Disclosure statement: There is no conflict of interest to report.
Personal service assistance: Musculoskeletal disorders and injuries in consumer-directed home care†
Article first published online: 8 FEB 2013
Copyright © 2013 Wiley Periodicals, Inc.
American Journal of Industrial Medicine
Volume 56, Issue 4, pages 454–468, April 2013
How to Cite
Faucett, J., Kang, T. and Newcomer, R. (2013), Personal service assistance: Musculoskeletal disorders and injuries in consumer-directed home care. Am. J. Ind. Med., 56: 454–468. doi: 10.1002/ajim.22133
- Issue published online: 18 MAR 2013
- Article first published online: 8 FEB 2013
- Manuscript Accepted: 4 OCT 2012
- National Institute for Occupational Safety and Health. Grant Number: R01 OH008759-01A1
- National Institute for Disability and Rehabilitation Research. Grant Number: H133B031102
- personal assistance services;
- home care;
- occupational injury;
- social support
Like other types of care for disabled or elderly adults, consumer-directed personal assistance services may present multi-factorial risks for work-related musculoskeletal disorders (WRMSDs).
Using survey data, we compared providers experiencing WRMSDs in the previous year to those who did not, seeking to identify functional, temporal, physical, and relationship risk factors for transient and chronic conditions.
Longer work experience with the recipient and more frequent bending increased the risk of being in the most chronic group (≥12 painful episodes), whereas predictable work hours with rest breaks and greater social support from the recipient appeared protective. For transient conditions (one to two episodes), longer work experience with the recipient and predictable hours with rest breaks appeared protective.
We offer recommendations to improve hazard assessment as well as training and information distribution related to home care programs. With the population aging, home care jobs require increasing oversight to prevent WRMSDs. Am. J. Ind. Med. 56:454–468, 2013. © 2013 Wiley Periodicals, Inc.