Table 1 Summary of resources provided to participants by group allocation
Resource | Description | Diet and Exercise group | Exercise only group |
|---|---|---|---|
 Consultations with a physiotherapist | 5-video consultations over 6-months. Provides structured exercise and physical activity plan and behaviour change support | ✓ | ✓ |
 Consultations with a dietitian | 6-video consultations over 6-months. Supports participant to undertake ketogenic VLCD, including behaviour change techniques | ✓ | |
 Exercise bands | 4 exercise resistance bands (yellow, red, green, blue) for strengthening exercises | ✓ | ✓ |
 Exercise weights | Ankle cuff weight | ✓ | ✓ |
 Plastic portion plate | Assist with portion sizes | ✓ | |
 Optifast® meal replacements | Up to 6-months’ supply of meal replacement for the ketogenic VLCD | ✓ | |
 Educational video about the VLCD | Short video about the ketogenic VLCD featuring endocrinologists and dietitian experts, and a person with OA | ✓ | |
Booklets | |||
 Preparing for your consultations | Details about consultations, instruction on how to use Zoom videoconferencing | ✓ | ✓ |
 Osteoarthritis information | Information about osteoarthritis, typical management options, weight loss, pain coping skills and sleep | ✓ | ✓ |
 Exercise booklet | Strengthening exercise instructions and photographs | ✓ | ✓ |
 Hip exercise plan and log-book | Templates to record details of management plans and complete exercises | ✓ | ✓ |
 Weight management ‘how to’ guide | Describes the ketogenic VLCD and provides information about healthy food choices and portion sizes | ✓ | |
 Weight management behavioural support activities | Workbook that contains information and templates to track weight, a food diary, tips to find a support person, identify food triggers, plans for ‘at risk’ scenarios, overcoming barriers changing thought patterns, and monitoring hunger levels | ✓ | |
 Recipe book | Suitable recipes for ketogenic VLCD | ✓ | |
 Food list pocket guide | Low carbohydrate ingredients to consume when on the ketogenic VLCD | ✓ | |