Self-Efficacy for Managing Injury After Distal Radius Fracture: A Mixed Methods Exploration

Brocha Z. Stern, Tsu Hsin Howe, Janet Njelesani

Research output: Contribution to journalArticlepeer-review


Self-efficacy for managing injury may contribute to variation in clients’ support needs after distal radius fracture (DRF). This study aimed to (a) explore associations between self-efficacy for managing injury and self-reported health and (b) compare qualitative descriptions of the self-management process and outcome between high and low self-efficacy groups. In this cross-sectional convergent mixed methods study, 31 adults aged 45 to 72 with a unilateral DRF completed patient-reported outcome measures and a semi-structured interview 2 to 4 weeks after discontinuing full-time wrist immobilization. Higher self-efficacy was moderately associated with better physical, mental, and social health. The High-Self-Efficacy group described self-directed behaviors to manage injury sequelae and more confidence in their ability to use their injured hand. They also described less disruptive physical and emotional symptoms and fewer participation restrictions compared with the Low-Self-Efficacy group. Findings suggest that occupational therapy practitioners should assess and address self-efficacy for managing DRF sequelae to support recovery.

Original languageEnglish (US)
Pages (from-to)170-179
Number of pages10
JournalOTJR Occupation, Participation and Health
Issue number2
StatePublished - Apr 2023


  • health-related quality of life
  • mixed methods
  • outcome measures
  • psychosocial perspective

ASJC Scopus subject areas

  • Occupational Therapy


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