El asentimiento informado en pediatría: Competencias de niñas, niños y adolescentes. Revisión exploratoria.

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Title: El asentimiento informado en pediatría: Competencias de niñas, niños y adolescentes. Revisión exploratoria.
Alternate Title: Informed assent in pediatrics: skills of children and adolescents. An exploratory review.
Authors: Mora-Magaña, Ignacio1,2 ignaciomora@yahoo.com, Casas Martínez, Mariya de la Luz1,3, Jiménez Gutiérrez, Carlos1,4, Dobernig Gago, Mariana5
Source: Acta Pediatrica de Mexico. ene-dic2026, Vol. 47 Issue 1, p1-13. 13p.
Subjects: CHILD patients, DECISION making in children, PEDIATRICS, PERFORMANCE in children, CONSENT (Law), INFORMED consent (Law), RESEARCH ethics, COMPETENCY assessment (Law)
Abstract (English): A child is a developing human being, NOT a small adult. Just as they do not have the final height they will reach over the years, they do not have the capacity and autonomy they will achieve in adulthood, and they are persons with the dignity, rights, and principles of human beings. Informed Consent originated in the legal environment in a health-related lawsuit in 1914, while Assent was not considered until 1977. An adult's consent requires their full understanding. Informed Assent also requires that the child be competent to assent. Appelbaum and Grisso's competency approach is analyzed, as well as the results of studies that identify when a child is competent to assent. In conclusion, the advantages and challenges of Assent in research and clinical care are illustrated. In research involving children, a pediatrician and, ideally, a psychologist should always be involved. Informed consent in pediatrics should be understood as a continuous decision-making process centered on a tripartite relationship. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): El niño es un ser humano en desarrollo, NO un adulto pequeño. Así como no tiene la estatura final que alcanzará con los años, tampoco tiene la capacidad y autonomía que logrará en la edad adulta, pero ya es una persona con la dignidad, derechos y principios de los seres humanos. El Consentimiento Informado se originó en el ambiente jurídico por una demanda en tema de salud desde 1914, en tanto que el Asentimiento se empieza a considerar hasta 1977. El Consentimiento de un adulto requiere su cabal comprensión. El Asentimiento informado también, por lo que requerimos que el niño tenga competencias para ello. Se revisa el tema de desarrollo psicológico y moral con los enfoques de Piaget, Kohlberg, Erickson y Gilligan. Se analiza la aproximación de las competencias de Appelbaum y Grisso, así como los resultados de estudios que identifican cuando el niño tiene la competencia para asentir. Como conclusión se ilustran las ventajas y los retos del Asentimiento en investigación y atención clínica. En investigación en niños, siempre debe participar un pediatra e idealmente un/a psicólogo/a. El asentimiento informado en pediatri'a debe entenderse como un proceso continuo de toma de decisiones, centrado en una relacio'n tripartita: Padre o Madre - Medico - Infante. [ABSTRACT FROM AUTHOR]
Copyright of Acta Pediatrica de Mexico is the property of Instituto Nacional de Pediatria (INP) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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Items – Name: Title
  Label: Title
  Group: Ti
  Data: El asentimiento informado en pediatría: Competencias de niñas, niños y adolescentes. Revisión exploratoria.
– Name: TitleAlt
  Label: Alternate Title
  Group: TiAlt
  Data: Informed assent in pediatrics: skills of children and adolescents. An exploratory review.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Mora-Magaña%2C+Ignacio%22">Mora-Magaña, Ignacio</searchLink><relatesTo>1,2</relatesTo><i> ignaciomora@yahoo.com</i><br /><searchLink fieldCode="AR" term="%22Casas+Martínez%2C+Mariya+de+la+Luz%22">Casas Martínez, Mariya de la Luz</searchLink><relatesTo>1,3</relatesTo><br /><searchLink fieldCode="AR" term="%22Jiménez+Gutiérrez%2C+Carlos%22">Jiménez Gutiérrez, Carlos</searchLink><relatesTo>1,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Dobernig+Gago%2C+Mariana%22">Dobernig Gago, Mariana</searchLink><relatesTo>5</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Acta+Pediatrica+de+Mexico%22">Acta Pediatrica de Mexico</searchLink>. ene-dic2026, Vol. 47 Issue 1, p1-13. 13p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22CHILD+patients%22">CHILD patients</searchLink><br /><searchLink fieldCode="DE" term="%22DECISION+making+in+children%22">DECISION making in children</searchLink><br /><searchLink fieldCode="DE" term="%22PEDIATRICS%22">PEDIATRICS</searchLink><br /><searchLink fieldCode="DE" term="%22PERFORMANCE+in+children%22">PERFORMANCE in children</searchLink><br /><searchLink fieldCode="DE" term="%22CONSENT+%28Law%29%22">CONSENT (Law)</searchLink><br /><searchLink fieldCode="DE" term="%22INFORMED+consent+%28Law%29%22">INFORMED consent (Law)</searchLink><br /><searchLink fieldCode="DE" term="%22RESEARCH+ethics%22">RESEARCH ethics</searchLink><br /><searchLink fieldCode="DE" term="%22COMPETENCY+assessment+%28Law%29%22">COMPETENCY assessment (Law)</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: A child is a developing human being, NOT a small adult. Just as they do not have the final height they will reach over the years, they do not have the capacity and autonomy they will achieve in adulthood, and they are persons with the dignity, rights, and principles of human beings. Informed Consent originated in the legal environment in a health-related lawsuit in 1914, while Assent was not considered until 1977. An adult's consent requires their full understanding. Informed Assent also requires that the child be competent to assent. Appelbaum and Grisso's competency approach is analyzed, as well as the results of studies that identify when a child is competent to assent. In conclusion, the advantages and challenges of Assent in research and clinical care are illustrated. In research involving children, a pediatrician and, ideally, a psychologist should always be involved. Informed consent in pediatrics should be understood as a continuous decision-making process centered on a tripartite relationship. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: El niño es un ser humano en desarrollo, NO un adulto pequeño. Así como no tiene la estatura final que alcanzará con los años, tampoco tiene la capacidad y autonomía que logrará en la edad adulta, pero ya es una persona con la dignidad, derechos y principios de los seres humanos. El Consentimiento Informado se originó en el ambiente jurídico por una demanda en tema de salud desde 1914, en tanto que el Asentimiento se empieza a considerar hasta 1977. El Consentimiento de un adulto requiere su cabal comprensión. El Asentimiento informado también, por lo que requerimos que el niño tenga competencias para ello. Se revisa el tema de desarrollo psicológico y moral con los enfoques de Piaget, Kohlberg, Erickson y Gilligan. Se analiza la aproximación de las competencias de Appelbaum y Grisso, así como los resultados de estudios que identifican cuando el niño tiene la competencia para asentir. Como conclusión se ilustran las ventajas y los retos del Asentimiento en investigación y atención clínica. En investigación en niños, siempre debe participar un pediatra e idealmente un/a psicólogo/a. El asentimiento informado en pediatri'a debe entenderse como un proceso continuo de toma de decisiones, centrado en una relacio'n tripartita: Padre o Madre - Medico - Infante. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Acta Pediatrica de Mexico is the property of Instituto Nacional de Pediatria (INP) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
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        Value: 10.18233/apm.v47i1.3141
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      – Code: spa
        Text: Spanish
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        PageCount: 13
        StartPage: 1
    Subjects:
      – SubjectFull: CHILD patients
        Type: general
      – SubjectFull: DECISION making in children
        Type: general
      – SubjectFull: PEDIATRICS
        Type: general
      – SubjectFull: PERFORMANCE in children
        Type: general
      – SubjectFull: CONSENT (Law)
        Type: general
      – SubjectFull: INFORMED consent (Law)
        Type: general
      – SubjectFull: RESEARCH ethics
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      – SubjectFull: COMPETENCY assessment (Law)
        Type: general
    Titles:
      – TitleFull: El asentimiento informado en pediatría: Competencias de niñas, niños y adolescentes. Revisión exploratoria.
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              Text: ene-dic2026
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              Y: 2026
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