Cams listen in adult
People with multiple chronic conditions face health care burdens because of the complexity of coordinating disease management, including treatment by medical professionals and self-care (3).
This paper describes the data repository for the Cambridge Centre for Ageing and Neuroscience (Cam-CAN) initial study cohort.It was conservatively assumed that any missing value for a single condition would be recoded as a “no” response.The composite variable was categorized into 3 levels: none, 1, and 2 or more of the 13 selected chronic conditions.CAM therapies refer to a number of approaches not part of mainstream conventional medicine, used either in complement with or in lieu of standard medical treatments (15).Studies to date suggest that people with chronic conditions are more likely to use CAM, and people with additional conditions have an increased likelihood of overall CAM use (5,7,8,9,11,16–18).The NHIS contains dichotomous (yes/no) information on use of 20 different CAM therapies: body-based therapies including chiropractic or osteopathic manipulation, massage, acupuncture, and movement therapy; mind–body therapies including yoga, tai chi, qi gong, energy healing therapy, hypnosis, and biofeedback; alternative therapies including Ayurvedic medicine, chelation therapy, craniosacral therapy, homeopathy, naturopathy, and traditional healing; dietary supplements including vitamins, minerals, multivitamin or multimineral, and other nonvitamin or herbal therapies; and special diets.
Energy healing therapy, biofeedback, hypnosis, yoga, tai chi, qi gong, and mind–body therapies such as guided relaxation were collapsed into one mind–body therapy variable because they are similar behavioral CAM therapies.
The number of chronic conditions was calculated by using the list developed by the Multiple Chronic Conditions Working Group (4).
Of the 20 chronic conditions listed by the working group, 13 conditions were ascertained in the NHIS 2012 interview (4,20).
To our knowledge, no studies have examined specific CAM therapy use with comorbid conditions.
Studies examining comorbid conditions and CAM use have collapsed CAM into any use versus no use, whereas in reality, CAM therapies represent a heterogeneous group of behaviors that differ in type, usage, and bodies of evidence on efficacy.
The chronic condition variables selected from the 2012 data set were those that best reflected the definition of a chronic condition (4).