What is an accurate statement about assent in pediatric consent?

• A. Minors require parental consent with assent from the child when possible; involve both parent and child; privacy protections.
• B. Children should never be asked for assent.
• C. Assent from the child is sufficient alone; parental consent not required.
• D. Assent replaces parental consent in all cases.

Answer: (A)

Assent in pediatrics centers on involving the child in decisions about their care in an age- and developmentally appropriate way, while parental permission remains legally required. The best practice is to obtain parental consent and, when possible, also obtain the child’s assent by explaining what will happen, what choices exist, and any risks in language the child can understand. Involving both the parent and the child helps ensure the plan respects the child’s developing autonomy and supports trust and understanding for everyone involved. Privacy protections are part of this process, ensuring the child’s health information is handled confidentially and appropriately given their age and maturity. Assent complements but does not replace parental consent, and while some jurisdictions recognize additional rights for older or more mature minors, relying solely on assent would not be correct in most cases.