PURPOSE: To evaluate the mediation effect of self-efficacy on the relationship between secure attachment and employment status of people with spinal cord injuries (SCI).
DESIGN: Quantitative descriptive research design using logistic regression, multiple regression, and correlational techniques.
METHODS: One hundred and ninety individuals with SCI were recruited from the Canadian Paraplegic Association. Only individuals ages between 25–54 years (prime working age) were selected for this study.
RESULTS: Secure attachment and self-efficacy were significantly related to employment status. Self-efficacy was found to be a significant mediator of the relationship between secure attachment and employment status.
CONCLUSION: Results provide support for the importance of building a strong working alliance and helping individuals with SCI in the professional practice of rehabilitation counseling.