Microbicide Trials Network

MTN-028 Study Implementation Materials

DescriptionDateSize
Clinical
Baseline Medical History Questions Sheet2015-Mar-3133.18 KB
Product Management Flow Charts2015-Jul-14155.54 KB
Protocol Safety Review Team Query Form2015-Jul-1425.4 KB
Counseling
Contraceptive Counseling Worksheet2015-May-2625.5 KB
HIV Pre/Post Test and Risk Reduction Counseling Worksheet2015-May-2627.88 KB
Protocol and Product Adherence Counseling Worksheet2015-May-2634.46 KB
Ring Insertion Instructions2015-Mar-24759.65 KB
Financial Disclosure
Financial Disclosure Training Slides2016-Mar-09365.19 KB
Financial Disclosure/Certification Form2015-Aug-1821.79 KB
Informed Consent
Information Booklet2015-Mar-24289.92 KB
Informed Consent Comprehension Assessment (Multiple Choice)2015-Mar-0525.65 KB
Informed Consent Comprehension Assessment (Open-ended Questions)2015-Mar-0529.37 KB
Informed Consent Coversheet2015-Jan-0726.28 KB
Laboratory Tools/Templates
Avery Label Macro2015-Jun-16278 KB
Calculated Creatinine Clearance Worksheet2015-May-2248 KB
Small Gram Stain Label Macro2015-Jun-16293.5 KB
Other Templates/Tools
Enrollment Behavioral Eligibility Worksheet2015-Feb-2328.66 KB
Participant Visit Calendar Tool2015-May-2619.46 KB
Participant-Specific Clinic Study Product Accountability Log2015-Apr-2325.64 KB
Screening and Enrollment Log2015-Apr-0627.42 KB
Screening Behavioral Eligibility Worksheet2015-Feb-2331.7 KB
Standard Operating Procedure (SOP)2015-Apr-2360.49 KB
Study Close-out Checklist2016-Jan-1334.99 KB
Study Staff Delegation of Duties (DoD) and Signature Key/Staff Roster2015-Apr-0694 KB
Visit Checklists
01: Screening Visit Checklist2015-Apr-1740.12 KB
02: Enrollment Visit Checklist2015-Apr-1742.75 KB
03: Follow Up Visit Checklist (Day 1, 2, 3, 7, 14 and 21)2015-Apr-1739.34 KB
04: Follow Up Visit Checklist (Day 28)2015-Apr-1739.27 KB
05: Follow Up Visit Checklist (Days 29, 30 and 31)2015-Apr-1736.13 KB
06: Final Clinic (Day 35)/Early Termination 2015-Aug-1240.01 KB
Pelvic Exam Checklist2015-Apr-1733.49 KB