Participants will be randomised to the trial if they meet the following criteria at the baseline nurse clinical assessment: |
   • Give informed consent to participate in the trial |
   • Meet the ACR criteria for features of hand OA (symptoms previously assessed on health survey) or have unilateral or bilateral thumb base OA |
   • Do not have a clinical "red flag" indicative of potentially serious pathology |
   • Able to attend OT classes |