Microbicide Trials Network

MTN-003 Study Implementation Materials

DescriptionDateSize
ACASI Training Scripts
ACASI Audio Training Script Instructions (BEMBA)2009-Nov-1134.5 KB
ACASI Audio Training Script Instructions (NYANJA)2009-Nov-1133.54 KB
ACASI Audio Training Script Instructions (SHONA)2009-Sep-2929.8 KB
ACASI Audio Training Script Instructions (ZULU)2009-Sep-2135.81 KB
Informed Consent Support Materials
Circumcision Fact Sheet2009-Jun-30316.18 KB
Community Fact Sheet2009-Jun-30251.69 KB
Condoms Fact Sheet2009-Jun-30277.05 KB
English Booklet South Africa and Uganda2009-Jan-084.52 MB
English Booklet Zambia2009-Feb-234.28 MB
English Booklet Zimbabwe2009-Jan-084.2 MB
Gel Use Instructions2009-Jun-30466 KB
Male Partner Fact Sheet2009-Jun-30370.98 KB
Participant Fact Sheet2009-Jun-30269.13 KB
Resistance Fact Sheet2009-Jun-30155.19 KB
Table-Top Flip Chart2009-Jun-305.44 MB
Tablet Use Instructions2009-Jun-30612.78 KB
Other Materials
Combined MTN-003 and MTN-003B Visit Scheduling Tool2010-Feb-1971 KB
Creatinine Clearance Worksheet Convert2010-Feb-1644.5 KB
Creatinine Clearance Worksheet No Convert2010-Feb-1635.5 KB
CRF Request Form2009-Dec-3035.75 KB
Enrollment Adherence Counseling2009-Aug-0673 KB
Enrollment Informed Consent Comprehension Checklist2009-May-0550.5 KB
Follow-up Adherence Counseling Worksheet, P 1 of 32009-Aug-0673 KB
Follow-up Adherence Counseling Worksheet, P 2 of 3, All of the Time2009-Aug-0673 KB
Follow-up Adherence Counseling Worksheet, P 2 of 3, Most or Some of the Time2009-Aug-0673.5 KB
Follow-up Adherence Counseling Worksheet, P 2 of 3, Not at All2009-Aug-0673 KB
Follow-up Adherence Counseling Worksheet, P 3 of 32009-Aug-0666 KB
MTN-003 Financial Disclosure Form2009-Sep-1571 KB
MTN-003 Visit Scheduling Tool2010-Feb-1946 KB
Product Ordering Tool2010-Jan-2921 KB
Protocol Safety Team Review Query Form2009-Nov-0352 KB
Safety Line Call Record2009-Sep-0831.5 KB
Sample Adverse Event Tracking Log2009-Aug-0642.5 KB
Sample Informed Consent Cover Sheet2009-May-0571 KB
Sample Pregnancy Management Worksheet2009-Aug-0675 KB
Sample Safety Monitoring Flow Sheets2009-Nov-24243.5 KB
Visit Checklists
01: Screening, Part 12009-Aug-0692 KB
02: Between Screening Part 1 and Screening Part 2 Worksheet2009-Aug-0659.5 KB
03: Screening, Part 22009-Aug-0686 KB
04: Screening, Pelvic Exam2009-Aug-0667 KB
05: Between Screening Part 2 and Enrollment Worksheet2009-Aug-0664 KB
06: Enrollment2009-Aug-06126.5 KB
07: Month 1 Visit2009-Aug-06111 KB
08: Monthly Visit2009-Aug-06106.5 KB
09: Quarterly Visit2009-Aug-08114 KB
10: Follow-up Pelvic Exam2009-Aug-0664 KB