Donna Shelley
Donna Shelley
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Professor of Public Health Policy and Management
Co-Director of the Global Center for Implementation Science
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Professional overview
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Dr. Shelley is a tenured Professor in the Department of Public Health Policy and Management and the founding Co-Director of the Global Center for Implementation Science at the NYU School of Global Public Health. She conducts translational, population-based, and policy-relevant research that aims to accelerate dissemination and implementation of tobacco use treatment in safety net health care delivery systems and implementation of tobacco control policies. This research has been funded by the National Cancer Institute (NCI), National Institute of Drug Abuse, National Heart, Lung, and Blood Institute, the Agency for Healthcare Research and Quality, and the New York State Department of Health.
Dr. Shelley’s implementation research focuses on building the evidence for effective theory-driven strategies that target barriers to implementation and sustainability of evidence-based tobacco use treatment in primary care settings in the U.S. and Viet Nam. Her research is also addressing the growing dual burden of noncommunicable and communicable diseases in LMICs and, specifically, the health impact on people living with HIV/AIDS. Her policy research includes a completed NCI-funded study that evaluated the impact of the US federally mandated smoke-free public housing policy on exposure to secondhand smoke and explored the implementation process to identify strategies with the potential to improve the process and maximize public health impact.
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Education
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BS, University of Pennsylvania, PAMD, Mount Sinai School of Medicine, NYMPH, Health Policy and Management, Columbia University's Mailman School of Public Health, NY
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Areas of research and study
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Health Systems StrengtheningImplementation scienceTobacco CessationTobacco Policy
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Current Research
- Policy
Purtle J, Moucheraud C, Yang LH, Shelley D. Four very basic ways to think about policy in implementation science. Implement Sci Commun. 2023 Sep 12;4(1):11
Shelley D. Kyriakas C, McNeill A, Murray R, Nilan K, Sherman SE, Raw M. Challenges to implementing the WHO Framework Convention on Tobacco Control guidelines on tobacco cessation treatment: a qualitative analysis. Addiction. 2020;115:527-533
Thorpe L, Anastasiou E, Wyka K, Tovar A, Gill E, Rule A, Elbel B, Kaplan SA, Jiang N, Gordon T, Shelley D. Evaluation of Secondhand Smoke Exposure in New York City Public Housing After Implementation of the 2018 Federal Smoke-Free Housing Policy. JAMA Netw Open. 2020 Nov 2;3(11):e2024385
Tobacco cessationHoang THL … Shelley D. Factors Influencing Tobacco Smoking and Cessation Among People Living with HIV: A Systematic Review and Meta‑analysis. AIDS and Behavior. 2024 https://doi.org/10.1007/s10461-024-04279-1
Shelley et al. WHO Knowledge Summary: Tobacco and HIV https://iris.who.int/bitstream/handle/10665/378509/9789240096868-eng.pdf
Ostroff JS, Shelley DR, Chichester LA, King JC, Li Y, Schofield E, Ciupek A, Criswell A, Acharya R, Banerjee SC, Elkin EB, Lynch K, Weiner BJ, Orlow I, Martin CM, Chan SV, Frederico V, Camille P, Holland S, Kenney J. Study protocol of a multiphase optimization strategy trial (MOST) for delivery of smoking cessation treatment in lung cancer screening settings. Trials. 2022 Aug 17;23(1):664.
Health systems improvement and Implementation ScienceNwaozuru U, Murphy P, Richard A, …Shelley D, Airhihenbuwa C, Ogedegbe G, Ezechi O, Iwelunmor J. The sustainability of health interventions implemented in Africa: an updated systematic review on evidence and future research perspectives. Implement Sci Commun. 2025 Apr 8;6(1):39. https://pmc.ncbi.nlm.nih.gov/articles/PMC11980204/
Gaeta Gazzola M, Torsiglieri A, Velez L, Blaufarb S, Hernandez P, O'Grady MA, Blackburn J, Florick J, Cleland CM, Shelley D, Doran KM A community-academic partnership to develop an implementation support package for overdose prevention in permanent supportive housing. J Subst Use Addict Treat. 2025 Jan;168:209533. doi: 10.1016/j.josat.2024.209533. Epub 2024 Oct 9.PMID: 39389548
Kilbourne AM, Geng E, Eshun-Wilson I, Sweeney S, Shelley D, Cohen DJ, Kirchner JE, Fernandez ME, Parchman ML. How does facilitation in healthcare work? Using mechanism mapping to illuminate the black box of a meta-implementation strategy. Implement Sci Commun. 2023 May 16;4(1):53.
Parascandola M, Neta G, Salloum RG, Shelley D, Rositch AF.JCO Glob Oncol. Role of Local Evidence in Transferring Evidence-Based Interventions to Low- and Middle-Income Country Settings: Application to Global Cancer Prevention and Control.2022 Aug;8:e2200054.
Shelley D, Alvarez GG, Nguyen T, Nguyen N, Goldsamt L, Cleland C, Tozan Y, Shuter J, Armstrong-Hough M. Adapting a tobacco cessation treatment intervention and implementation strategies to enhance implementation effectiveness and clinical outcomes in the context of HIV care in Vietnam: a case study. Implement Sci Commun. 2022 Oct 17;3(1):112.
Shelley D, Wang VH, Taylor K, Williams R, Toll B, Rojewski A, Foley KL, Rigotti N, Ostroff JS. Accelerating integration of tobacco use treatment in the context of lung cancer screening: Relevance and application of implementation science to achieving policy and practice. Transl Behav Med. 2022 Nov 21;12(11):1076-1083.
Shelley D, Cleland CM, Nguyen T, VanDevanter N, Siman N, Van Minh H, Nguyen N. Nicotine Tob Res. Effectiveness of a Multicomponent Strategy for Implementing Guidelines for Treating Tobacco Use in Vietnam Commune Health Centers 2022 Feb 1;24(2):196-203.
Hennein R, Ggita J, Ssuna B, Shelley D, Akiteng AR, Davis JL, Katamba A, Armstrong-Hough M. Implementation, interrupted: Identifying and leveraging factors that sustain after a programme interruption. Glob Public Health. 2022 Aug-Sep;17(9):1868-1882
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Publications
Publications
"The Agenda of the People": A Multisector Partnership for COVID-19 Mitigation in New York City
AbstractShelley, D., Rhodes-Bratton, B., Goodman, M., Williams, N. J., Shelley, D., Gill, E., Anastasiou, E., Reiss, J., Punter, M. A., Wallach, A., & Thorpe, L. E. (n.d.).Publication year
2026Journal title
American journal of public healthVolume
116Issue
4Page(s)
431-436AbstractWe evaluated the effectiveness of a community research partnership focused on improving severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) testing for New York City residents during the pandemic. We employed interviews, a focus group, and a survey to evaluate partnership characteristics, engagement, and future collaboration. Qualitative analysis revealed five core themes: committee identity, collective goals, information sharing, adaptability, and trust. The findings highlight the importance of flexibility, shared goals, diverse representation, open communication, and trust in effective multisector community health partnerships. ( 2026;116(4):431-436. https://doi.org/10.2105/AJPH.2025.308358).Contextualizing Evidence-Based Tobacco Cessation Treatment for Low- and Middle-Income Countries.
AbstractShelley, D., Rigotti, N., Murthy, P., Hoang, V. M., & Siddiqi, K. (n.d.).Publication year
2026Abstract~Effectiveness of behavioural tobacco cessation interventions with and without pharmacotherapy among people living with HIV in Viet Nam: a three-arm pragmatic randomised controlled trial
AbstractShelley, D., Shelley, D., Armstrong-Hough, M., Nguyen, T., Alvarez, G. G. G., Kapur, R., Shuter, J., Goldsamt, L., Tozan, Y., Van Minh, H., Van Vu, G., Phan, P. T. T., Cleland, C. M., & Nguyen, N. (n.d.).Publication year
2026Journal title
The Lancet. Global healthVolume
14Issue
3Page(s)
e407-e416AbstractPeople living with HIV are two to three times more likely to smoke than the general population, resulting in higher risk for tobacco-related morbidity and mortality. Despite this growing burden of disease, there is little evidence for the long-term effectiveness of tobacco cessation interventions among people living with HIV, particularly in low-income and middle-income countries. We aimed to compare the effectiveness of three tobacco cessation interventions among people living with HIV.Effectiveness of behavioural tobacco cessation interventions with and without pharmacotherapy among people living with HIV in Viet Nam: a three-arm pragmatic randomised controlled trial.
AbstractShelley, D. (n.d.).Publication year
2026Abstract~mHealth Smoking Cessation Treatment for People With Tuberculosis: Time to Move From Exploration to Implementation
AbstractShelley, D., Shuter, J., Reddy, K. P., & Shelley, D. (n.d.).Publication year
2026Journal title
JAMAVolume
335Issue
4Page(s)
314-316Abstract~Multilevel barriers and facilitators to smoking cessation among men living with HIV in Vietnam: a qualitative study of male patients and healthcare providers
AbstractShelley, D., Hoang, T. H.-L. H., Nguyen, C. V. T., Alvarez, G. G. G., Nguyen, T., Nguyen, N., Adermark, L., Ng, N., Shelley, D., & Armstrong-Hough, M. (n.d.).Publication year
2026Journal title
BMC health services researchVolume
26Issue
1AbstractIn Vietnam, tobacco smoking is highly prevalent among people living with HIV. However, research on engaging this population in tobacco use treatment is limited. To fill this gap, we aimed to identify barriers and facilitators to smoking cessation and examine implications for the design and implementation of tobacco use treatment for people living with HIV in Vietnam.Peer Navigator Intervention and Opioid-Related Adverse Events for Emergency Department Patients: A Randomized Clinical Trial
AbstractShelley, D., Doran, K. M., Welch, A. E., Kepler, K. L., Jeffers, A., Chambless, D., Cowan, E., Wittman, I., Regina, A., Siu, K., Bailey, V. S., Rostam-Abadi, Y., Kennedy, J., Kunins, H. V., Gwadz, M., Shelley, D., Cleland, C. M., & McNeely, J. (n.d.).Publication year
2026Journal title
JAMA network openVolume
9Issue
2Page(s)
e2555903AbstractEmergency departments (EDs) serve patients at high risk for overdose. There is increasing interest in peer-delivered ED interventions for substance use but little rigorous research on their effectiveness.Strategies to integrate non-communicable disease interventions in HIV and tuberculosis care contexts in low- and middle-income countries: a scoping review
AbstractShelley, D., Luo, L., Kapur, R., Armstrong-Hough, M., Alvarez, G. G. G., Moucheraud, C., Purtle, J., Namusisi, K. N. N., Yang, L., Raghavan, R., Lappen, H., & Shelley, D. (n.d.).Publication year
2026Journal title
BMJ global healthVolume
11Issue
2AbstractIntegration of management of tuberculosis (TB) and HIV with prevention and treatment of non-communicable diseases (NCDs) is a global priority. However, delivering the full spectrum of HIV/TB and NCD services is hindered by a lack of evidence regarding effective models and strategies for integrating NCDs and HIV/TB care services in varying contexts and across interventions. We conducted a scoping review to describe service delivery models and strategies used to facilitate integration of NCD care in HIV and/or TB care settings in low- and middle-income countries (LMICs).Sustainability through funding and leadership: a mixed-methods study of tobacco treatment programs across U.S. National Cancer Institute-designated Cancer Centers
AbstractShelley, D., Reid, M. J., Montague, M. K., Anrecio, S., LeLaurin, J. H., Bylund, C. L., Minion, M. M., Liu, G., Lee, J.-H. H., Ramly, E., Shelley, D., Ostroff, J. S., Warren, G., & Salloum, R. G. (n.d.).Publication year
2026Journal title
Implementation science communicationsAbstractTobacco cessation markedly improves cancer treatment outcomes. As part of the National Cancer Institute (NCI) Cancer Moonshot, the Cancer Center Cessation Initiative (C3I) funded 52 U.S. National Cancer Institute-designated Cancer Centers to promote the development of sustainable tobacco treatment programs (TTPs) from 2017-2021. The aim of this analysis was to characterize leadership and funding strategies used by centers to address TTP sustainability.Team-based care in small primary care practices: a scoping review
AbstractShelley, D., Zein, D., Brown, D., Shelley, D. R., & Chang, J. E. (n.d.).Publication year
2026Journal title
BMC health services researchVolume
26Issue
1AbstractPrimary care practices experience challenges to implementing team-based care, and these challenges may be more pronounced in small-to-medium-sized independent primary care practices (SIPs). Our objective is to provide a review of the literature on team-based care implemented within SIPs.A community-academic partnership to develop an implementation support package for overdose prevention in permanent supportive housing
AbstractGaeta Gazzola, M., Torsiglieri, A., Velez, L., Blaufarb, S., Hernandez, P., O'Grady, M. A., Blackburn, J., Florick, J., Cleland, C. M., Shelley, D., & Doran, K. (n.d.).Publication year
2025Journal title
Journal of Substance Use and Addiction TreatmentVolume
168AbstractIntroduction: The overdose crisis in the U.S. disproportionately impacts people experiencing homelessness. Permanent supportive housing (PSH) – permanent, affordable housing with voluntary support services – is an effective, evidence-based intervention to address homelessness. However, overdose risk remains high even after entering PSH for individual and structural reasons. In this study, we aimed to refine a set of evidence-based overdose prevention practices (EBPs) and an associated implementation support package for PSH settings using focus groups with PSH tenants, frontline staff, and leaders. Methods: Our community-academic team identified an initial set of overdose EBPs applicable for PSH through research, public health guidance, and a needs assessment. We adapted these practices based on feedback from focus groups with PSH leaders, staff, and tenants. Focus groups followed semi-structured interview guides developed using the EPIS (Exploration, Preparation, Implementation, Sustainment) framework constructs of inner context, outer context, and bridging factors related to overdose prevention and response. Results: We conducted 16 focus groups with 40 unique participants (14 PSH tenants, 15 PSH staff, 11 PSH leaders); focus groups were held in two iterative rounds and individuals could participate in one or both rounds. Participants were diverse in gender, race, and ethnicity. Focus group participants were enthusiastic about the proposed EBPs and implementation strategies, while contributing unique insights and concrete suggestions to improve upon them. The implementation support package contains an iteratively refined PSH Overdose Prevention (POP) Toolkit with 20 EBPs surrounding overdose prevention and response, harm reduction, and support for substance use treatment and additional core implementation strategies including practice facilitation, tenant-staff champion teams, and learning collaboratives. Conclusions: This manuscript describes how robust community-academic partnerships and input from people with lived experience as tenants and staff in PSH informed adaptation of evidence-based overdose prevention approaches and implementation strategies to improve their fit for PSH settings. This effort can inform similar efforts nationally in other settings serving highly marginalized populations. We are currently conducting a randomized trial of the refined overdose prevention implementation support package in PSH.Attributes of higher- and lower-performing hospitals in the Consult for Addiction Treatment and Care in Hospitals (CATCH) program implementation : A multiple-case study
AbstractStevens, E. R., Fawole, A., Rostam Abadi, Y., Fernando, J., Appleton, N., King, C., Mazumdar, M., Shelley, D., Barron, C., Bergmann, L., Siddiqui, S., Schatz, D., & McNeely, J. (n.d.).Publication year
2025Journal title
Journal of Substance Use and Addiction TreatmentVolume
168AbstractIntroduction: Six hospitals within the New York City public hospital system implemented the Consult for Addiction Treatment and Care in Hospitals (CATCH) program, an interprofessional addiction consult service. A stepped-wedge cluster randomized controlled trial tested the effectiveness of CATCH for increasing initiation and engagement in post-discharge medication for opioid use disorder (MOUD) treatment among hospital patients with opioid use disorder (OUD). The objective of this study was to identify facility characteristics that were associated with stronger performance of CATCH. Methods: This study used a mixed methods multiple-case study design. The six hospitals in the CATCH evaluation were each assigned a case rating according to intervention reach. Reach was considered high if ≥50 % of hospitalized OUD patients received an MOUD order. Cross-case rating comparison identified attributes of high-performing hospitals and inductive and deductive approaches were used to identify themes. Results: Higher-performing hospitals exhibited attributes that were generally absent in lower-performing hospitals, including (1) complete medical provider staffing; (2) designated office space and resources for CATCH; (3) existing integrated OUD treatment resources; and (4) limited overlap between the implementation period and COVID-19 pandemic. Conclusions: Hospitals with attributes indicative of awareness and integration of OUD services into general care were generally higher performing than hospitals that had siloed OUD treatment programs. Future implementations of addiction consult services may benefit from an increased focus on hospital- and community-level buy-in and efforts to integrate MOUD treatment into general care.COVID-19 testing experiences and attitudes among young adults and socially isolated older adults living in public housing, New York City (2022)
AbstractGill, E., Hall, Z., Thorpe, L. E., Williams, N. J., Anastasiou, E., Bendik, S., Punter, M., Reiss, J., Shelley, D., & Bragg, M. (n.d.).Publication year
2025Journal title
Frontiers in Public HealthVolume
13AbstractBackground: As part of an initiative to increase COVID-19 testing uptake among underserved populations, we conducted focus groups to explore experiences and attitudes related to testing in two understudied groups—young adults and socially-isolated older adults—recruited from residents living in New York City Housing Authority (NYCHA) public housing developments. Materials and methods: In June through November 2022, we conducted eight virtual focus groups with 21 young adults and 11 older adults living in NYCHA (n = 32 total). To identify themes, we conducted a rapid qualitative analysis approach. Results: Residents discussed four overarching themes: (1) trusted COVID-19 information sources; (2) reasons for testing; (3) barriers to testing, and (4) strategies to increase testing uptake. Findings were similar across the two age groups; both cited multiple sources of information, including major media outlets, government or public health officials, and doctors. Young adults were more likely to access information from social media despite concerns about misinformation. Participants identified several barriers to testing, such as long lines, insurance coverage, and cost. Young adults reported that at-home COVID testing was more convenient, while older adults expressed concern about accuracy and administering the tests themselves. Recommendations for improving testing emphasized easier access via a central well-known location, in-home visits, free or low-cost tests, and increased outreach. Conclusion: Mainstream media, doctors and public agencies remain the most trusted sources of information among younger and older residents alike. Many resident recommendations involved leveraging NYCHA infrastructure, highlighting the continuing role public housing authorities can play in COVID-19 and other health initiatives.Development and psychometric properties of three scales employing "what matters most" to assess cultural aspects of intersectional HIV-related and cancer stigma among people living with HIV in Hanoi, Vietnam
AbstractShelley, D., Eschliman, E. L., Liu, Y., Rahmah, A. A., Philip, B., Hoang, D. T., Kokaze, H., Khoshnam, N., Dunkel, E., Ye, V. R., Choe, K., Poku, O. B., Alvarez, G., Nguyen, T., Nguyen, N. T. T., Shelley, D., & Yang, L. H. (n.d.).Publication year
2025Journal title
AIDS careVolume
37Issue
8Page(s)
1393-1409AbstractPeople living with HIV have disproportionate cancer risk and are a priority population for cancer prevention and control efforts globally, including in Vietnam. HIV-related and cancer stigma independently and intersectionally hinder access to and uptake of prevention and treatment. Using formative qualitative research that used the "What Matters Most" theoretical framework and cognitive interviewing, we developed three culturally-tailored stigma scales for people living with HIV in Hanoi, Vietnam (i.e., for anticipated intersectional HIV-related and cancer stigma, internalized HIV-related stigma, and public cancer stigma [i.e., negative community attitudes]). Scales were administered to 100 people living with HIV alongside existing widely-used stigma scales and measures of cancer prevention-related constructs. This initial psychometric validation supported that each scale has two subscales reflecting how cultural aspects both shape and protect against stigma, strong reliability (ranging from = 0.76-0.91, = 0.78-0.91), and strong convergent validity with corresponding existing scales for internalized HIV-related stigma and public cancer stigma. The culturally-tailored intersectional and cancer-only scales were correlated at least as highly with the measured cancer prevention-related constructs compared to the existing public cancer stigma scale. Culturally-tailored, intersectional scales could help monitor and address stigma, ultimately promoting HIV and cancer prevention, control, and treatment.Development and psychometric properties of three scales employing “what matters most” to assess cultural aspects of intersectional HIV-related and cancer stigma among people living with HIV in Hanoi, Vietnam
AbstractEschliman, E. L., Liu, Y., Rahmah, A. A., Philip, B., Hoang, D. T., Kokaze, H., Khoshnam, N., Dunkel, E., Ye, V. R., Choe, K., Poku, O. B., Alvarez, G. G., Nguyen, T., Nguyen, N. T., Shelley, D., & Yang, L. (n.d.).Publication year
2025Journal title
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIVAbstractPeople living with HIV have disproportionate cancer risk and are a priority population for cancer prevention and control efforts globally, including in Vietnam. HIV-related and cancer stigma independently and intersectionally hinder access to and uptake of prevention and treatment. Using formative qualitative research that used the “What Matters Most” theoretical framework and cognitive interviewing, we developed three culturally-tailored stigma scales for people living with HIV in Hanoi, Vietnam (i.e., for anticipated intersectional HIV-related and cancer stigma, internalized HIV-related stigma, and public cancer stigma [i.e., negative community attitudes]). Scales were administered to 100 people living with HIV alongside existing widely-used stigma scales and measures of cancer prevention-related constructs. This initial psychometric validation supported that each scale has two subscales reflecting how cultural aspects both shape and protect against stigma, strong reliability (ranging from α = 0.76-0.91, ω = 0.78-0.91), and strong convergent validity with corresponding existing scales for internalized HIV-related stigma and public cancer stigma. The culturally-tailored intersectional and cancer-only scales were correlated at least as highly with the measured cancer prevention-related constructs compared to the existing public cancer stigma scale. Culturally-tailored, intersectional scales could help monitor and address stigma, ultimately promoting HIV and cancer prevention, control, and treatment.Development of the Tool for Advancing Practice Performance, a practice-level survey to assess primary care structures and processes
AbstractShelley, D., Kwok, L., Paul, M. M., Albert, S. L., Harel, D., Blecker, S. B., Weiner, B. J., Damschroder, L. J., Cohen, D. J., Nguyen, A. M., Shelley, D. R., & Berry, C. A. (n.d.).Publication year
2025Journal title
PloS oneVolume
20Issue
9Page(s)
e0315558AbstractDespite progress to define primary care practice transformation models, there remain gaps in translating evidence-based guidelines into routine clinical care. Primary care providers (MD, DO, NP, PA) and researchers need tools to assess modifiable factors that improve practice performance to inform practice transformation efforts. We aimed to develop a pragmatic tool for assessing practice-level primary care structures and processes that are associated with better care quality and clinical outcomes. We generated 314 candidate items for the Tool for Advancing Practice Performance (TAPP) using data from a comprehensive literature review, Delphi study, and qualitative interviews with high-performing practices. We used empirical criteria and expert review to eliminate redundancy and improve clarity via removing and retaining items. The retained items were formatted into a survey tool, and we further revised the tool based on feedback elicited from cognitive interviews and pilot testing with primary care providers and staff. The final candidate pool comprised 126 items after refinement and expert review. For the survey tool, we adapted and developed survey questions for each of the 126 items. Eight cognitive interview participants reviewed the tool and provided feedback on its content and language. Based on this feedback, we eliminated 13 items because they were poorly or incorrectly understood by participants, resulting in a 113-item tool. Fifteen participants pilot tested the tool and no additional items were eliminated. The TAPP is a novel, low-burden tool that researchers and primary care providers can use to identify areas for improvement at the practice-level. Practices and health systems could use the TAPP to assess their own performance and identify gaps in their structures and processes, and practice networks and health systems can use the tool to assess structures and processes at individual clinics, track this information over time, and evaluate its relationship to care quality and clinical outcomes.Exploring factors associated with dual tobacco smoking among people living with HIV receiving care at HIV outpatient clinics in Hanoi, Vietnam
AbstractShelley, D., Hoang, T. H.-L. H., Alvarez, G. G. G., Adermark, L., Ng, N., Nguyen, T., Nguyen, N., & Shelley, D. (n.d.).Publication year
2025Journal title
PloS oneVolume
20Issue
11Page(s)
e0336112AbstractPeople living with HIV (PLWH) who smoke face significant health risks from tobacco use, which dual use of cigarettes and waterpipes may exacerbate due to increased nicotine exposure and dependency. This study examined the sociodemographic, behavioral, psychosocial and health-related factors associated with dual smoking among PLWH receiving care at HIV clinics in Hanoi, Vietnam.Implementation of a peer-delivered opioid overdose response initiative in New York City emergency departments : Insight from multi-stakeholder qualitative interviews
AbstractGoldberg, L. A., Chang, T. E., Freeman, R., Welch, A. E., Jeffers, A., Kepler, K. L., Chambless, D., Wittman, I., Cowan, E., Shelley, D., McNeely, J., & Doran, K. (n.d.).Publication year
2025Journal title
Journal of Substance Use and Addiction TreatmentVolume
168AbstractBackground: Emergency departments (EDs) are critical touchpoints for overdose prevention efforts. In New York City (NYC), the Health Department's Relay initiative dispatches trained peer “Wellness Advocates” (WAs) to engage with patients in EDs after an overdose and for up to 90 days subsequently. Interest in peer-delivered interventions for patients at risk for overdose has grown nationally, but few studies have explored challenges and opportunities related to implementing such interventions in EDs. Methods: We conducted in-depth interviews with Relay WAs, ED patients, and ED providers across 4 diverse NYC EDs. Sampling was purposeful and continued until theoretical saturation was reached. Interviews followed a semi-structured interview guide based on key domains from the Consolidated Framework for Implementation Research (CFIR). Interviews were conducted by telephone or web conferencing; audio recordings were professionally transcribed. The study utilized rapid qualitative analysis using template summaries and summary matrices followed by line-by-line coding conducted independently by 3 researchers, then discussed and harmonized at group coding meetings. Coding was both inductive (using an a priori code list based on CFIR domains and study goals) and deductive (new codes allowed to emerge from transcripts). Dedoose software was used for data organization. Results: We conducted 32 in-depth interviews (10 WAs, 12 patients, 10 ED providers). Four overarching themes emerged: 1) EDs are characterized by multiple competing demands (e.g., related to provider time and physical space), underscoring the utility of Relay and leading to some practical challenges for its delivery; 2) There is a strong role distinction of WAs as peers with lived experience; 3) ED providers value Relay, even though they have a limited understanding of its full scope and outcomes; 4) While the role of structural factors (e.g., homelessness and unstable housing) is recognized, responsibility is often placed on patients for controlling their own success. Conclusions: We identified four themes that shed new light on the implementation of peer-based overdose prevention programs in EDs. Our findings highlight unique ED inner and outer setting factors that may impact program implementation and effectiveness. The findings provide actionable information to inform implementation of similar programs nationally.Integrating implementation science and intervention optimization
AbstractShelley, D., Guastaferro, K., Moucheraud, C., Purtle, J., Collins, L. M., & Shelley, D. (n.d.).Publication year
2025Journal title
Implementation science : ISVolume
20Issue
1Page(s)
41AbstractImplementation scientists increasingly recognize the value of multiple strategies to improve the adoption, fidelity, and scale up of an evidence-based intervention (EBI). However, with this recognition comes the need for alternative and innovative methods to ensure that the package of implementation strategies work well within constraints imposed by the need for affordability, scalability, and/or efficiency. The aim of this article is to illustrate that this can be accomplished by integrating principles of intervention optimization into implementation science.Patterns and Correlates of Tobacco Use Among PLWH in Viet Nam: A Cross-Sectional Analysis
AbstractShelley, D., Kapur, R., Nguyen, N., Nguyen, T., Alvarez, G. G. G., Cleland, C. M., Armstrong-Hough, M., & Shelley, D. (n.d.).Publication year
2025Journal title
Tobacco use insightsVolume
18Page(s)
1179173X251353030AbstractThe use of multiple tobacco products may increase nicotine dependence and reduce success in quitting. In Viet Nam, the prevalence of dual cigarette and waterpipe use is high, yet the characteristics of dual users, particularly among people living with HIV (PLWH) in low-and-middle income countries (LMICs) are underexplored. This paper describes patterns and correlates of tobacco use among PLWH in Viet Nam.Social network alcohol use is associated with individual-level alcohol use among Black sexually minoritized men and gender-expansive people : Findings from the Neighborhoods and Networks (N2) cohort study
AbstractShrader, C. H., Duncan, D., Santoro, A., Geng, E., Kranzler, H. R., Hasin, D., Shelley, D., Kutner, B., Sherman, S., Chen, Y. T., Durrell, M., Eavou, R., Hillary, H., Goedel, W., Schneider, J. A., & Knox, J. R. (n.d.).Publication year
2025Journal title
Alcohol, Clinical and Experimental ResearchVolume
49Issue
4Page(s)
783-791AbstractIntroduction: Black sexually minoritized men and gender-expansive people (SGM), including transgender women, have higher levels of alcohol use and experience greater negative consequences from alcohol consumption than the general population. We investigated the role of multilevel factors contributing to alcohol use among these groups. Methods: We analyzed data collected from HIV-negative participants in the Neighborhoods and Network (N2) cohort study in Chicago, IL (N = 138). Participants completed a social network inventory (November 2018–April 2019) and reported alcohol use (frequency, quantity, and frequency of binge drinking) during a quantitative assessment. We used stepwise negative binomial regression to identify associations with social network and individual-level alcohol use while controlling for sociodemographic variables. Results: Most participants drank alcohol in the past month (68%), with a mean of 2.5 drinks (SD = 1.9) per drinking day. Participants nominated 377 confidants (Mnominated = 2.7), of whom 93% were Black and 78% were friends/family. Among the confidants, 30% drank alcohol at least several times per week. Identifying as Latine (RR = 2.21; 95% CI: 1.44–3.10), having a higher Generalized Anxiety Disorder-7 score (RR = 1.03; 95%CI: 1.00–1.05), living with a problem drinker during one's childhood (RR = 1.80; 95% CI: 1.39–2.34), and having a greater proportion of regular drinkers in one's social network (RR = 1.49; 95% CI: 1.02–2.17) were positively associated with alcohol use. Conclusion: Black SGM exposed to social network alcohol use during childhood and adulthood reported increased alcohol use. Interventions targeting Black SGM should address social norms around alcohol, intersectional discrimination, and mental health.Social network alcohol use is associated with individual-level alcohol use among Black sexually minoritized men and gender-expansive people : Findings from the Neighborhoods and Networks (N2) cohort study
AbstractShrader, C. H., Duncan, D., Santoro, A., Geng, E., Kranzler, H. R., Hasin, D., Shelley, D., Kutner, B., Sherman, S., Chen, Y. T., Durrell, M., Eavou, R., Hillary, H., Goedel, W., Schneider, J. A., & Knox, J. R. (n.d.).Publication year
2025Journal title
Alcohol, Clinical and Experimental ResearchAbstractIntroduction: Black sexually minoritized men and gender-expansive people (SGM), including transgender women, have higher levels of alcohol use and experience greater negative consequences from alcohol consumption than the general population. We investigated the role of multilevel factors contributing to alcohol use among these groups. Methods: We analyzed data collected from HIV-negative participants in the Neighborhoods and Network (N2) cohort study in Chicago, IL (N = 138). Participants completed a social network inventory (November 2018–April 2019) and reported alcohol use (frequency, quantity, and frequency of binge drinking) during a quantitative assessment. We used stepwise negative binomial regression to identify associations with social network and individual-level alcohol use while controlling for sociodemographic variables. Results: Most participants drank alcohol in the past month (68%), with a mean of 2.5 drinks (SD = 1.9) per drinking day. Participants nominated 377 confidants (Mnominated = 2.7), of whom 93% were Black and 78% were friends/family. Among the confidants, 30% drank alcohol at least several times per week. Identifying as Latine (RR = 2.21; 95% CI: 1.44–3.10), having a higher Generalized Anxiety Disorder-7 score (RR = 1.03; 95%CI: 1.00–1.05), living with a problem drinker during one's childhood (RR = 1.80; 95% CI: 1.39–2.34), and having a greater proportion of regular drinkers in one's social network (RR = 1.49; 95% CI: 1.02–2.17) were positively associated with alcohol use. Conclusion: Black SGM exposed to social network alcohol use during childhood and adulthood reported increased alcohol use. Interventions targeting Black SGM should address social norms around alcohol, intersectional discrimination, and mental health.Staff views on overdose prevention in permanent supportive housing
AbstractShelley, D., Doran, K. M., Torsiglieri, A., Moran, J., Blaufarb, S., Liu, A. Y., Ringrose, E., Urban, C., Velez, L., Hernandez, P., O’Grady, M. A., Shelley, D., & Cleland, C. M. (n.d.).Publication year
2025Journal title
Harm reduction journalVolume
22Issue
1Page(s)
59AbstractPermanent supportive housing (PSH) is the gold standard intervention for chronic homelessness, but PSH tenants face high risk for overdose due to a combination of individual and environmental risk factors. Little research has examined overdose prevention in PSH.Staff views on overdose prevention in permanent supportive housing
AbstractDoran, K. M., Torsiglieri, A., Moran, J., Blaufarb, S., Liu, A. Y., Ringrose, E., Urban, C., Velez, L., Hernandez, P., O’Grady, M. A., Shelley, D., & Cleland, C. M. (n.d.).Publication year
2025Journal title
Harm Reduction JournalVolume
22Issue
1AbstractBackground: Permanent supportive housing (PSH) is the gold standard intervention for chronic homelessness, but PSH tenants face high risk for overdose due to a combination of individual and environmental risk factors. Little research has examined overdose prevention in PSH. Methods: We conducted baseline surveys with staff from 20 New York PSH buildings participating in an overdose prevention technical assistance intervention study. PSH staff from participating buildings were invited via email to complete a brief online survey about their knowledge of overdose and perspectives on implementing overdose prevention practices in PSH. Results: Surveys were completed by 178 staff of 286 invitations sent (response rate 62.2%). Average score on the Brief Opioid Overdose Knowledge (BOOK) questionnaire was 8.62 (SD 2.64) out of 12 points. Staff felt very positively (91.6–97.2% agreed or completely agreed) regarding the appropriateness and acceptability of implementing overdose prevention practices in PSH, but less certain about the feasibility of implementing these practices (62.4–65.5% agreed or completely agreed). Most (77.3%) felt it was mostly or definitely true that overdose prevention was a top priority in their building. Most PSH staff (median = 85.0%) but fewer tenants (median = 22.5%) had received a naloxone kit and training in overdose response. Conclusion: Staff feel positively about the acceptability and appropriateness of implementing overdose response practices in PSH, but somewhat more uncertain about the feasibility of implementing these practices. This study’s results help hone targets for interventions to help PSH buildings take steps to reduce tenant overdose risk.Sustainment of Tobacco Use Treatment Programs Across National Cancer Institute-Designated Cancer Centers
AbstractShelley, D., Salloum, R. G., Montague, M., Minion, M., LeLaurin, J. H., Lee, J.-H. H., Ramly, E., Liu, G., Reid, M., Bylund, C. L., McCarthy, D., Shelley, D., Ostroff, J. S., & Warren, G. W. (n.d.).Publication year
2025Journal title
Cancer medicineVolume
14Issue
22Page(s)
e71424AbstractThough tobacco use treatment (TUT) after a cancer diagnosis can improve cancer treatment outcomes and survival, delivery of evidence-based TUT remains underutilized in cancer care. The National Cancer Institute (NCI) Cancer Center Cessation Initiative (C3I) implemented TUT across 52 NCI-Designated Cancer Centers, but there is little information on its long-term sustainment. This study assesses TUT sustainment beyond initial implementation in C3I.