Fifty-eight healthy adults with no neck pain in the prior six months were randomized to an 8-week Back School-based program (n=29) or a control group maintaining usual lifestyle (n=29). The primary outcome was the number of episodes, days, and intensity of neck pain, and number of medical visits over one year. Secondary outcomes included endurance of the neck flexor, neck extensor, and scapular muscles, assessed before and after the intervention. Overall, the study found no significant differences in the number, days, or intensity of pain, but a significant reduction in medical visits in the intervention group. Neck flexor and extensor endurance also improved significantly. These findings suggest the Back School-based intervention may help prevent healthcare utilization and enhance cervical muscle endurance.