“…As YPAR projects aim to include youth as equal participants, the consent process may be muddled as researchers move away from a protectionist viewpoint to working as cooperative partners (Balakrishnan & Cornforth, 2013;Khanlou & Peter, 2005). While most articles in the review refer to consent, eight articles specifically contend that the consent process needs to be iterative and ongoing with researchers being continuously reflexive and checking in with participants' understanding frequently (Balakrishnan & Cornforth, 2013;Fargas-Malet et al, 2010;Gombert, Douglas, McArdle, & Carlisle, 2016;Houghton, 2015;Kia-Keating et al, 2017;Khanlou & Peter, 2005;Petrie et al, 2006;Ritterbusch, 2012). In this vein, it is important that the youth participants understand not only the research project but also the nature of ongoing consent; consent and decisions about involvement needs to be an ongoing process rather than a one-time agreement at the beginning of a study (Petrie et al, 2006;Ritterbusch, 2012).…”