MTN-023/IPM 030 Study Implementation Materials

DescriptionDateSize
Counseling Worksheets
HIV Pre/Post Test Counseling Worksheet (Download) 2015-02-0922.86 KB
HIV/STI Risk Reduction and Male Condom Counseling Worksheet (Download) 2015-02-0938.5 KB
Protocol Adherence Counseling Worksheet (Download) 2015-02-0937 KB
Ring Use Adherence Key Messages Worksheet (Download) 2015-02-0972.5 KB
Vaginal Ring Insertion Instructions (Download) 2014-01-291.19 MB
Other Tools/Templates
ACASI User's Manual (Download) 2015-03-021.72 MB
Baseline Behavioral Assessment (Download) 2014-03-2574 KB
Baseline Medical History Questions Sheet (Download) 2014-04-0226.03 KB
Clinic Study Product Destruction Log (Download) 2014-04-1424.28 KB
Common QCs (Download) 2015-12-29704.1 KB
Eligibility Checklist (Download) 2015-02-0248.51 KB
Enrollment Behavioral Eligibility Worksheet (Download) 2015-02-0221.58 KB
Follow up Behavioral Assessment (Download) 2014-12-0882.5 KB
Follow-up Medical History Log (Download) 2014-04-02106.38 KB
In-Depth Interview (IDI) Guide (Download) 2014-01-3037.32 KB
Informed Consent Comprehension Assessment—Parent/Guardian (True/False Template) (Download) 2015-01-2623.6 KB
Informed Consent Comprehension Checklist (For Parent/Guardian or Participant) (Download) 2015-01-2622.44 KB
Informed Consent/Assent Comprehension Assessment--Participant (True/False Template) (Download) 2015-01-2623.72 KB
Introduction to iDataFax (Download) 2015-09-041.5 MB
Introduction to In Depth Interviews (Download) 2014-01-3022.42 KB
LDMS Specimen Tracking Sheet (Download) 2014-01-28116 KB
MTN-023 Screening and Enrollment Log (Download) 2014-03-1420.94 KB
MTN-023/IPM 030 Financial Disclosure Form (Download) 2014-08-0722.05 KB
MTN-023/IPM 030 Financial Disclosure Form - Protocol Chair (Download) 2014-08-0721.97 KB
Participant-Specific Clinic Study Product Accountability Log (Download) 2014-01-3029.18 KB
Protocol Safety Review Team Query Form (Download) 2014-03-2462.5 KB
Sample Informed Consent Coversheet (Download) 2014-02-1221.99 KB
Screening Behavioral Eligibility Worksheet (Download) 2015-02-2023.24 KB
Study Publications Plan (Download) 2016-05-2563.04 KB
Suggested Filing Structure for MTN-023/IPM 030 Essential Documents (Download) 2014-06-2318.86 KB
Tanner Staging Assessment (Download) 2014-05-2076.73 KB
Text Message Schedule & Content (Download) 2015-01-21208.91 KB
Visit Calendar Tool for Protocol Version 2.0 (Download) 2015-02-2318.12 KB
Visit Checklists
01. Screening Visit Checklist (Download) 2015-02-0991 KB
02. Enrollment Visit Checklist (Download) 2015-02-09110.5 KB
03. 2-Week Visit Checklist (Download) 2015-02-0991.5 KB
04. Week 4 (Visit 5.0) Follow-Up Visit Checklist (Download) 2015-02-0995 KB
05. Week 8 (Visit 6.0), Week 16 (Visit 9.0), and Week 20 (Visit 10.0) Follow-Up Visit Checklist (Download) 2015-02-0995.5 KB
06. 12-Week Visit Checklist (Download) 2015-02-09101.5 KB
07. 24-Week Visit/Early Termination Checklist (Download) 2015-02-0995 KB
08. Follow-up Phone Calls Checklist (Download) 2015-02-0973 KB
09. Pelvic Exam Checklist (Download) 2015-02-0984.5 KB

Source URL: https://mtnstopshiv.org/research/studies/mtn-023ipm-030/mtn-023ipm-030-study-implementation-materials