The authors tested whether self-efficacy for orthopedic rehabilitation task
s accounted for significant variance in rehabilitation outcome, over the va
riance accounted for by dispositional optimism, health competence, and heal
th value. Whether health value moderated expectancy-outcome relationships a
lso was examined. One hundred five older clients at 2 orthopedic rehabilita
tion facilities completed a battery of instruments; physical functioning al
so was assessed. After controlling for physical functioning at admission an
d for other variables, self-efficacy predicted significant variance in reha
bilitation outcome. Health value did not moderate expectancy-outcome relati
onships. Results suggest that psychologists can improve patients' recovery
from serious orthopedic problems by augmenting their self-efficacy beliefs.