Microbicide Trials Network

MTN-024/IPM 031 Study Implementation Materials

DescriptionDateSize
Behavioral Materials
Baseline CASI Questionnaire2013-Jul-30209.96 KB
CASI Questionnaire QxQ Guide2013-Dec-17249.18 KB
Exit /Week 12 CASI Visit Questionnaire2013-Jul-30202.38 KB
Follow-Up 4-Week / 8-Week CASI Questionnaire2013-Jul-30139.42 KB
IN-Depth Interview Introductory Checklist2013-Aug-0647.67 KB
Inā€Depth Interview (IDI) Guide2013-Jun-18139.85 KB
Checklists
Eligibility Checklist2013-Aug-12447.41 KB
Enrollment Visit Checklist2013-Sep-2739.88 KB
Pelvic Exam Checklist2014-May-2025.77 KB
Phone Call Visit Checklist2013-Sep-2725.59 KB
Screening Visit Checklist2013-Sep-2739.71 KB
Week 12 Visit Checklist2013-Sep-2735.58 KB
Week 4 and Week 8 Visit Checklist2013-Sep-2735.92 KB
Clinical/Safety/Product Use Management
Baseline Medical History Questions Sheet2013-Jul-1626.41 KB
Follow-up Medical History Log2013-Jul-28105.8 KB
Screening Menstrual History2014-May-1375.42 KB
Study-Approved Lubricant Use Log2013-Jul-1659.5 KB
Counseling Tools/Worksheets
Enrollment Behavioral Eligibility Worksheet2013-Aug-1222.12 KB
HIV Pre/Post Test Counseling Worksheet2013-May-0734.5 KB
HIV/STI Risk Reduction and Male Condom Counseling Worksheet2013-May-0733.5 KB
Protocol Adherence Counseling Worksheet2013-May-0737 KB
Ring Use Adherence Key Messages Worksheet2013-Jul-1673 KB
Screening Behavioral Eligibility Worksheet2013-Aug-1226.53 KB
Vaginal Ring Insertion Instructions2013-Jul-16672.91 KB
Informed Consent Support Materials
Informed Consent Comprehension Assessment True/False Template2013-Dec-3025.98 KB
Informed Consent Comprehension Checklist2013-May-0719.82 KB
Sample Informed Consent Coversheet for MTN-024/IPM 0312013-May-0717.6 KB
Other Tools/Templates
Clinic Study Product Account SOP2013-Sep-3050.48 KB
Clinic Study Product Destruction Log2013-Aug-0725.01 KB
LDMS Specimen Tracking Sheet2014-Feb-11657.01 KB
MTN-024/IPM 031 Financial Disclosure Form2014-Aug-0722 KB
Participant-Specific Clinic Study Product Accountability Log2013-Aug-0729.09 KB
Protocol Safety Review Team Query Form2013-Feb-1562.5 KB
Sample Future Study Contact Permission Log2013-May-1335 KB
Sample Script for Final in-Clinic Visits2013-May-1329.5 KB
Sample Study Exit Worksheet2013-May-1332 KB
Suggested Filing Structure for MTN-024/IPM 031 Essential Documents2013-May-1321 KB
Training Questions2013-Nov-06465.69 KB
Visit Calendar Tool2013-Jul-2317.54 KB