{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T17:05:47Z","timestamp":1774890347735,"version":"3.50.1"},"reference-count":30,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2021,7,10]],"date-time":"2021-07-10T00:00:00Z","timestamp":1625875200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Healthcare"],"abstract":"<jats:p>The assent procedure reflects an effort to enable the minor to understand, to the degree they are capable of, what their participation in the decision making process would involve. Aims: To evaluate the minors\u2019 ability to understand the information provided to them when obtaining assent and to evaluate the opinion of the parents regarding the importance of asking the child\u2019s assent. Methods: The sample included a total of 52 minors aged between 10 and 17 years who underwent exercise echocardiogram. The Quality of Informed Consent is divided into two parts: Part A was used to measure objective understanding and part B to measure subjective understanding. Results: The results show that the minors have a high capacity to understand the information given to them when asking for assent. A positive relationship was found between the two parts of the questionnaire. No statistically significant relationship was found between age and sex and part A and part B or between both age groups (&lt;14 years old and \u226514 years old) and the measure. In the case of the parents, 96.6% of parents consider assent as an advantage for the child\u2019s acceptance of health care. The opinion of the parents is not related to the age, sex or level of schooling. Conclusion: Minors showed a substantial level of understanding regarding the information provided to them. The parents considered the implementation of assent fundamental to the child\u2019s acceptance of health care.<\/jats:p>","DOI":"10.3390\/healthcare9070871","type":"journal-article","created":{"date-parts":[[2021,7,12]],"date-time":"2021-07-12T00:23:36Z","timestamp":1626049416000},"page":"871","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Children\u2019s Understanding of Informed Assents in Research Studies"],"prefix":"10.3390","volume":"9","author":[{"given":"Hortense","family":"Cotrim","sequence":"first","affiliation":[{"name":"Nursing Department, Universidade Atl\u00e2ntica, F\u00e1brica da P\u00f3lvora de Barcarena, 2730-036 Barcarena, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5503-051X","authenticated-orcid":false,"given":"Cristina","family":"Granja","sequence":"additional","affiliation":[{"name":"Anaesthesiology Department, Centro Hospitalar Universit\u00e1rio S\u00e3o Jo\u00e3o, 4200-319 Porto, Portugal"}]},{"given":"Ana Sofia","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Associated Teacher with Aggregation, Institute of Bioethics, University of Portugal, 1649-023 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4802-0831","authenticated-orcid":false,"given":"Carlos","family":"Cotrim","sequence":"additional","affiliation":[{"name":"Cardiology Department, Hospital da Cruz Vermelha, 1549-008 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1862-7066","authenticated-orcid":false,"given":"Rui","family":"Martins","sequence":"additional","affiliation":[{"name":"Centro de Estat\u00edstica e Aplica\u00e7\u00f5es da Universidade de Lisboa (CEAUL), Department of Statistics and Operational Research, Faculdade de Ci\u00eancias, Universidade de Lisboa, 1549-008 Lisboa, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2021,7,10]]},"reference":[{"key":"ref_1","first-page":"34","article-title":"Self-determination, healthcare treatment and minors in Italian clinical practice: Ethical, psychological, juridical, and medical-legal profiles","volume":"89","author":"Ciliberti","year":"2018","journal-title":"Acta Bio-Med. 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