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Susan Murray smurray@torontopubliclibrary Consumer Health Information Service

Diversity in Collection Development: Complementary and Alternative Medicine (CAM) Resources or CAM – the New Frontier. Susan Murray smurray@torontopubliclibrary.ca Consumer Health Information Service Toronto Reference Library MLA, May 17, 2005. CAM - Definitions.

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Susan Murray smurray@torontopubliclibrary Consumer Health Information Service

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  1. Diversity in Collection Development: Complementary and Alternative Medicine (CAM) Resources orCAM – the New Frontier Susan Murray smurray@torontopubliclibrary.ca Consumer Health Information Service Toronto Reference Library MLA, May 17, 2005

  2. CAM - Definitions • Alternative medicine - “other,” a type of medicine other than the traditional kind of medicine; independent healing systems outside the realm of western medical theory and practice • Also called complementary medicine or complementary health although this is often used to describe therapies that are used along with mainstream medicine, such as massage therapy • Also called integrative health • MeSH term in 1994, previously therapeutic cults

  3. Short History of Medicine Ihave an earache… 2000 B.C. Here, eat this root. 1000 A.D. That root is heathen, Here, say this prayer. 1850 A.D. That prayer is superstition. Here, drink this potion. 1940 A.D. That potion is snake oil. Here, swallow this pill. 1985 A.D. That pill is ineffective. Here, take this antibiotic. • A.D. That antibiotic is artificial. Here, eat this root. Author Unknown Cited: The Complementary and Alternative Medicine Information Source Book.ed. by Alan Rees. Phoenix: Oryx Press, 2001

  4. CAM Use - U.S. • 36% of American adults used some form of CAM in 2002 – 62% if prayer for health reasons is included • $50 billion spent on CAM in 2002 - Most often used to treat back pain or back problems, joint pain or stiffness, and anxiety or depression • Exceptionally high usage by those with life threatening illnesses, such as cancer or HIV/AIDS • Barnes, PM, Powell-Griner E, McFann K, Nahin, RL. Complementary and alternative medicine use among adults: United States, 2002. Advance data from vital and health statistics, no 343, Hyattsville, Maryland: National Center for Health Statistics. www.cdc.gov/nchs/nhis.htm

  5. What do Users Ask About CAM? Consumers: What is it? How does it work? Is it safe? Does it work? For my condition? Where can I locate practitioners/clinics, etc.? How much does it cost? Health Care Professionals: Is there evidence to support it?

  6. Balanced CAM Collection • Alternative Systems – Ayurvedic Medicine, TCM, herbalism, naturopathy, homeopathy • Biologically-based therapies – vitamins,herbs, dietary supplements • Body-based therapies – massage, chiropractic • Mind-body therapies – meditation, art therapy, hypnosis, imagery, biofeedback • Energy therapies– Qi Gong, therapeutic touch, reiki, magnetic therapy

  7. Challenges in CAM Selection • Very diffuse topic area • Much questionable material – fads, selling of products, untested treatments • More difficult to judge authority of authors, institutions • Concern about choosing resources that are potentially harmful • Difficult to locate specialized publishers • Resources not published, indexed or in English

  8. Licensure Abbreviations • Alternative Medicine Foundation, Inc. Alternative and Complementary Medicine Resource Guide. http:www.amfoundation.org/geninfo.htm http:www.amfoundation.org/geninfo.htm • Gancao.net. Titles, initials, translations. http://gancao.net/Referrals/ref.explain.shtml http://gancao.net/Referrals/ref.explain.shtml • Directory of Hypnotherapy Practitioners. Glossary of qualification abbreviations. http://www.therapypages.com/qualifications.htm http://www.therapypages.com/qualifications.htm • Key to professional titles. In Alternative Medicine: The Definitive Guide. 2d ed.(p. 1113-4). Berkeley, CA: Celestial Arts, 2002

  9. Selection Criteria Primary: • Authority – author, institution, training & experience • Accuracy – type of evidence • Currency – not as important an issue with CAM • Point of view – balance? bias? • Audience level and usefulness • Scope of coverage - contribution to CAM knowledge base Secondary: • Organization • Physical format • Cost

  10. Selection of CAM Resources “ In selecting materials, librarians should not be swayed by whether the treatments have been proven effective, but should collect works on both alternative and orthodox medicine so that consumers are given sufficient information to make choices.” Kupferberg, N. Alternative medicine goes mainstream. Library Journal, July 1994:51-55.

  11. Views of Librarians, Medical Students and Physicians About CAM Resources UBC study investigated the personal and professional opinions of librarians, medical students and doctors regarding the availability of CAM for both medical students and the general public • Medical students and doctors rejected any restrictions on the library acquiring or circulating these materials • Librarians were more hesitant about acquiring radical or revolutionary materials that might cause harm Curry, A, Smith, ST. Information on alternative medicine: a collection management issue. Bull Med Libr Assoc 1998;86(1):95-100.

  12. Evolving Area • Growing number of publications from mainstream authors and publishers, particularly academic publishers • Articles in professional medical journals • Evidence-based material • Librarian- produced CAM collection guides and websites

  13. CAM Selection Aids - I • The Complementary and Alternative Medicine Information Source Book.ed. by Alan Rees. Phoenix: Oryx Press, 2001. • includescore list, reviews of 355 popular books, associations/organizations, magazines/newsletters, reviews of 35 professional texts, and 60 Internet sites reviewed by Tom Flemming • Rees’ CHI reviews continued by Majors Scientific Books Report: Alan Rees on Consumer Healthhttps://www.majors.com/marketing/marketsite/indexlib.html

  14. CAM Selection Aids - II • CAPHIS – collection development http://caphis.mlanet.org/resources/index.html http://caphis.mlanet.org/resources/index.html e.g. CHIS healthnavigators • Reviews: Consumer Connections, Library Journal, Choice, Booklist • listservs: CAMLIB-L, CAPHIS, MEDLIB CAMLIB-L majordomo@library.ucsf.edu

  15. CAM Selection Aids- III • Scanning magazines and journals - BMJ, Lancet, NEJM, JAMA • Journal of Consumer Health on the Internet http://www.haworthpress.com/web/JCHI http://www.haworthpress.com/web/JCHI - alternative and complementary therapies column that focuses on an Internet site, a specific diagnosis, or a therapeutic modality: (vol.9(1) 2005 featured Tai Chi • Vendor catalogues: Login, Majors • Dalhousie University.School of Pharmacy. http://pharmacy.dal.ca/druginfo/alterna.htm http://pharmacy.dal.ca/druginfo/alterna.htm • provides links to publishers’ sites for ordering material on general CAM, homeopathy, herbal medicine

  16. CAM Selection Aids –Core Lists • Brandon-Hill Lists discontinued in 2004 - continued by Doody Enterprises http://www.doody.com/dct/ http://www.doody.com/dct/ • Check CHI core lists, such as CAPHIS for CAM books: http://caphis.mlanet.org/resources/index.html

  17. CAM Electronic Resources – Guides and Lists  Rosenthal Centerfor Complementary and Alternative Medicine - directory of CAM databases http://www.rosenthal.hs.columbia.edu/Databases.html http://www.rosenthal.hs.columbia.edu/Databases.html • Bastyr University – online resources bibliography http://www.bastyr.edu/Library/resources/online/default.asp http://www.bastyr.edu/Library/resources/online/default.asp • Complementary Therapies on the Internet. By William Mac Beckner and Brian M. Berman. New York: Churchill Livingstone, 2003. • Guide to Complementary and Alternative Medicineon the Internet. By Lillian R. Brazin. New York: Haworth Information Press, 2003. • The Herbal Internet Companion: Herbs and Herbal Medicine Online. By David Owen. New York: Haworth Information Press, 2002.

  18. CAM Electronic Resources –Selected Website Directories • Alternative medicine : health care information resourceswww-hsl.mcmaster.ca/tomflem/altmed.html www-hsl.mcmaster.ca/tomflem/altmed.html • The Alternative Medicine Homepagewww.pitt.edu/~cbw/altm.htmlwww.pitt.edu/!cbw/altm.html

  19. CAM Electronic Resources –Selected Websites • CAM on PubMedwww.nlm.nih.gov/nccam/camonpubmed.html www.nlm.nih.gov/nccam/camonpubmed.html • Canadian Health Network - Complementary and Alternative Healthwww.canadian-health-network.ca/ www.canadian-health-network.ca/ • MEDLINEplus: Alternative Medicinewww.nlm.nih.gov/medlineplus/alternativemedicine.htmlwww.nlm.nih.gov/medlineplus/alternativemedicine.html • National Center for Complementary and Alternative Medicine (NCCAM)www.nccam.nih.gov/www.nccam.nih.gov/

  20. CAM Courses • Evidence-Based Approach to Complementary and Alternative Medicine - MLA 2005 CE course taught by Stephanie Weldon • How to Find Good Complementary & AlternativeMedicine (CAM) Information on the Web - MLA accredited online course taught by Diane Kovacs http://www.kovacs.com/mlacealt.html

  21. CAM Readings • Curry, Ann. Information on Alternative Medicine: A Collection Management Issue. Bulletin of the Medical Library Association January 1998 86(1):95-100. http://www.pubmedcentral.nih.gov/picrender.fcgi?artid=226331&blobtype=pdf • Owen, David and Fang, Min-Lin. Information-Seeking Behavior in Complementary and Alternative Medicine (CAM): An Online Survey of Faculty at a Health Sciences Campus. Journal of the Medical Library Association July 2003 91(3):311-321. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=164394 • Walji, Muhammed et al. Efficacy of Quality Criteria to Identify Potentially Harmful Information: A Cross-Sectional Survey of Complementary and Alternative Medicine Web Sites. Journal of Medical Internet Research 6(2)article e21. http://www.jmir.org/2004/2/e21/

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