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One response to these criticisms is to recognise that there is no clear understanding of assent, but to argue that it is a convenient fiction and does no harm.
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Blake et al 28 identified ways to improve adolescent understanding of informed assent by assessing adolescent comprehension of research topics.
Of course, this is not something that can be proven true or false, nor is it even something suitable for opining, given his technical understanding of this mode of assent.
At that time, adolescents were evaluated for inclusion (criteria included age 14-17 years, currently on probation, fluency in English, and cognitively capable of understanding the assent form as assessed by the research assistant).
Three studies conducted in the United States assessed ethical and legal aspects of decisional capacity, as related to intellectual ability, understanding informed assent, and confidentiality for minors.
Another way to understand what we mean by assent is to describe the limits of assent.
Murmurs of assent, then the word "emasculating," to louder agreement.
(Recall that the Restatement's definition of offer refers not to the offeror's actual state of mind but rather to manifestations that "justify another person in understanding" that assent is invited).
Respectful and compassionate research involving children requires understanding of children's ways of thinking, their assent strengths and weaknesses, life experiences, and practical and family concerns.
(Murmurs of assent).
A nod of assent.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com