Please select the eligibility criteria that correspond to the clinical trial below.
Title: Evaluation of Web-Based CBT for Women Veterans With PTSD
Brief Summary: The purpose of this study is to evaluate an online PTSD intervention that was adapted for women Veterans, called DElivery of Self TRaining and Education for Stressful Situations-Women Veterans version (DESTRESS-WV). The intervention consists of structured online sessions as well as weekly brief phone calls for additional support with a study coach. Women Veterans with PTSD who are eligible will be randomized to receive either DESTRESS-WV or phone monitoring only for 8 weeks. Participants will be assessed immediately post-treatment as well as at 12 and 24 weeks post-treatment. Investigators hypothesize that participants randomly assigned to DESTRESS-WV will have a greater decrease in severity of PTSD symptoms compared to those randomly assigned to phone monitoring only.


Options:
A: Inclusion Criteria:

* The patient is at least 70 years of age.
* The patient must answer 'yes' to one or more of the following questions:
* Have you fallen and hurt yourself in the past year?
* Have you fallen 2 or more times in the past year?
* Are you afraid that you might fall because of balance or walking problems?

Exclusion Criteria:

* The patient is enrolled in hospice.
* The patient resides in a nursing home.
* The patient is not capable of providing informed consent (or assent), and a proxy is not available.
* The patient does not speak English or Spanish
B: Inclusion Criteria:

* age 18 or older
* female
* Veteran of the US military
* current PTSD
* reports routine access to computer and Internet
* willing to provide at least one collateral contact
* willing to allow investigators to leave phone messages pertaining to the study
* willing to be audio-taped during assessments and study coach calls

Exclusion Criteria:

* actively engaged in individual therapy in the past two months, or receiving couple's or group therapy in the past two months that focuses on PTSD
* scheduled to receive a future individual therapy appointment or future couples' or group therapy appointment focused on PTSD at a frequency of once per month or more
* active suicidal or violent ideation within the past two months or on the VA "high risk" list for imminent danger to self or others
* moderate or extreme substance use disorder in the past year
* acute psychosis, psychotic episode, or psychotic disorder diagnosis within the past year
* unstable administration schedule or dosing of any antidepressant, anxiolytic, or sedative-hypnotic
C: Inclusion Criteria:

* Referred by a primary care providers in a participating primary care clinic.
* Deployed to either Operation Iraqi Freedom or Enduring Freedom.
* War-related trauma while deployed (may include military sexual trauma).
* Current PTSD as addressed by the CAPS interview.
* Reports routine access to computer, internet, and email.
* Successfully uses Internet to coordinate baseline assessment appointment.
* Provides research informed consent using local IRB-approved form.
* Plans continued care at the enrolling primary care clinic for at least 4 months.

Exclusion Criteria:

* Actively engaged in specialty mental health care in the previous two months.
* Failed specialty mental health treatment for PTSD or associated condition.
* Acute psychosis, psychotic episode, or psychotic disorder diagnosis within the past two years.
* Active substance dependence disorder in the past year.
* Active suicidal or violent ideation within the past two months.
* Currently on an antipsychotic or mood-stabilizing agent.
* Unstable administration schedule or dosing of any antidepressant, anxiolytic, or sedative-hypnotic (i.e., will exclude for any related medication changes in the two-months prior to randomization).
* Acute or unstable physical illness.
D: Inclusion Criteria:

* Aged 70 years or over
* At least some concerns about falling
* At least some associated avoidance of activity
* Fair or poor perceived general health
* Living independently in the community
* Written informed consent

Exclusion Criteria:

* Cognitive impairment (a score of less than 4 on the Abbreviated Mental Test 4)
* Language or hearing problems that impede completing an interview by telephone
* Sight problems that impede completing the intervention
* Confinement to bed
* Waiting for nursing home admission
* Permanent use of a wheelchair

Answer: B