Skip to main content
Top
Published in: Journal of Occupational Medicine and Toxicology 1/2015

Open Access 01-12-2015 | Research

Development of a self-management intervention for employees with complaints of the arm, neck and/or shoulder (CANS): a focus group study with experts

Authors: Nathan Hutting, Josephine A Engels, J Bart Staal, Yvonne F Heerkens, Maria W G Nijhuis-van der Sanden

Published in: Journal of Occupational Medicine and Toxicology | Issue 1/2015

Login to get access

Abstract

Background

Many people suffer from complaints of the arm, neck and/or shoulder (CANS). The complaints are persistent and there is a need for intervention programs for those with longstanding CANS. Studies suggest that a behavioural change is needed in employees with CANS. A self-management program with an add-on eHealth module might be an effective option to achieve the behavioural change needed to manage the complaints in employees with CANS. The aim of this study was to determine the content and strategies of the intervention and to gain insight into possible barriers and facilitators for implementation. Therefore, we examined the views of experts on the problems and characteristics associated with employees with CANS as well as their opinion on a self-management program consisting of self-management sessions and an eHealth module.

Methods

A qualitative study was performed consisting of three focus groups involving a total of 17 experts (with experience with CANS, self-management and/or eHealth interventions). Experts were asked their opinion about the content and requirements of a self-management program for employees with CANS, including an eHealth module. Data were analysed using qualitative data analysis. After coding, the emergent themes were used to organise the data into main categories, expressing the ideas and opinions of experts on CANS, self-management and/or eHealth interventions.

Results

The experts pointed out that the intervention should focus on increasing employees’ self-efficacy and empowerment, and address topics related to the possible risk factors for CANS, symptoms, work environment, social environment and personal factors. The eHealth module should be self-explanatory and attractive, and the information provided should be brief, clear and concise.

Conclusions

Experts appeared to see a role for a self-management program for employees with CANS. They indicated that the combination of group sessions and eHealth can work well. Experts provided valuable information with regard to the content of the self-management intervention and the design of the eHealth module.
Appendix
Available only for authorised users
Literature
1.
go back to reference Huisstede BM, Wijnhoven HA, Bierma-Zeinstra SM, Koes BW, Verhaar JA, Picavet S. Prevalence and characteristics of complaints of the arm, neck, and/or shoulder (CANS) in the open population. Clin J Pain. 2008;24(3):253–9. Epub 2008/02/22.CrossRefPubMed Huisstede BM, Wijnhoven HA, Bierma-Zeinstra SM, Koes BW, Verhaar JA, Picavet S. Prevalence and characteristics of complaints of the arm, neck, and/or shoulder (CANS) in the open population. Clin J Pain. 2008;24(3):253–9. Epub 2008/02/22.CrossRefPubMed
2.
go back to reference Huisstede BM, Bierma-Zeinstra SM, Koes BW, Verhaar JA. Incidence and prevalence of upper-extremity musculoskeletal disorders. A systematic appraisal of the literature. BMC Musculoskelet Disord. 2006;7:7. Epub 2006/02/02.CrossRefPubMedCentralPubMed Huisstede BM, Bierma-Zeinstra SM, Koes BW, Verhaar JA. Incidence and prevalence of upper-extremity musculoskeletal disorders. A systematic appraisal of the literature. BMC Musculoskelet Disord. 2006;7:7. Epub 2006/02/02.CrossRefPubMedCentralPubMed
3.
go back to reference van Tulder M, Malmivaara A, Koes B. Repetitive strain injury. Lancet. 2007;369(9575):1815–22. Epub 2007/05/29.CrossRefPubMed van Tulder M, Malmivaara A, Koes B. Repetitive strain injury. Lancet. 2007;369(9575):1815–22. Epub 2007/05/29.CrossRefPubMed
4.
go back to reference van Eijsden-Besseling MD, Peeters FP, Reijnen JA, de Bie RA. Perfectionism and coping strategies as risk factors for the development of non-specific work-related upper limb disorders (WRULD). Occup Med. 2004;54(2):122–7. Epub 2004/03/17.CrossRef van Eijsden-Besseling MD, Peeters FP, Reijnen JA, de Bie RA. Perfectionism and coping strategies as risk factors for the development of non-specific work-related upper limb disorders (WRULD). Occup Med. 2004;54(2):122–7. Epub 2004/03/17.CrossRef
5.
go back to reference Feleus A, Bierma-Zeinstra SM, Miedema HS, Verhagen AP, Nauta AP, Burdorf A, et al. Prognostic indicators for non-recovery of non-traumatic complaints at arm, neck and shoulder in general practice-6 months follow-up. Rheumatology. 2007;46(1):169–76. Epub 2006/06/27.CrossRefPubMed Feleus A, Bierma-Zeinstra SM, Miedema HS, Verhagen AP, Nauta AP, Burdorf A, et al. Prognostic indicators for non-recovery of non-traumatic complaints at arm, neck and shoulder in general practice-6 months follow-up. Rheumatology. 2007;46(1):169–76. Epub 2006/06/27.CrossRefPubMed
6.
go back to reference Bongers PM, IJmker S, van den Heuvel S, Blatter BM. Epidemiology of work related neck and upper limb problems: psychosocial and personal risk factors (part I) and effective interventions from a bio behavioural perspective (part II). J Occup Rehabil. 2006;16(3):279–302. Epub 2006/07/20.CrossRefPubMed Bongers PM, IJmker S, van den Heuvel S, Blatter BM. Epidemiology of work related neck and upper limb problems: psychosocial and personal risk factors (part I) and effective interventions from a bio behavioural perspective (part II). J Occup Rehabil. 2006;16(3):279–302. Epub 2006/07/20.CrossRefPubMed
7.
go back to reference Staal JB, de Bie RA, Hendriks EJ. Aetiology and management of work-related upper extremity disorders. Best Pract Res Clin Rheumatol. 2007;21(1):123–33. Epub 2007/03/14.CrossRefPubMed Staal JB, de Bie RA, Hendriks EJ. Aetiology and management of work-related upper extremity disorders. Best Pract Res Clin Rheumatol. 2007;21(1):123–33. Epub 2007/03/14.CrossRefPubMed
8.
go back to reference Karels CH, Bierma-Zeinstra SM, Verhagen AP, Koes BW, Burdorf A. Sickness absence in patients with arm, neck and shoulder complaints presenting in physical therapy practice: 6 months follow-up. Man Ther. 2010;15(5):476–81. Epub 2010/06/24.CrossRefPubMed Karels CH, Bierma-Zeinstra SM, Verhagen AP, Koes BW, Burdorf A. Sickness absence in patients with arm, neck and shoulder complaints presenting in physical therapy practice: 6 months follow-up. Man Ther. 2010;15(5):476–81. Epub 2010/06/24.CrossRefPubMed
9.
go back to reference Macfarlane GJ, Hunt IM, Silman AJ. Role of mechanical and psychosocial factors in the onset of forearm pain: prospective population based study. BMJ. 2000;321(7262):676–9. Epub 2000/09/15.CrossRefPubMedCentralPubMed Macfarlane GJ, Hunt IM, Silman AJ. Role of mechanical and psychosocial factors in the onset of forearm pain: prospective population based study. BMJ. 2000;321(7262):676–9. Epub 2000/09/15.CrossRefPubMedCentralPubMed
10.
go back to reference Andersen JH, Kaergaard A, Mikkelsen S, Jensen UF, Frost P, Bonde JP, et al. Risk factors in the onset of neck/shoulder pain in a prospective study of workers in industrial and service companies. Occup Environ Med. 2003;60(9):649–54. Epub 2003/08/26.CrossRefPubMedCentralPubMed Andersen JH, Kaergaard A, Mikkelsen S, Jensen UF, Frost P, Bonde JP, et al. Risk factors in the onset of neck/shoulder pain in a prospective study of workers in industrial and service companies. Occup Environ Med. 2003;60(9):649–54. Epub 2003/08/26.CrossRefPubMedCentralPubMed
11.
go back to reference Marcus M, Gerr F, Monteilh C, Ortiz DJ, Gentry E, Cohen S, et al. A prospective study of computer users: II. Postural risk factors for musculoskeletal symptoms and disorders. Am J Ind Med. 2002;41(4):236–49. Epub 2002/03/29.CrossRefPubMed Marcus M, Gerr F, Monteilh C, Ortiz DJ, Gentry E, Cohen S, et al. A prospective study of computer users: II. Postural risk factors for musculoskeletal symptoms and disorders. Am J Ind Med. 2002;41(4):236–49. Epub 2002/03/29.CrossRefPubMed
12.
go back to reference Bernard B, Sauter S, Fine L, Petersen M, Hales T. Job task and psychosocial risk factors for work-related musculoskeletal disorders among newspaper employees. Scand J Work Environ Health. 1994;20(6):417–26. Epub 1994/12/01.CrossRefPubMed Bernard B, Sauter S, Fine L, Petersen M, Hales T. Job task and psychosocial risk factors for work-related musculoskeletal disorders among newspaper employees. Scand J Work Environ Health. 1994;20(6):417–26. Epub 1994/12/01.CrossRefPubMed
13.
go back to reference van den Heuvel SG, van der Beek AJ, Blatter BM, Hoogendoorn WE, Bongers PM. Psychosocial work characteristics in relation to neck and upper limb symptoms. Pain. 2005;114(1–2):47–53. Epub 2005/03/01.CrossRefPubMed van den Heuvel SG, van der Beek AJ, Blatter BM, Hoogendoorn WE, Bongers PM. Psychosocial work characteristics in relation to neck and upper limb symptoms. Pain. 2005;114(1–2):47–53. Epub 2005/03/01.CrossRefPubMed
14.
go back to reference Nicholas RA, Feuerstein M, Suchday S. Workstyle and upper-extremity symptoms: a biobehavioral perspective. J Occup Environ Med/Am Coll Occup Environ Med. 2005;47(4):352–61. Epub 2005/04/13.CrossRef Nicholas RA, Feuerstein M, Suchday S. Workstyle and upper-extremity symptoms: a biobehavioral perspective. J Occup Environ Med/Am Coll Occup Environ Med. 2005;47(4):352–61. Epub 2005/04/13.CrossRef
15.
go back to reference Martimo KP, Shiri R, Miranda H, Ketola R, Varonen H, Viikari-Juntura E. Self-reported productivity loss among workers with upper extremity disorders. Scand J Work Environ Health. 2009;35(4):301–8. Epub 2009/05/28.CrossRefPubMed Martimo KP, Shiri R, Miranda H, Ketola R, Varonen H, Viikari-Juntura E. Self-reported productivity loss among workers with upper extremity disorders. Scand J Work Environ Health. 2009;35(4):301–8. Epub 2009/05/28.CrossRefPubMed
16.
go back to reference Harrington CB, Siddiqui A, Feuerstein M. Workstyle as a predictor of pain and restricted work associated with upper extremity disorders: a prospective study. J Hand Surg. 2009;34(4):724–31. Epub 2009/04/07.CrossRef Harrington CB, Siddiqui A, Feuerstein M. Workstyle as a predictor of pain and restricted work associated with upper extremity disorders: a prospective study. J Hand Surg. 2009;34(4):724–31. Epub 2009/04/07.CrossRef
17.
go back to reference Hutting N, Heerkens YF, Engels JA, Staal JB. Nijhuis-van der Sanden MWG. Experiences of employees with arm, neck or shoulder complaints: a focus group study. BMC Musculoskelet Disord. 2014;15:141.CrossRefPubMedCentralPubMed Hutting N, Heerkens YF, Engels JA, Staal JB. Nijhuis-van der Sanden MWG. Experiences of employees with arm, neck or shoulder complaints: a focus group study. BMC Musculoskelet Disord. 2014;15:141.CrossRefPubMedCentralPubMed
18.
go back to reference Meijer EM, Sluiter JK, Frings-Dresen MH. Is workstyle a mediating factor for pain in the upper extremity over time? J Occup Rehabil. 2008;18(3):262–6. Epub 2008/08/09.CrossRefPubMedCentralPubMed Meijer EM, Sluiter JK, Frings-Dresen MH. Is workstyle a mediating factor for pain in the upper extremity over time? J Occup Rehabil. 2008;18(3):262–6. Epub 2008/08/09.CrossRefPubMedCentralPubMed
19.
go back to reference Keijsers E, Feleus A, Miedema HS, Koes BW, Bierma-Zeinstra SM. Psychosocial factors predicted nonrecovery in both specific and nonspecific diagnoses at arm, neck, and shoulder. J Clin Epidemiol. 2010;63(12):1370–9. Epub 2010/05/01.CrossRefPubMed Keijsers E, Feleus A, Miedema HS, Koes BW, Bierma-Zeinstra SM. Psychosocial factors predicted nonrecovery in both specific and nonspecific diagnoses at arm, neck, and shoulder. J Clin Epidemiol. 2010;63(12):1370–9. Epub 2010/05/01.CrossRefPubMed
20.
go back to reference Lorig KR. Self-management of chronic illness: a model for the future. Generations. 1993;17(3):11–4. Lorig KR. Self-management of chronic illness: a model for the future. Generations. 1993;17(3):11–4.
21.
go back to reference Newman S, Steed L, Mulligan K. Self-management interventions for chronic illness. Lancet. 2004;364(9444):1523–37. Epub 2004/10/27.CrossRefPubMed Newman S, Steed L, Mulligan K. Self-management interventions for chronic illness. Lancet. 2004;364(9444):1523–37. Epub 2004/10/27.CrossRefPubMed
22.
go back to reference McGowan P. Self-management: a background paper. New perspectives: international conference on patient self-management. 2005. McGowan P. Self-management: a background paper. New perspectives: international conference on patient self-management. 2005.
23.
go back to reference Carnes D, Homer KE, Miles CL, Pincus T, Underwood M, Rahman A, et al. Effective delivery styles and content for self-management interventions for chronic musculoskeletal pain: a systematic literature review. Clin J Pain. 2012;28(4):344–54. Epub 2011/10/18.CrossRefPubMed Carnes D, Homer KE, Miles CL, Pincus T, Underwood M, Rahman A, et al. Effective delivery styles and content for self-management interventions for chronic musculoskeletal pain: a systematic literature review. Clin J Pain. 2012;28(4):344–54. Epub 2011/10/18.CrossRefPubMed
24.
go back to reference Nolte S, Osborne RH. A systematic review of outcomes of chronic disease self-management interventions. Qual Life Res Int J Qual Life Asp Treat Care Rehab. 2013;22(7):1805–16. Epub 2012/11/01.CrossRef Nolte S, Osborne RH. A systematic review of outcomes of chronic disease self-management interventions. Qual Life Res Int J Qual Life Asp Treat Care Rehab. 2013;22(7):1805–16. Epub 2012/11/01.CrossRef
25.
go back to reference Du S, Yuan C, Xiao X, Chu J, Qiu Y, Qian H. Self-management programs for chronic musculoskeletal pain conditions: a systematic review and meta-analysis. Patient Educ Couns. 2011;85(3):e299–310. Epub 2011/04/05.CrossRefPubMed Du S, Yuan C, Xiao X, Chu J, Qiu Y, Qian H. Self-management programs for chronic musculoskeletal pain conditions: a systematic review and meta-analysis. Patient Educ Couns. 2011;85(3):e299–310. Epub 2011/04/05.CrossRefPubMed
26.
go back to reference Kuijpers W, Groen WG, Aaronson NK, van Harten WH. A systematic review of web-based interventions for patient empowerment and physical activity in chronic diseases: relevance for cancer survivors. J Med Internet Res. 2013;15(2):e37. Epub 2013/02/22.CrossRefPubMedCentralPubMed Kuijpers W, Groen WG, Aaronson NK, van Harten WH. A systematic review of web-based interventions for patient empowerment and physical activity in chronic diseases: relevance for cancer survivors. J Med Internet Res. 2013;15(2):e37. Epub 2013/02/22.CrossRefPubMedCentralPubMed
27.
go back to reference Gaikwad R, Warren J. The role of home-based information and communications technology interventions in chronic disease management: a systematic literature review. Health Informatics J. 2009;15(2):122–46. Epub 2009/05/29.CrossRefPubMed Gaikwad R, Warren J. The role of home-based information and communications technology interventions in chronic disease management: a systematic literature review. Health Informatics J. 2009;15(2):122–46. Epub 2009/05/29.CrossRefPubMed
28.
go back to reference Vonk Noordegraaf A, Huirne JA, Pittens CA, van Mechelen W, Broerse JE, Brolmann HA, et al. eHealth program to empower patients in returning to normal activities and work after gynecological surgery: intervention mapping as a useful method for development. J Med Internet Res. 2012;14(5):e124. Epub 2012/10/23.CrossRefPubMedCentralPubMed Vonk Noordegraaf A, Huirne JA, Pittens CA, van Mechelen W, Broerse JE, Brolmann HA, et al. eHealth program to empower patients in returning to normal activities and work after gynecological surgery: intervention mapping as a useful method for development. J Med Internet Res. 2012;14(5):e124. Epub 2012/10/23.CrossRefPubMedCentralPubMed
29.
go back to reference Ahern DK. Challenges and opportunities of eHealth research. Am J Prev Med. 2007;32(5 Suppl):S75–82. Epub 2007/05/01.CrossRefPubMed Ahern DK. Challenges and opportunities of eHealth research. Am J Prev Med. 2007;32(5 Suppl):S75–82. Epub 2007/05/01.CrossRefPubMed
31.
go back to reference Health Council of the Netherlands. Beeldschermwerken (Computer use at work) [Dutch]. The Hague: Health Council of the Netherlands; 2012. Health Council of the Netherlands. Beeldschermwerken (Computer use at work) [Dutch]. The Hague: Health Council of the Netherlands; 2012.
32.
go back to reference Detaille SI, van der Gulden JW, Engels JA, Heerkens YF, van Dijk FJ. Using intervention mapping (IM) to develop a self-management programme for employees with a chronic disease in the Netherlands. BMC Public Health. 2010;10:353. Epub 2010/06/23.CrossRefPubMedCentralPubMed Detaille SI, van der Gulden JW, Engels JA, Heerkens YF, van Dijk FJ. Using intervention mapping (IM) to develop a self-management programme for employees with a chronic disease in the Netherlands. BMC Public Health. 2010;10:353. Epub 2010/06/23.CrossRefPubMedCentralPubMed
33.
go back to reference Detaille SI. Building a self-management program for workers with a chronic somatic disease (PhD thesis). Nijmegen: Ipskamp Drukkers B.V; 2012. Detaille SI. Building a self-management program for workers with a chronic somatic disease (PhD thesis). Nijmegen: Ipskamp Drukkers B.V; 2012.
34.
go back to reference Bartholomew LK, Parcel GS, Kok G. Intervention mapping: a process for developing theory- and evidence-based health education programs. Health Educ Behav. 1998;25(5):545–63. Epub 1998/10/13.CrossRefPubMed Bartholomew LK, Parcel GS, Kok G. Intervention mapping: a process for developing theory- and evidence-based health education programs. Health Educ Behav. 1998;25(5):545–63. Epub 1998/10/13.CrossRefPubMed
35.
go back to reference Bartholomew L, Parcel G, Kok G, Gottlieb N, Fernández M. Planning health promotion programs. An intervention mapping approach. 3rd ed. San Francisco: Jossey/BAss; 2011. Bartholomew L, Parcel G, Kok G, Gottlieb N, Fernández M. Planning health promotion programs. An intervention mapping approach. 3rd ed. San Francisco: Jossey/BAss; 2011.
36.
go back to reference Krueger RAC, Casey MA. Focus groups. A practical guide for applied research. Thousand Oaks: Sage Publications Inc.; 2009. Krueger RAC, Casey MA. Focus groups. A practical guide for applied research. Thousand Oaks: Sage Publications Inc.; 2009.
37.
go back to reference Lacey ALD. Qualitative data analysis. Yorkshire and the Humber: The NIHR Research Design Service for the East Midlands; 2007. Lacey ALD. Qualitative data analysis. Yorkshire and the Humber: The NIHR Research Design Service for the East Midlands; 2007.
38.
go back to reference de Vries H, Mesters I, Riet JV, Willems K, Reubsaet A. Motives of Belgian adolescents for using sunscreen: the role of action plans. Cancer Epidemiol Biomarkers Prev. 2006;15(7):1360–6. Epub 2006/07/13.CrossRefPubMed de Vries H, Mesters I, Riet JV, Willems K, Reubsaet A. Motives of Belgian adolescents for using sunscreen: the role of action plans. Cancer Epidemiol Biomarkers Prev. 2006;15(7):1360–6. Epub 2006/07/13.CrossRefPubMed
39.
go back to reference Lorig KR, Mazonson PD, Holman HR. Evidence suggesting that health education for self-management in patients with chronic arthritis has sustained health benefits while reducing health care costs. Arthritis Rheum. 1993;36(4):439–46. Epub 1993/04/01.CrossRefPubMed Lorig KR, Mazonson PD, Holman HR. Evidence suggesting that health education for self-management in patients with chronic arthritis has sustained health benefits while reducing health care costs. Arthritis Rheum. 1993;36(4):439–46. Epub 1993/04/01.CrossRefPubMed
40.
go back to reference Johnston V, Jull G, Sheppard DM, Ellis N. Applying principles of self-management to facilitate workers to return to or remain at work with a chronic musculoskeletal condition. Man Ther. 2013;18(4):274–80. Epub 2013/05/07.CrossRefPubMed Johnston V, Jull G, Sheppard DM, Ellis N. Applying principles of self-management to facilitate workers to return to or remain at work with a chronic musculoskeletal condition. Man Ther. 2013;18(4):274–80. Epub 2013/05/07.CrossRefPubMed
41.
go back to reference El-Gayar O, Timsina P, Nawar N, Eid W. A systematic review of IT for diabetes self-management: are we there yet? Int J Med Inform. 2013;82(8):637–52. Epub 2013/06/25.CrossRefPubMed El-Gayar O, Timsina P, Nawar N, Eid W. A systematic review of IT for diabetes self-management: are we there yet? Int J Med Inform. 2013;82(8):637–52. Epub 2013/06/25.CrossRefPubMed
42.
go back to reference De Vries H, Mudde A. Predicting stage transitions for smoking cessation applying the attitude – social influence – efficacy model. Psychol Health. 1998;13:369–85.CrossRef De Vries H, Mudde A. Predicting stage transitions for smoking cessation applying the attitude – social influence – efficacy model. Psychol Health. 1998;13:369–85.CrossRef
43.
go back to reference Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50:179–211.CrossRef Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50:179–211.CrossRef
44.
go back to reference Brug J, Assema P, Lechner L. Gezondheidsvoorlichting en gedragsverandering. Een planmatige aanpak. Van Gorcum: Assen; 2008. Brug J, Assema P, Lechner L. Gezondheidsvoorlichting en gedragsverandering. Een planmatige aanpak. Van Gorcum: Assen; 2008.
45.
go back to reference Ajzen I. Attitudes, personality and behavior. Milton Keynes: Open University Press; 2005. Ajzen I. Attitudes, personality and behavior. Milton Keynes: Open University Press; 2005.
46.
go back to reference Beumer A, De Bie RA, Ten Cate A, Doornbos N. Multidisciplinaire richtlijn aspecifieke klachten arm, Nek en/of schouders [Multidisciplinary guideline non-specific complaints of arm, neck and/or shoulders] (Dutch). Amersfoort: Koninklijk Nederlands Genootschap voor Fysiotherapie (KNGF); 2012. Beumer A, De Bie RA, Ten Cate A, Doornbos N. Multidisciplinaire richtlijn aspecifieke klachten arm, Nek en/of schouders [Multidisciplinary guideline non-specific complaints of arm, neck and/or shoulders] (Dutch). Amersfoort: Koninklijk Nederlands Genootschap voor Fysiotherapie (KNGF); 2012.
47.
go back to reference Kawi J. Chronic low back pain patients’ perceptions on self-management, self-management support, and functional ability. pain management nursing. Official J Am Soc Pain Manage Nurses. 2014;15(1):258–64.CrossRef Kawi J. Chronic low back pain patients’ perceptions on self-management, self-management support, and functional ability. pain management nursing. Official J Am Soc Pain Manage Nurses. 2014;15(1):258–64.CrossRef
48.
go back to reference Toivanen H, Helin P, Hanninen O. Impact of regular relaxation training and psychosocial working factors on neck-shoulder tension and absenteeism in hospital cleaners. J Occup Med. 1993;35(11):1123–30. Epub 1993/11/01.CrossRefPubMed Toivanen H, Helin P, Hanninen O. Impact of regular relaxation training and psychosocial working factors on neck-shoulder tension and absenteeism in hospital cleaners. J Occup Med. 1993;35(11):1123–30. Epub 1993/11/01.CrossRefPubMed
49.
go back to reference Toivanen S. Exploring the interplay between work stress and socioeconomic position in relation to common health complaints: the role of interaction. Am J Ind Med. 2011;54(10):780–90. Epub 2011/06/22.CrossRefPubMed Toivanen S. Exploring the interplay between work stress and socioeconomic position in relation to common health complaints: the role of interaction. Am J Ind Med. 2011;54(10):780–90. Epub 2011/06/22.CrossRefPubMed
50.
go back to reference Bongers PM, Kremer AM, ter Laak J. Are psychosocial factors, risk factors for symptoms and signs of the shoulder, elbow, or hand/wrist?: A review of the epidemiological literature. Am J Ind Med. 2002;41(5):315–42. Epub 2002/06/20.CrossRefPubMed Bongers PM, Kremer AM, ter Laak J. Are psychosocial factors, risk factors for symptoms and signs of the shoulder, elbow, or hand/wrist?: A review of the epidemiological literature. Am J Ind Med. 2002;41(5):315–42. Epub 2002/06/20.CrossRefPubMed
51.
go back to reference Detaille SI, Haafkens JA, van Dijk FJ. What employees with rheumatoid arthritis, diabetes mellitus and hearing loss need to cope at work. Scand J Work Environ Health. 2003;29(2):134–42. Epub 2003/04/30.CrossRefPubMed Detaille SI, Haafkens JA, van Dijk FJ. What employees with rheumatoid arthritis, diabetes mellitus and hearing loss need to cope at work. Scand J Work Environ Health. 2003;29(2):134–42. Epub 2003/04/30.CrossRefPubMed
52.
go back to reference Minis MA, Satink T, Kinebanian A, Engels JA, Heerkens YF, van Engelen BG, et al. How persons with a neuromuscular disease perceive employment participation: a qualitative study. J Occup Rehabil. 2014;24(1):52–67. Epub 2013/05/07.CrossRefPubMed Minis MA, Satink T, Kinebanian A, Engels JA, Heerkens YF, van Engelen BG, et al. How persons with a neuromuscular disease perceive employment participation: a qualitative study. J Occup Rehabil. 2014;24(1):52–67. Epub 2013/05/07.CrossRefPubMed
53.
go back to reference Barbour RS. Checklists for improving rigour in qualitative research: a case of the tail wagging the dog? BMJ. 2001;322(7294):1115–7. Epub 2001/05/05.CrossRefPubMedCentralPubMed Barbour RS. Checklists for improving rigour in qualitative research: a case of the tail wagging the dog? BMJ. 2001;322(7294):1115–7. Epub 2001/05/05.CrossRefPubMedCentralPubMed
54.
go back to reference Bernaards CM, Ariens GA, Knol DL, Hildebrandt VH. The effectiveness of a work style intervention and a lifestyle physical activity intervention on the recovery from neck and upper limb symptoms in computer workers. Pain. 2007;132(1–2):142–53. Epub 2007/09/05.CrossRefPubMed Bernaards CM, Ariens GA, Knol DL, Hildebrandt VH. The effectiveness of a work style intervention and a lifestyle physical activity intervention on the recovery from neck and upper limb symptoms in computer workers. Pain. 2007;132(1–2):142–53. Epub 2007/09/05.CrossRefPubMed
55.
go back to reference Esmaeilzadeh S, Ozcan E, Capan N. Effects of ergonomic intervention on work-related upper extremity musculoskeletal disorders among computer workers: a randomized controlled trial. Int Arch Occup Environ Health. 2014;87(1):73–83.CrossRefPubMed Esmaeilzadeh S, Ozcan E, Capan N. Effects of ergonomic intervention on work-related upper extremity musculoskeletal disorders among computer workers: a randomized controlled trial. Int Arch Occup Environ Health. 2014;87(1):73–83.CrossRefPubMed
56.
go back to reference Andersen JH, Thomsen JF, Overgaard E, Lassen CF, Brandt LP, Vilstrup I, et al. Computer use and carpal tunnel syndrome: a 1-year follow-up study. JAMA. 2003;289(22):2963–9. Epub 2003/06/12.CrossRefPubMed Andersen JH, Thomsen JF, Overgaard E, Lassen CF, Brandt LP, Vilstrup I, et al. Computer use and carpal tunnel syndrome: a 1-year follow-up study. JAMA. 2003;289(22):2963–9. Epub 2003/06/12.CrossRefPubMed
57.
go back to reference Wahlstrom J. Ergonomics, musculoskeletal disorders and computer work. Occup Med. 2005;55(3):168–76. Epub 2005/04/29.CrossRef Wahlstrom J. Ergonomics, musculoskeletal disorders and computer work. Occup Med. 2005;55(3):168–76. Epub 2005/04/29.CrossRef
58.
go back to reference van Eijsden-Besseling MD, van den Bergh KA, Staal JB, de Bie RA, Smeets RJ, van den Heuvel WJ. The influence of work and treatment related factors on clinical status and disability in patients with non-specific work-related upper limb disorders. Work. 2010;37(4):425–32. Epub 2010/11/26.PubMed van Eijsden-Besseling MD, van den Bergh KA, Staal JB, de Bie RA, Smeets RJ, van den Heuvel WJ. The influence of work and treatment related factors on clinical status and disability in patients with non-specific work-related upper limb disorders. Work. 2010;37(4):425–32. Epub 2010/11/26.PubMed
59.
go back to reference van Eijsden-Besseling MD, van den Bergh KA, Staal JB, de Bie RA, van den Heuvel WJ. The course of nonspecific work-related upper limb disorders and the influence of demographic factors, psychologic factors, and physical fitness on clinical status and disability. Arch Phys Med Rehabil. 2010;91(6):862–7. Epub 2010/06/01.CrossRefPubMed van Eijsden-Besseling MD, van den Bergh KA, Staal JB, de Bie RA, van den Heuvel WJ. The course of nonspecific work-related upper limb disorders and the influence of demographic factors, psychologic factors, and physical fitness on clinical status and disability. Arch Phys Med Rehabil. 2010;91(6):862–7. Epub 2010/06/01.CrossRefPubMed
60.
go back to reference van den Heuvel SG, van der Beek AJ, Blatter BM, Bongers PM. Do work-related physical factors predict neck and upper limb symptoms in office workers? Int Arch Occup Environ Health. 2006;79(7):585–92. Epub 2006/05/20.CrossRefPubMed van den Heuvel SG, van der Beek AJ, Blatter BM, Bongers PM. Do work-related physical factors predict neck and upper limb symptoms in office workers? Int Arch Occup Environ Health. 2006;79(7):585–92. Epub 2006/05/20.CrossRefPubMed
61.
go back to reference Bernaards CM, Ariens GA, Simons M, Knol DL, Hildebrandt VH. Improving work style behavior in computer workers with neck and upper limb symptoms. J Occup Rehabil. 2008;18(1):87–101. Epub 2008/01/05.CrossRefPubMed Bernaards CM, Ariens GA, Simons M, Knol DL, Hildebrandt VH. Improving work style behavior in computer workers with neck and upper limb symptoms. J Occup Rehabil. 2008;18(1):87–101. Epub 2008/01/05.CrossRefPubMed
62.
go back to reference Feuerstein M, Harrington CB. Secondary prevention of work-related upper extremity disorders: recommendations from the Annapolis conference. J Occup Rehabil. 2006;16(3):401–9. Epub 2006/06/28.PubMed Feuerstein M, Harrington CB. Secondary prevention of work-related upper extremity disorders: recommendations from the Annapolis conference. J Occup Rehabil. 2006;16(3):401–9. Epub 2006/06/28.PubMed
63.
go back to reference Martimo KP, Shiri R, Miranda H, Ketola R, Varonen H, Viikari-Juntura E. Effectiveness of an ergonomic intervention on the productivity of workers with upper-extremity disorders–a randomized controlled trial. Scand J Work Environ Health. 2010;36(1):25–33. Epub 2009/12/05.CrossRefPubMed Martimo KP, Shiri R, Miranda H, Ketola R, Varonen H, Viikari-Juntura E. Effectiveness of an ergonomic intervention on the productivity of workers with upper-extremity disorders–a randomized controlled trial. Scand J Work Environ Health. 2010;36(1):25–33. Epub 2009/12/05.CrossRefPubMed
Metadata
Title
Development of a self-management intervention for employees with complaints of the arm, neck and/or shoulder (CANS): a focus group study with experts
Authors
Nathan Hutting
Josephine A Engels
J Bart Staal
Yvonne F Heerkens
Maria W G Nijhuis-van der Sanden
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Journal of Occupational Medicine and Toxicology / Issue 1/2015
Electronic ISSN: 1745-6673
DOI
https://doi.org/10.1186/s12995-015-0051-z

Other articles of this Issue 1/2015

Journal of Occupational Medicine and Toxicology 1/2015 Go to the issue