Microbicide Trials Network

MTN-023/IPM 030 Study Implementation Materials

DescriptionDateSize
Counseling Worksheets
HIV Pre/Post Test Counseling Worksheet2015-Feb-0922.86 KB
HIV/STI Risk Reduction and Male Condom Counseling Worksheet2015-Feb-0938.5 KB
Protocol Adherence Counseling Worksheet2015-Feb-0937 KB
Ring Use Adherence Key Messages Worksheet2015-Feb-0972.5 KB
Vaginal Ring Insertion Instructions2014-Jan-291.19 MB
Other Tools/Templates
ACASI User's Manual2015-Mar-021.72 MB
Baseline Behavioral Assessment2014-Mar-2574 KB
Baseline Medical History Questions Sheet2014-Apr-0226.03 KB
Clinic Study Product Destruction Log2014-Apr-1424.28 KB
Common QCs2015-Dec-29704.1 KB
Eligibility Checklist2015-Feb-0248.51 KB
Enrollment Behavioral Eligibility Worksheet2015-Feb-0221.58 KB
Follow up Behavioral Assessment2014-Dec-0882.5 KB
Follow-up Medical History Log2014-Apr-02106.38 KB
In-Depth Interview (IDI) Guide 2014-Jan-3037.32 KB
Informed Consent Comprehension Assessment—Parent/Guardian (True/False Template)2015-Jan-2623.6 KB
Informed Consent Comprehension Checklist (For Parent/Guardian or Participant)2015-Jan-2622.44 KB
Informed Consent/Assent Comprehension Assessment--Participant (True/False Template)2015-Jan-2623.72 KB
Introduction to iDataFax2015-Sep-041.5 MB
Introduction to In Depth Interviews2014-Jan-3022.42 KB
LDMS Specimen Tracking Sheet2014-Jan-28116 KB
MTN-023 Screening and Enrollment Log2014-Mar-1420.94 KB
MTN-023/IPM 030 Financial Disclosure Form2014-Aug-0722.05 KB
MTN-023/IPM 030 Financial Disclosure Form - Protocol Chair2014-Aug-0721.97 KB
Participant-Specific Clinic Study Product Accountability Log2014-Jan-3029.18 KB
Protocol Safety Review Team Query Form2014-Mar-2462.5 KB
Sample Informed Consent Coversheet2014-Feb-1221.99 KB
Screening Behavioral Eligibility Worksheet2015-Feb-2023.24 KB
Study Publications Plan2016-May-2563.04 KB
Suggested Filing Structure for MTN-023/IPM 030 Essential Documents2014-Jun-2318.86 KB
Tanner Staging Assessment2014-May-2076.73 KB
Text Message Schedule & Content2015-Jan-21208.91 KB
Visit Calendar Tool for Protocol Version 2.02015-Feb-2318.12 KB
Visit Checklists
01. Screening Visit Checklist2015-Feb-0991 KB
02. Enrollment Visit Checklist2015-Feb-09110.5 KB
03. 2-Week Visit Checklist2015-Feb-0991.5 KB
04. Week 4 (Visit 5.0) Follow-Up Visit Checklist2015-Feb-0995 KB
05. Week 8 (Visit 6.0), Week 16 (Visit 9.0), and Week 20 (Visit 10.0) Follow-Up Visit Checklist2015-Feb-0995.5 KB
06. 12-Week Visit Checklist2015-Feb-09101.5 KB
07. 24-Week Visit/Early Termination Checklist2015-Feb-0995 KB
08. Follow-up Phone Calls Checklist2015-Feb-0973 KB
09. Pelvic Exam Checklist2015-Feb-0984.5 KB