Table 1.

Content of non-pharmacological component of intervention

Content of non-pharmacological component	Session
	1	2	3	4	5	6
Assessment
Holistic assessment including symptoms, pain elsewhere, comorbidities, impact on function, occupation, mood, sleep, illness perceptions, current levels of PA and attitudes to PA and weight loss (if required)	✓
Physical assessment of knee range of movement, lower limb muscle strength, observation of gait and functional activities, BMI	✓
Education and advice
Provision of Arthritis Research UK booklet  ‘Osteoarthritis of the knee’	✓
Nature of osteoarthritis	✓
Adverse illness perceptions addressed	✓
Core treatments	✓
Benefits of exercise and PA	✓
Pacing	✓
Benefits of weight loss (if required)	✓
Use of heat and cold for pain	✓
Appropriate footwear, use of walking aids	✓
Signposting to further information if required	✓
Review of above if required		✓	✓	✓	✓	✓
Exercise (individualised programme)
Strengthening exercise	✓
Aerobic exercise/PA	✓
Functional exercises	✓
Stretching exercises	✓
Review performance of exercise		✓	✓	✓	✓	✓
Progression/regression of exercises		✓	✓	✓	✓	✓
Weight loss (if required)
Previous efforts to lose weight discussed	✓
Strategies for weight loss discussed	✓
Agree weight loss goal (5% body weight)	✓
Signposting to resources (weight loss groups, NHS weight loss plan)	✓
Review of weight loss progress and advice		✓	✓	✓	✓	✓
Adherence/behaviour change strategies
Patient goals and action plan recorded for exercise and weight loss	✓	✓	✓	✓	✓	✓
Patient’s confidence to achieve goals discussed and recorded	✓	✓	✓	✓	✓	✓
Barriers and facilitators discussed	✓	✓	✓	✓	✓	✓
Exercise diary completed and discussed	✓	✓	✓	✓	✓	✓

BMI, body mass index; NHS, National Health Service; PA, physical activity.