by 30 to 50%. Injury prevention research in dance, is limited. The aim of this study was to assess the feasibility (adherence, fidelity, and practicality) of a randomised controlled trial for the utilisation of neuromuscular training in pre-professional ballet dancers. Methods: A convenience sample of 22 pre-professional ballet dancers were randomised into the intervention and the control group. The intervention group took part in a neuromuscular based training workout, five times per week before the ballet class, for ten weeks. The intervention was an adaptation of the FIFA 11+, an injury prevention intervention and is called 11+ Dance. The intervention consisted of low intensity bodyweight exercises, lasted 20-30 minutes and was performed daily. Results: Intervention adherence was 38±8%, with higher participation at the beginning of the study. Attendance for the pre- and post testing was low 45% and 36% for the intervention and control group, respectively, mainly due to injury. There were no adverse effects reported, however, the participants reported delayed onset muscle soreness at the beginning of the intervention, indicating that there may be a potential training effect. Fear of muscle hypertrophy and fatigue were also reported as reasons for attrition. The repeated measures ANOVA revealed statistically non-significant differences for the CMJ F(1,9)= 0.36, p = .564, 𝜂𝜂𝑝𝑝 2 = .04, RSI F(1, 7)= 0.02, p= .885, 𝜂𝜂𝑝𝑝 2= 0.003, and IMTP F(1, 12)= 0.002, p= 0.967, 𝜂𝜂𝑝𝑝 2= .000. Conclusion: The results of the study, together with the feedback from the participants suggest that some protocol modifications are necessary, for the feasibility of a randomised controlled trial in a pre-professional setting. The current trial has produced valuable information for the intervention frequency and load prescription.
    • Postdigital ecopedagogies of attainment and progress

      Hayes, Sarah L; Jandrić, Petar; Ford, Derek R. (Springer, 2022-06-09)
      Human attainment is based on a particular model of chronological achievements. People and society are assessed in terms of making progress towards ‘something better’. This approach through modernity sees technology treated as a resource to harness for gain regardless of environmental costs. In education, this linear progress model is mirrored: accessing learning, completing study in a timeframe, attaining an award and progress beyond education. Though Covid-19 has interrupted these components of ‘success’, a consensus that children, students, workers and the economy all need to ‘catch up’ after the pandemic exists, even when people are not catching up from an equal positionality. In this competitive, neoliberal progress model attempts to widen participation in education have only had limited success. Additionally, new convergences between digitalisation and biological sciences now provide a broader world view on relations between technologies, progress and humans (Peters, et. al. 2021). This chapter examines the possible ‘demise of a model of progress based on the old system of arranging living forms into a linear hierarchy’ (Bowler 2021: vii). It reviews related assumptions, and considers implications for ecopedagogies of attainment, when unpredictable developments in technology now begin to alter how we might understand progress itself.
    • Gross motor coordination and their relationship with body mass and physical activity level during growth in children aged 8-11 years old: a longitudinal and allometric approach

      Giuriato, Matteo; Lovecchio, Nicola; Carnevale Pellino, Vittoria; Mieszkowski, Jan; Kawczyński, Adam; Nevill, Alan M.; Biino, Valentina (PeerJ, 2022-06-08)
      Background: Gross motor coordination (GMC) is fundamental to the harmonious development of physical skills during the growth of children. This research aimed to explore the developmental changes in GMC during childhood, having controlled for the differences in children's body size and shape using a longitudinal, allometric scaling methodology. Methods: A total of 104 children from North-East Italy of third-fourth- and fifth-grade students and each participant were tested for three consequently years. Subjects performed the short version of korperkoordinationstest fur kinder (KTK3) and the anthropometric characteristics were simultaneously collected. The physical activity questionnaire (PAQ-C) was used to evaluate the weekly physical engagement. Results: Ontogenetic multiplicative models suggested nonlinear associations with GMC across the children's developmental years. Linear physique was a significant predictor associated with the development of GMC across time. PAQ-C was significantly associated with GMC from 8 to 13 years old. Conclusion: Growth does not respect linear trends. A greater lean body mass could be assessed as a reliable predictor of GMC in children. The crucial period of life to improve the GMC is 8-10 years, while stabilization becomes evident from 10 to 13 years.
    • Radiotherapy to the prostate for men with metastatic prostate cancer in the UK and Switzerland: Long-term results from the STAMPEDE randomised controlled trial

      Parker, Chris C; James, Nicholas D; Brawley, Christopher D; Clarke, Noel W; Ali, Adnan; Amos, Claire L; Attard, Gerhardt; Chowdhury, Simon; Cook, Adrian; Cross, William; et al. (Public Library of Science, 2022-06-07)
      Background STAMPEDE has previously reported that radiotherapy (RT) to the prostate improved overall survival (OS) for patients with newly diagnosed prostate cancer with low metastatic burden, but not those with high-burden disease. In this final analysis, we report long-term findings on the primary outcome measure of OS and on the secondary outcome measures of symptomatic local events, RT toxicity events, and quality of life (QoL). Methods and findings Patients were randomised at secondary care sites in the United Kingdom and Switzerland between January 2013 and September 2016, with 1:1 stratified allocation: 1,029 to standard of care (SOC) and 1,032 to SOC+RT. No masking of the treatment allocation was employed. A total of 1,939 had metastatic burden classifiable, with 42% low burden and 58% high burden, balanced by treatment allocation. Intention-to-treat (ITT) analyses used Cox regression and flexible parametric models (FPMs), adjusted for stratification factors age, nodal involvement, the World Health Organization (WHO) performance status, regular aspirin or nonsteroidal anti-inflammatory drug (NSAID) use, and planned docetaxel use. QoL in the first 2 years on trial was assessed using prospectively collected patient responses to QLQ-30 questionnaire. Patients were followed for a median of 61.3 months. Prostate RT improved OS in patients with low, but not high, metastatic burden (respectively: 202 deaths in SOC versus 156 in SOC+RT, hazard ratio (HR) = 0·64, 95% CI 0.52, 0.79, p < 0.001; 375 SOC versus 386 SOC+RT, HR = 1.11, 95% CI 0.96, 1.28, p = 0·164; interaction p < 0.001). No evidence of difference in time to symptomatic local events was found. There was no evidence of difference in Global QoL or QLQ-30 Summary Score. Long-term urinary toxicity of grade 3 or worse was reported for 10 SOC and 10 SOC+RT; long-term bowel toxicity of grade 3 or worse was reported for 15 and 11, respectively. Conclusions Prostate RT improves OS, without detriment in QoL, in men with low-burden, newly diagnosed, metastatic prostate cancer, indicating that it should be recommended as a SOC.