[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-167228-105":3,"detail-sidebar-cat-1-en-105":80,"doc-detail-167228-en":126},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":73,"head_meta":75,"extra_data":77,"updated_unix":79},105,"en","purpose-child-assent-form-template","Purpose - Child Assent Form Template","","Child assent form template guidance for obtaining assent from children aged 7–17 within the UTRGV IRB framework. It outlines when multiple assent forms may be needed for different language comprehension levels, how to request and justify possible IRB waivers, and requirements for written IRB approval before enrolling non-assenting children. It also provides plain-language sections—purpose, study description, risks, benefits, other choices, and contacts—plus instructions on wording to avoid therapeutic misconception and retain or edit bracketed text appropriately.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/purpose-child-assent-form-template/167228/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/purpose-child-assent-form-template/167228.png","ImageObject",442,249,{"name":42,"@type":43},"Clementine","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-09-23","2026-08-31",true,{"@type":52,"interactionType":53,"userInteractionCount":33},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58,64,68],{"name":59,"@type":60,"acceptedAnswer":61},"What is the purpose section supposed to communicate to children?","Question",{"text":62,"@type":63},"It should explain, in very simple terms, why the research is being done, tailored to the anticipated age group, and clarify that participation is voluntary and requires the child’s agreement.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"When can the IRB waive the requirement to obtain a child’s assent?",{"text":67,"@type":63},"Under special circumstances, the IRB may waive assent, typically when an experimental study treatment is likely beneficial and no other acceptable and available alternative treatments exist, but a waiver must be requested and justified to the IRB.",{"name":69,"@type":60,"acceptedAnswer":70},"What wording rules help avoid therapeutic misconception in the assent form?",{"text":71,"@type":63},"Do not use “treatment,” “therapy,” or “device” without context; instead use study-specific phrasing (e.g., “research treatment/therapy/device”). Also use “you” rather than “patient” and remove any instructional text before submission.","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},167228,1788210512,{"code":4,"msg":81,"data":82},"success",[83,88,93,98,103,108,112,117,122],{"id":84,"doc_module":22,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},11,"Presentations",90,"presentations",{"id":89,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},12,"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":81,"data":127},{"doc_id":78,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":33,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":30,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":79,"read_time":22},1374391974564,"https://ap-avatar.wpscdn.com/avatar/14000253aa45c000a9e?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779874745381141002","Instructions for creating your assent form\nThe UTRGV IRB’s general policy is to obtain the assent of all children (ages 7-17 years).  Recognizing that, depending on the age of the children, there are likely to be differences in language comprehension, multiple assent forms may be required to cover different age groups.  For example, it may well be appropriate to simplify the language and use a larger font for younger children.\nUnder special circumstances, the requirement to obtain the assent of a child can be waived by the IRB.  Usually this involves an experimental treatment that is likely to be beneficial and there are no other acceptable and available alternative treatments.  You must request and justify that the IRB consider such a waiver.  The IRB will determine if a waiver is appropriate and notify you of its determination.  You may not enroll a non-assenting child subject in research without written approval of the IRB.  In these and other cases, the IRB may determine that a child advocate be present during the assent and permission process.\nUse the following template as a basis for your informed consent form.\nText in italics should be deleted.\nNon-italic text should be retained.\nText in [brackets] should be retained and edited appropriately.\nDo not use the terms “treatment”, “therapy”, or “device”. Instead use terms such as “study treatment/therapy/device” or “research treatment/therapy/device.” This avoids therapeutic misconception.\nDo not use the term “patient” instead use the term “you”.\nNOTE: Do not, under any circumstances, submit a consent form with instructional text still included. This will delay approval of your application.\nPurpose\nWe are doing a study about [Very simply describe why the research is being done.  Gear the description to the anticipated age group.  Avoid jargon.] It is up to you if you are in this study.  I will be discussing this with your parents too.  Your parents are not allowed to have you participate unless you agree.\nDescription of the Study\n[Describe what procedures will be done. For treatment studies also describe which procedures would be  done even if the subject was not a participant in the study and, in the language appropriate for the age group of the child, describe the differences between receiving medical care and participating in research.]\nRisks\n[Describe the risks in a way that is understood by children.]\nBenefits\n[In terms that the child can understand, describe what primary and direct benefits the child might experience.  Also, add whether or not benefits to others might be possible.]\nOther Choices\nDelete this section if not relevant. For treatment studies describe alternative treatments in words such as “If you decide not to be in this study, you will get [describe alternative treatments or state that there are not alternative treatments and that they do not have to participate].  “If you do not want to participate, your doctor will still take care of you.”\nWho to talk to about questions\nIf you have questions about the study you can ask us now or later. Your parents have been given our contact information.\nIf you have questions about your rights in the study, contact The University of Texas Rio Grande Valley Institutional Review Board at (956) 665-3598 or \u0013 HYPERLINK \"mailto:irb@utrgv.edu\" \u0014irb@utrgv.edu\u0015.\nI agree to take part in the study.\nChild’s Name\t\t\t      Signature\t\t\t\t        Date","cbCaikogdQM2sXP8","https://ap.wps.com/l/cbCaikogdQM2sXP8","docx",62309,"English","# Purpose\n## Description of the Study\n## Risks\n## Benefits\n## Other Choices\n## Who to talk to about questions","[{\"question\":\"What is the purpose section supposed to communicate to children?\",\"answer\":\"It should explain, in very simple terms, why the research is being done, tailored to the anticipated age group, and clarify that participation is voluntary and requires the child’s agreement.\"},{\"question\":\"When can the IRB waive the requirement to obtain a child’s assent?\",\"answer\":\"Under special circumstances, the IRB may waive assent, typically when an experimental study treatment is likely beneficial and no other acceptable and available alternative treatments exist, but a waiver must be requested and justified to the IRB.\"},{\"question\":\"What wording rules help avoid therapeutic misconception in the assent form?\",\"answer\":\"Do not use “treatment,” “therapy,” or “device” without context; instead use study-specific phrasing (e.g., “research treatment/therapy/device”). Also use “you” rather than “patient” and remove any instructional text before submission.\"}]","Purpose - Child Assent Form Template | DOCX"]