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For children ages 7-12, the researchers created a wordsearch puzzle using words that were age-appropriate and related to the assent process (such as participate and study). It was introduced to children in the hospital setting as a game. Children were assured it was not a test. The researcher spent time building rapport and determining the child’s communication level. Once a child found a word s/he was asked to define it. If the child could not, they would be given a description. At the end, the children were asked if they wanted to participate in the study. if they assented, they signed¬† form. They were also asked to choose a physical action or verbal cue to indicate they wanted to withdraw. They were coached to make sure they were confident in using it.

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