National Center for Complementary and Integrative Health (NCCIH)

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Time to Talk

Ask Your Patients About Their Use of Complementary Health Practices

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In a nationwide Government survey, nearly 40 percent of all adults age 18 or older reported using some type of complementary health practice, and people age 50 to 59 were among the most likely to report use. According to a survey of people age 50 or older, 58 percent of those who reported using complementary health practices said that they have discussed them with a health care provider.*

* Survey by AARP and NCCIH (known at the time of the survey as the National Center for Complementary and Alternative Medicine, or NCCAM)

What are complementary health practices?

Complementary health practices are a group of diverse medical and health care systems, practices, and products whose origins come from outside of mainstream medicine. They include such products and practices as herbal supplements, meditation, chiropractic manipulation, and acupuncture.


Physicians talking.

Why should I ask my patients about their use of complementary health practices?

  • Most patients do not proactively disclose use to their physicians.
  • Patients with chronic and acute medical conditions—including cancer, diabetes, back pain, and depression—turn to complementary health practices in large numbers.**
  • As more patients use these practices, you need a full picture of all conventional and complementary practices they are using so that you can effectively manage their care.
** Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. CDC National Health Statistics Report #12. 2008.


How can I find the time to discuss complementary health practices with my patients?

  • Include a question about use of complementary health practices 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 complementary health practices.
  • Have your nurse, nurse practitioner, or physician assistant initiate the conversation.


With so little information available about most complementary health practices, what can I tell my patients?

  • You can refer your patients to credible, Federal resources to get evidence-based information and patient education materials. You do not need to know everything about complementary health practices.
  • Rigorous scientific research on complementary health practices is taking place at major academic and medical institutions throughout the United States.

Federal Resources for Providers

National Center for Complementary and Integrative Health:

NCCIH Clinical Digest:

Online Continuing Education Series
Video lectures available for CME/CEU credits:

Resources for Patients

National Center for Complementary and Integrative Health:
Toll-free clearinghouse: 1-888-644-6226

NCCIH Time to Talk Tips:

Medline Plus:


This publication is not copyrighted and is in the public domain. Duplication is encouraged.

NCCIH has provided this material for your information. It is not intended to substitute for the medical expertise and advice of your primary health care provider. We encourage you to discuss any decisions about treatment or care with your health care provider. The mention of any product, service, or therapy is not an endorsement by NCCIH.
NCCAM Publication No.: