The obligation to obtain informed consent for student participation in heal
th-related research creates a complex set of legal, ethical, and administra
tive responsibilities because the interests of research integrity are delic
ately balanced against protection of human subjects. Even the term itself s
parks a range of responses responses depending on one's perspective and sta
ke in the process. This paper traces the historical impetus behind obtainin
g informed consent, identifies key elements comprising informed consent, an
d reviews types of consent consent procedures used in schools. The authors
suggest 20 ways to boost response rates while providing a realistic level o
f informed informed consent for school-based studies.