U.S. Department of Health and Human Services
NATIONAL INSTITUTES OF HEALTH NIH News
National Center for Complementary and Alternative Medicine (NCCAM) <
www.nccam.nih.gov>
For Immediate Release: Friday, June 6, 2008

CONTACT: NCCAM Press Office, 301-496-7790, <e-mail:nccampress@mail.nih.gov>

TIME TO TALK ABOUT CAM:
Health Care Providers and Patients Need To Ask and Tell

The National Center for Complementary and Alternative Medicine (NCCAM),
part of the National Institutes of Health (NIH), has launched Time to Talk,
an educational campaign to encourage patients -- particularly those age 50
or older -- and their health care providers to openly discuss the use of
complementary and alternative medicine (CAM). CAM is a group of diverse
medical and health care systems, practices, and products that are not
presently considered to be part of conventional medicine, such as herbal
supplements, meditation, naturopathy, and acupuncture.

According to a national consumer survey conducted by NCCAM and AARP, almost
two-thirds of people age 50 or older are using some form of CAM, yet less
than one-third of these CAM users talk about it with their providers. The
NCCAM/AARP survey revealed some reasons why this doctor-patient dialogue
about CAM does not occur. The most common reasons survey respondents cited
were

-- That the physician never asked
-- They did not know they should discuss CAM
-- There was not enough time during the office visit.

More than one-half of respondents who had talked about CAM with their
physician said they (not their physician) initiated the CAM discussion. The
telephone survey was administered to a nationally representative group of
1,559 people age 50 or older.

"In an era of genomics and personalized medicine, we need to remember that
a key ingredient to good health care is the dialogue you, as a patient,
have with your providers," said Elias A. Zerhouni, M.D., NIH Director. "And
talking about what CAM therapies you use is an important part of that
discussion. This is important for people of all ages."

The Time to Talk campaign is aimed at addressing the need for this dialogue
to help ensure safe, coordinated care among all conventional and CAM
therapies. Talking not only allows integrated care, it also minimizes risks
of interactions with a patient's conventional treatments. When patients
tell their providers about their CAM use, they can more effectively manage
their health. When providers ask their patients about CAM use, they can
ensure that they are fully informed and can help patients make wise health
care decisions.

"As frequent users of CAM, people 50 and older need to understand the
importance of discussing CAM use with their providers to ensure
coordinated, safe care. Simply put, it's time to talk," said Josephine P.
Briggs, M.D., NCCAM Director. "Giving your health care providers a full
picture of what you do to manage your health helps you stay in control."

NCCAM's Time to Talk campaign encourages patients to tell their providers
about CAM use and providers to ask about it by offering tools and resources
-- such as wallet cards, posters, and tip sheets -- all of which are
available for free on the NCCAM Web site <nccam.nih.gov> or can be ordered
from NCCAM's information Clearinghouse (1-888-644-6226). NCCAM is reaching
out to professional associations and consumer organizations to help educate
their members about the importance of this dialogue and the availability of
NCCAM's campaign materials. As the Federal government's lead agency for
scientific research on CAM, NCCAM is committed to educating both consumers
and health care providers about the importance of discussing CAM and
providing evidence-based information to help with health care decision
making.

PATIENT TIPS FOR DISCUSSING CAM WITH PROVIDERS

-- When completing patient history forms, be sure to include all therapies
and treatments you use. Make a list in advance.
-- Tell your health care providers about all therapies or treatments --
including over-the-counter and prescription medicines, as well as herbal
and dietary supplements.
-- Take control. Don't wait for your providers to ask about your CAM use.
-- If you are considering a new CAM therapy, ask your health care providers
about its safety, effectiveness, and possible interactions with medicines
(both prescription and over-the-counter).

PROVIDER TIPS FOR DISCUSSING CAM WITH PATIENTS

-- Include a question about CAM use on medical history forms.
-- Ask your patients to bring a list of all therapies they use, including
prescription, over-the-counter, herbal therapies, and other CAM practices.
-- Have your medical staff initiate the conversation.

For more information on Time to Talk, to order or download materials, or to
read the full NCCAM/AARP report on CAM use communication, please visit
<nccam.nih.gov/timetotalk/>.

The National Center for Complementary and Alternative Medicine's mission is
to explore complementary and alternative medical practices in the context
of rigorous science, train CAM researchers, and disseminate authoritative
information to the public and professionals. For additional information,
call NCCAM's Clearinghouse toll-free at 1-888-644-6226, or visit
<nccam.nih.gov>.

The National Institutes of Health (NIH) -- The Nation's Medical Research
Agency -- includes 27 Institutes and Centers and is a component of the U.S.
Department of Health and Human Services. It is the primary federal agency
for conducting and supporting basic, clinical and translational medical
research, and it investigates the causes, treatments, and cures for both
common and rare diseases. For more information about NIH and its programs,
visit <www.nih.gov>.

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This NIH News Release is available online at:
<www.nih.gov/news/health/...ccam-06.htm>.