What is self-determination in the context of IADLs?

• A. A disposition characterized by acting as the causal agent in one's life, involving volitional and self-directed actions.
• B. A set of routines that determine family schedules.
• C. A therapeutic method focusing on motor skills only.
• D. An assessment tool for measuring ADL independence.

Answer: (A)

Self-determination is about acting as the agent of one’s own life, with volition and self-directed action guiding how tasks are approached. In the context of IADLs, this means making intentional choices about which tasks to do, when to do them, and how to do them, setting personal goals, and persisting in solving problems to maintain independence. This autonomy and sense of control are what drive motivation and engagement in daily routines like managing money, transportation, meal planning, and staying organized. The correct description captures this proactive, self-directed stance. The other options describe external routines, a focus only on motor skills, or an assessment tool—things that may influence participation but don’t define the concept of self-determination itself.