Today is 2019-12-08

Validation of a Fertility Status Awareness Tool (FertiSTAT) to Access the Fertility Problem among Hong Kong Chinese
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注册号:

Registration number:

ChiCTR1900021049 

最近更新日期:

Date of Last Refreshed on:

2019-01-26 

注册时间:

Date of Registration:

2019-01-04 

注册号状态:

预注册  

Registration Status:

Prospective registration  

注册题目:

確認中文版生育狀況檢測問卷 

Public title:

Validation of a Fertility Status Awareness Tool (FertiSTAT) to Access the Fertility Problem among Hong Kong Chinese 

注册题目简写:

 

English Acronym:

 

研究课题的正式科学名称:

確認中文版生育狀況檢測問卷 

Scientific title:

Validation of a Fertility Status Awareness Tool (FertiSTAT) to Access the Fertility Problem among Hong Kong Chinese 

研究课题代号(代码):

Study subject ID:

 

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

CUHK_CCRB00652 

申请注册联系人:

Elaine NG 

研究负责人:

CHUNG Pui Wah, Jacqueline 

Applicant:

Elaine NG 

Study leader:

CHUNG Pui Wah, Jacqueline 

申请注册联系人电话:

Applicant telephone:

+852 35052745 

研究负责人电话:

Study leader's telephone:

+852 35052585 

申请注册联系人传真 :

Applicant Fax:

 

研究负责人传真:

Study leader's fax:

 

申请注册联系人电子邮件:

Applicant E-mail:

elaineng@link.cuhk.edu.hk 

研究负责人电子邮件:

Study leader's E-mail:

jacquelinechung@cuhk.edu.hk 

申请单位网址(自愿提供):

Applicant website(voluntary supply):

https://www2.ccrb.cuhk.edu.hk/registry/public/648 

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

https://www2.ccrb.cuhk.edu.hk/registry/public/648 

申请注册联系人通讯地址:

Room 3EF, 3/F, Special Block EF, Prince of Wales Hospital, Sha Tin, New Territories, Hong Kong, China 

研究负责人通讯地址:

Room 3EF, 3/F, Special Block EF, Prince of Wales Hospital, Sha Tin, New Territories, Hong Kong, China 

Applicant address:

Room 3EF, 3/F, Special Block EF, Prince of Wales Hospital, Sha Tin, New Territories, Hong Kong, China 

Study leader's address:

Room 3EF, 3/F, Special Block EF, Prince of Wales Hospital, Sha Tin, New Territories, Hong Kong, China 

申请注册联系人邮政编码:

Applicant postcode:

 

研究负责人邮政编码:

Study leader's postcode:

 

申请人所在单位:

香港中文大學威爾斯親王醫院婦產科學系 

Applicant's institution:

Department of O&G, Prince of Wales Hospital, Chinese University of Hong Kong 

是否获伦理委员会批准:

是 

Approved by ethic committee:

Yes 

伦理委员会批件文号:

Approved No. of ethic committee:

2018.514 

伦理委员会批件附件:

Approved file of Ethical Committee:

批准本研究的伦理委员会名称:

Joint CUHK-NTEC Clinical Research Ethics Committee 

Name of the ethic committee:

Joint CUHK-NTEC Clinical Research Ethics Committee 

伦理委员会批准日期:

Date of approved by ethic committee:

2018-12-22 

伦理委员会联系人:

 

Contact Name of the ethic committee:

 

伦理委员会联系地址:

 

Contact Address of the ethic committee:

 

伦理委员会联系人电话:

Contact phone of the ethic committee:

 

伦理委员会联系人邮箱:

Contact email of the ethic committee:

 

研究实施负责(组长)单位:

香港中文大學威爾斯親王醫院婦產科學系 

Primary sponsor:

Department of O&G, Prince of Wales Hospital, Chinese University of Hong Kong 

研究实施负责(组长)单位地址:

Department of O&G, Prince of Wales Hospital, Chinese University of Hong Kong 

Primary sponsor's address:

Department of O&G, Prince of Wales Hospital, Chinese University of Hong Kong 

试验主办单位(项目批准或申办者):

Secondary sponsor:

经费或物资来源:

Nil 

Source(s) of funding:

Nil 

研究疾病:

生育狀況 

Target disease:

Pregnant and infertile women 

研究疾病代码:

 

Target disease code:

 

研究类型:

干预性研究 

Study type:

Interventional study 

研究所处阶段:

I期临床试验 

Study phase:

研究目的:

確認中文版生育狀況檢測問卷 

Objectives of Study:

Validation of a Fertility Status Awareness Tool (FertiSTAT) to Access the Fertility Problem among Hong Kong Chinese 

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

研究设计:

横断面 

Study design:

Cross-sectional 

纳入标准:

(1) Hong Kong Chinese with Hong Kong Identity Card; (2) aged ≥ 18 years old; (3) able to speak Cantonese; (4) currently pregnant or meeting the clinical criteria for referral for infertility diagnosis; (5) able to give informed verbal consent. 

Inclusion criteria

(1) Hong Kong Chinese with Hong Kong Identity Card; (2) aged ≥ 18 years old; (3) able to speak Cantonese; (4) currently pregnant or meeting the clinical criteria for referral for infertility diagnosis; (5) able to give informed verbal consent. 

排除标准:

1. age above 45 years old; 2. unable to speak Cantonese, neither pregnant nor meeting the clinical criteria for referral for infertility diagnosis; 3. unable to understand and give informed verbal consent for the study. 

Exclusion criteria:

1. age above 45 years old; 2. unable to speak Cantonese, neither pregnant nor meeting the clinical criteria for referral for infertility diagnosis; 3. unable to understand and give informed verbal consent for the study. 

研究实施时间:

Study execute time:

FromTo  

干预措施:

Interventions:

组别:

Case series

样本量:

250

Group:

Case series

Sample size:

干预措施:

Nil

干预措施代码:

Intervention:

Nil

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中國 

省(直辖市):

香港特別行政區 

市(区县):

 

Country:

China 

Province:

Hong Kong SAR 

City:

 

单位(医院):

威爾斯親王醫院 

单位级别:

三级医院 

Institution
hospital:

Prince of Wales Hospital  

Level of the institution:

Tertiary Hospital 

测量指标:

Outcomes:

指标中文名:

Major outcome measure is the validity of the questionnaire among Hong Kong Chinese female.

指标类型:

主要指标 

Outcome:

Major outcome measure is the validity of the questionnaire among Hong Kong Chinese female.

Type:

Primary indicator 

测量时间点:

测量方法:

Associations between these risk factors and current fertility status will be examined by univariate (logistic regression) and multivariate (discriminant) analyses.

Measure time point of outcome:

Measure method:

Associations between these risk factors and current fertility status will be examined by univariate (logistic regression) and multivariate (discriminant) analyses.

采集人体标本:

Collecting sample(s)
from participants:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 45 years

性别:

女性

Gender:

Female

随机方法(请说明由何人用什么方法产生随机序列):

N/A

Randomization Procedure (please state who generates the random number sequence and by what method):

N/A

盲法:

N/A

Blinding:

N/A

试验完成后的统计结果(上传文件):

Calculated Results ater
the Study Completed(upload file):

原始数据公开时间:

The time of sharing IPD:

Real time access

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

未说明

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Not stated

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

未说明

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Not stated

数据管理委员会:

Data Managemen Committee:

有/Yes

注册人:

Name of Registration:

 2019-01-04
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