MTN-013/IPM 026 Study Implementation Materials

DescriptionDateSize
Behavioral Measures
CASI Questionnaire Question by Question (QxQ) Instructions (Download) 2011-09-02156.05 KB
Semi-Structured File Log (Download) 2012-03-2626 KB
Semi-Structured Interview (Download) 2012-03-2656.5 KB
Site Implementation Tools
Baseline Medical History Questions (Download) 2011-07-1168 KB
Baseline Pregnancy/Contraceptive History (Download) 2011-07-1155.5 KB
Baseline/Follow-up Medical History Overview (Download) 2011-07-1136.01 KB
Calculated Creatinine Clearance Worksheet - mg/dL convert (Download) 2011-07-2039.5 KB
Calculated Creatinine Clearance Worksheet - umoI/L Convert (Download) 2011-07-2050.5 KB
Counseling Checklists (Download) 2011-09-0156 KB
Eligibility Checklist, LoA#1 (Download) 2011-12-1997.57 KB
Eligibility Checklist, Version 1.0 (Download) 2011-06-1196.03 KB
Frequently Asked Questions (Download) 2012-05-24326.84 KB
Informed Consent Checklist (Download) 2011-07-2068.5 KB
Informed Consent Coversheet (Download) 2011-07-2040 KB
Medical History Log (Download) 2011-07-1153.5 KB
Menstrual History (Download) 2011-08-1047 KB
PK Timepoint Calculator (Download) 2012-01-2429 KB
Protocol Safety Review Team Query Form (Download) 2011-09-0136 KB
Ring Use Log (Download) 2011-09-0146 KB
Screening & Enrollment Log (Download) 2011-11-0169 KB
Visit Calendar Tool - Calculation of Last Possible Day to Enroll (Download) 2011-08-1846.5 KB
Visit Checklists
01: Screening Visit Checklist (Download) 2011-12-1981 KB
02: Enrollment Visit Checklist (Download) 2011-11-14109.5 KB
03: Follow-up Visit Checklist, Days 1, 2, 3, 5, 7, 14, 21 (Download) 2011-11-1468.5 KB
04: Follow-up Visit Checklist, Day 28, Ring Removal (Download) 2011-11-1473 KB
05: Follow-up Visit Checklist, Days 29 & 30 (Download) 2011-09-0259 KB
06: Follow-up Visit Checklist, Days 31, 35 & 42 (Download) 2011-11-1466 KB
07: Follow-up Visit Checklist, Day 52, Final Visit/Early Termination (Download) 2011-11-1466 KB
08: Pelvic Exam Checklists (Download) 2012-04-1332.76 KB
09: Interim Visit Checklist (Download) 2011-07-2757.5 KB

Source URL: https://www.mtnstopshiv.org/research/studies/mtn-013ipm-026/mtn-013ipm-026-study-implementation-materials