Forms Instruction The CRF is completed at enrollment and follow up visits. The Sociodemographic Update same form is used for male and female partner participants. Item-specific Instructions: Screening ID Screening IDs will be assigned from the site list and are unique to the individual. They are numeric and should be assigned sequentially. The Index Screening ID is assigned to the HIV-positive participant, and the Partner Screening ID is assigned to the HIV-negative participant. Participant ID Participant IDs are assigned from a list provided by the PROJECT. They are assigned once eligibility has been determined and the subject has been enrolled. The Participant ID should be left blank until the eligibility status of the participant is known. If eligible, the Participant ID should be entered and initialed and dated (if being added on a different date). If the participant is not eligible, then the Participant ID should be left blank. Item 1 If participant has not moved house, mark If participant has moved ‘0’. house, please update the participant locator form Item 2 If a television is owned by the household, mark “yes.” If a cell phone is owned by the household, mark Item 3 “yes.” Item 4 This question examines the type of work responsible for the majority of income for the household. If possible, try to use one of the defined categories rather than “other.” Item 5-6 This question applies to the trip from home to facility (one way trip). Item 7 Transport costs only refer to the amount of money spent to the trip from home to the facility (one way trip), not to the return trip.
Forms Instruction The Sociodemographic Update CRF is completed at enrollment and follow up visits. The same form is used for male and female partner participants. Item-specific Instructions: Screening ID Screening IDs will be assigned from the site list and are unique to the individual. They are numeric and should be assigned sequentially. The Index Screening ID is assigned to the HIV-positive participant, and the Partner Screening ID is assigned to the HIV-negative participant. Participant ID Participant IDs are assigned from a list provided by the PROJECT. They are assigned once eligibility has been determined and the subject has been enrolled. The Participant ID should be left blank until the eligibility status of the participant is known. If eligible, the Participant ID should be entered and initialed and dated (if being added on a different date). If the participant is not eligible, then the Participant ID should be left blank. Item 1 If participant has not moved house, mark ‘0’. If participant has moved house, please update the participant locator form Item 2 If a television is owned by the household, mark “yes.” Item 3 If a cell phone is owned by the household, mark “yes.” Item 4 This question examines the type of work responsible for the majority of income for the household. If possible, try to use one of the defined categories rather than “other.” Item 5-6 This question applies to the trip from home to facility (one way trip). Item 7 Transport costs only refer to the amount of money spent to the trip from home to the facility (one way trip), not to the return trip.
CRF_Sociodemographic.docx