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A viable alternative framework, relational autonomy posits that agents\u2019 actions are influenced by and embedded in society and culture rather than occurring in isolation. To test the concept\u2019s applicability, we examine whether Asian Americans in the study\u2019s sample operationalize relational autonomy as a decisional approach in hypothetical scenarios about organ donation, a practice for which there is considerably lower enthusiasm compared to other racial groups in the US.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A national sample of Asian American adults were recruited from a Qualtrics research panel. Participants completed a Think-Aloud interview containing scenarios in which they decide whether or not to: (1) become a registered donor at the motor vehicle department; (2) authorize organ donation for a close relative who unexpectedly died. The interview first elicited candid reactions to the scenarios, followed by probing participants\u2019 rationale of their initial responses. Participants\u2019 final decision to each scenario (whether or not to register; whether or not consent to surrogate authorization), as well as participants\u2019 decisional approaches (individualistic vs. relational) were coded using the constant comparison method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The sample (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200940) mirrored the largest proportions of Asian Americans in the US; the plurality identified as Chinese (35%), Filipino (27.5%) and Indian (25%). In response to the organ donor registration prompt, a majority of respondents (57.5%) expressed they would employ the mainstream decisional approach of individualistic autonomy, and 42.5% would make the decision with a relational approach. In contrast, when responding to the surrogate authorization prompt, the majority (77.5%) described a relational approach when making the decision, to preserve familial harmony and honor their cultural heritage.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Use of individualistic and relational autonomy frameworks are situational for some individuals. Participants acknowledged the impact of personal, cultural, and societal elements on their decisional approach. The concept of relational autonomy has utility through its versatility in complex decision-making events and by accounting for multiple stakeholders without privileging the autonomy of a single decision-maker over others.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical trial number<\/jats:title>\n                    <jats:p>Not applicable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12910-025-01206-4","type":"journal-article","created":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T17:28:02Z","timestamp":1743701282000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Reconsidering autonomy: Asian Americans\u2019 use of relational autonomy in organ donation decisions"],"prefix":"10.1186","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7137-5967","authenticated-orcid":false,"given":"Gerard P.","family":"Alolod","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2018-4962","authenticated-orcid":false,"given":"Diana C.","family":"Litsas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6775-665X","authenticated-orcid":false,"given":"Laura A.","family":"Siminoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,4,2]]},"reference":[{"issue":"2","key":"1206_CR1","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1080\/20502877.2017.1345091","volume":"23","author":"M Tan Kiak Min","year":"2017","unstructured":"Tan Kiak Min M. 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