Background: Like other types of home care for disabled or elderly adults, consumer-directed Personal Assistance Services may present multi-factorial risks for work-related musculoskeletal disorders and injuries (WRMSDs).
Methods:Using telephone survey data (n=855, including 474 family members), we compared providers who experienced WRMSDs in the previous year to those who did not to identify functional, temporal, physical and social risk factors for transient and chronic conditions.
Results: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 (1-2 episodes), both longer work experience with the recipient and predictable hours with rest breaks appeared protective.Conclusions: Improvements in training might facilitate recognition and amelioration of occupational risk factors in the home as well as positive recipient-provider relationships.