| - Project summary: In a longitudinal study with 2-year follow-up among nursing home personnel the occurrence of neck and shoulder complaints is investigated. The primary aim is to describe the dynamic pattern of incident and recurrent spells of neck and complaints, recovery, and aggravation. Determinants of medical care seeking are also studies with the aim to describe referral patterns in the Dutch health care. - Progress: About 1000 workers in home care, including nurses, office workers, cleaners, maintenance workers, cooks, and laundry workers have been included in the baseline survey. A questionnaire on personal characteristics, physical and psychosocial risk factors, general health, musculoskeletal complaints of neck and shoulder, and musculoskeletal sickness absence was used. The 2-year follow-up has been completed and publications are currently being written. |