OHRP (the Office for Human Research Protections in the
U.S. Department of Health and Human Services, formerly OPRR) has stated
that the decision belongs to the IRB whether to require subject assent/parental
consent* for research projects involving children for any level of IRB
review. The UNH IRB has decided that studies classified as exempt do not
require assent/consent.
The Institutional Review Board (IRB) recognizes that much
of the research involving children "poses no more than minimal risk"
for them. These suggestions are designed to assist researchers in drafting
protocols for gaining children's assent to participate in research studies.
Researchers whose procedures pose greater than minimal risk for their
subjects can request additional assistance from the IRB in drafting protocols
for assent.
What follows includes the definition of assent and guidelines
for obtaining the assent of children of different ages. Because the ability
of children to understand the elements of assent generally increases with
age, researchers will likely provide less detailed explanations to younger
children and more detailed explanations to older students. In addition,
because there are individual differences in the development of children's
ability to understand the researcher's requests, there is a necessary
age overlap in the categories listed below.
DEFINITION OF ASSENT: "Assent"
means a child's affirmative agreement to participate in research. Mere
failure to object should not be construed as assent.
AGES 2-7 For children between the ages
of 2 and 7, the request for assent should be kept simple and direct. For
example, the researcher might ask the child if he or she would join the
researcher in the next room to look at pictures. If the child were to
say "yes", that would imply assent for this age group. If the
child were to say "no", the researcher should respect the child's
wishes. It should be possible, however, to ask the child once again several
minutes later. Sometimes children may not communicate verbally their refusal
to participate. For example, a child may begin working on another task
unrelated to the research activity. The researcher should be aware of
such a cue and end the activity.
AGES 6-14 For children between the ages
of 6 and 14, the request for assent should include: (1) a general description
of the purpose of the child's participation; (2) a brief description of
the experimental tasks; (3) an assurance that the child's participation
is voluntary and that he or she may withdraw from the study at any point;
and (4) an offer to answer questions. A researcher studying reading comprehension
might say the following: "I am studying how fourth grade students
read. I am going to ask you to read a few stories for me and answer questions
about the stories when you are finished. You don't have to read if you
do not want to do so. If at any point you want to stop, that is fine;
you may stop and go back to class."
AGES 12-17 For children ages 12 through
17, the request for assent should include the elements of informed consent
presented to adults, but this request should be presented in language
appropriate to the child's level of comprehension.
Researchers working in educational and/or clinical settings
should be sure the subjects know that the research is separate from any
instruction or intervention.
When the IRB requires both the parents consent and the
childs assent in a research project, the investigator MUST obtain parental
consent prior to seeking the childs assent or participation.