Donna Shelley
Donna Shelley
Scroll
Professor of Public Health Policy and Management
Co-Director of the Global Center for Implementation Science
-
Professional overview
-
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.
-
Education
-
BS, University of Pennsylvania, PAMD, Mount Sinai School of Medicine, NYMPH, Health Policy and Management, Columbia University's Mailman School of Public Health, NY
-
Areas of research and study
-
Health Systems StrengtheningImplementation scienceTobacco CessationTobacco Policy
-
Publications
Publications
Preliminary steps toward creating an interprofessional international public health program
Shelley, D., Mevi, A., Abu-Rish, E., Haber, J., & Hirsch, S. (n.d.).Publication year
2009Journal title
Journal of Interprofessional CareVolume
23Issue
4Page(s)
417-419Role of Pediatric Nurse Practitioners in Oral Health Care
AbstractHallas, D., & Shelley, D. (n.d.).Publication year
2009Journal title
Academic PediatricsVolume
9Issue
6Page(s)
462-466AbstractDental caries remain the most prevalent unmet health need in US children. Access to care is particularly problematic for poor children and is compounded by the shortage of dentists to meet the needs of this patient population. Expanding the roles of pediatricians, family physicians, and pediatric nurse practitioners (PNPs) who provide primary care services to children may be a strategy to address in this issue. Enhancements in current PNP education and certification processes are needed to support the expansion of oral health-related clinical responsibilities. Although oral health is included in the published curriculum for PNPs and certification exams require specific oral health knowledge, gaps in postgraduate training persist and few data document the extent to which current oral health-related educational goals are being achieved. We recommend enhancements in oral health education and research to evaluate curriculum innovations, the development of partnerships between stakeholder groups to leverage existing resources, and ongoing surveillance of oral health-related practice patterns among PNPs. Leadership at the national level is needed to develop policies that support curriculum changes and the implementation of oral health practice guidelines for PNPs that will improve access and reduce health disparities.Effectiveness of tobacco control among Chinese Americans: A comparative analysis of policy approaches versus community-based programs
AbstractShelley, D., Fahs, M., Yerneni, R., Das, D., Nguyen, N., Hung, D., Burton, D., Chin, M., Chang, M. D., & Cummings, K. M. (n.d.).Publication year
2008Journal title
Preventive MedicineVolume
47Issue
5Page(s)
530-536AbstractObjective: To estimate the effectiveness of a tailored multicomponent community-based smoking cessation intervention among Chinese immigrants living in New York City, implemented within the context of state and city-wide tobacco control policy initiatives for the general population. Methods: A pre-post-test quasi-experimental design with representative samples from Chinese populations living in two communities in New York City: Flushing, Queens, the intervention community and Sunset Park, Brooklyn, the comparison community. From November 2002 to August 2003 baseline interviews were conducted with 2537 adults aged 18-74. In early 2006, 1384 participants from the original cohort completed the follow-up interview. During the intervention period (October 2003 to September 2005), both communities were exposed to tobacco control public policy changes. However, only Flushing received additional linguistically and culturally-specific community-level tobacco control interventions. Results: From 2002 to 2006 overall smoking prevalence among Chinese immigrants declined from 17.7% to 13.6%, a relative 23% decrease. After controlling for socio-demographic characteristics, there was an absolute 3.3% decrease in smoking prevalence attributed to policy changes with an additional absolute decline in prevalence of 2.8% in the intervention community relative to the control community. Conclusion: City-wide tobacco control policies are effective among high-risk urban communities, such as Chinese immigrants. In addition, community-based tailored tobacco control interventions may increase the reduction in smoking prevalence rates beyond that achieved from public policies.Shelley et al. respond
Shelley, D., Cantrell, M. J., Moon-Howard, J., Ramjohn, D. Q., & VanDevanter, N. (n.d.). In American journal of public health (1–).Publication year
2008Volume
98Issue
1Page(s)
5Tobacco use behaviors and household smoking bans among Chinese Americans
AbstractShelley, D., Nguyen, N., Yerneni, R., & Fahs, M. (n.d.).Publication year
2008Journal title
American Journal of Health PromotionVolume
22Issue
3Page(s)
168-175AbstractPurpose. To assess the relationship between household smoking restrictions and smoking patterns among Chinese American adults. Design. This is a cross-sectional analysis based on a National Institutes of Health-funded population-based household and telephone survey of 2537 Chinese American adults. Setting. Two communities in New York City. Subjects. The analyses focused on male current smokers (N = 600). Measures. Demographic characteristics, smoking status, household smoking restrictions, cigarettes smoked per day, and past quit attempts were based on self-reported data. Results. Among current smokers, 37% reported living in a home with a compute smoking ban. Smokers with a full household smoking ban smoked fewer cigarettes on weekdays and weekends than smokers with no household smoking ban (p ≤ .05) and were 3.4 times (p < .01) more likely to report having at least one quit attempt in the past 12 months. Smokers with knowledge of the dangers of environmental tobacco smoke (ETS) exposure were 2.8 times (p ≤ .01) more likely to have at least one quit attempt in the last 12 months compared with those who were unaware of the danger of ETS and more likely to live in a smoke-free household. Conclusions. Smoke-free home policies and interventions to raise awareness among smokers of the dangers of ETS have the potential to significantly reduce tobacco use and exposure to household ETS among this immigrant population.The relative effect of household and workplace smoking restriction on health status among Chinese Americans living in New York City
AbstractShelley, D., Yerneni, R., Hung, D., Das, D., & Fahs, M. (n.d.).Publication year
2007Journal title
Journal of Urban HealthVolume
84Issue
3Page(s)
360-371AbstractHouseholds and workplaces are the predominant location for exposure to secondhand smoke. The purpose of this study is to examine the association between health status and smoking restrictions at home and work and to compare the relative effect of household and workplace smoking restrictions on health status. This study uses data from a cross sectional representative probability sample of 2,537 Chinese American adults aged 18-74 living in New York City. The analysis was limited to 1,472 respondents who work indoors for wages. Forty-three percent of respondents reported a total smoking ban at home and the workplace, 20% at work only, 22% home only, and 15% reported no smoking restriction at home or work. Smokers who live under a total household smoking ban only or both a total household and total workplace ban were respectively 1.90 and 2.61 times more likely to report better health status compared with those who reported no smoking ban at work or home. Before the NYC Clean Indoor Air Act second-hand smoke (SHS) exposure among this immigrant Chinese population at home and work was high. This study finds that household smoking restrictions are more strongly associated with better health status than workplace smoking restrictions. However, better health status was most strongly associated with both a ban at work and home. Public health efforts should include a focus on promoting total household smoking bans to reduce the well-documented health risks of SHS exposure.Correlates of household smoking bans among Chinese Americans
AbstractShelley, D., Fahs, M. C., Yerneni, R., Qu, J., & Burton, D. (n.d.).Publication year
2006Journal title
Nicotine and Tobacco ResearchVolume
8Issue
1Page(s)
103-112AbstractNo population-based data are available on the degree to which Chinese Americans have adopted smoke-free household policies and whether these policies are effective in reducing environmental tobacco smoke (ETS) exposure. The present study examines the prevalence of smoke-free home rules among Chinese Americans living in New York City, describes predictors of adopting full smoking bans in the home, and explores the association between household smoking restrictions and ETS exposure at home. In-person interviews using a comprehensive household-based survey were conducted with 2,537 adults aged 18-74 years. Interviews were conducted in Mandarin, Cantonese, and other Chinese dialects. A total of 66% of respondents reported that smoking was not allowed inside the home, 22% reported a partial ban on smoking in the home, and 12% reported no smoking ban. Among current smokers, 38% reported a full household smoking ban. Current smoking status was the strongest predictor of less restrictive household smoking policies. Knowledge of the dangers of ETS, support of smoke-free air legislation, years in the United States, gender, income, and marital status also were associated with household smoking bans. Those living with a total household smoking ban were significantly less likely to report 30-day exposure to ETS than were those living in homes with a partial ban or no ban (7% vs. 68% and 73%, respectively). In homes of smokers and nonsmokers alike, exposure to ETS remains high. Smoke-free home rules and interventions among smokers and nonsmokers to raise awareness of the dangers of ETS have the potential to significantly reduce exposure to household ETS among this immigrant population.What can community organizations do for tobacco control?
AbstractRansom, P., & Shelley, D. (n.d.).Publication year
2006Journal title
Journal of Health and Human Services AdministrationVolume
29Issue
1Page(s)
51-82AbstractCommunity based organizations can play a vital role in widespread involvement on health promotion through a range of activities. Little research to date has focused on the process of government agencies accessing the readiness of these organizations for engaging in tobacco control activities. Because tobacco is the number one cause of preventable death in the United States and impacts on African American communities are particularly severe, opinions of leaders and key management personnel in a variety of CBO's in minority communities may be seen as an important starting point for receptivity to future tobacco control activity by the organization. The purpose of this analysis is a pilot examination of these issues among a small group of organizations in two minority neighborhoods in New York City. The paper develops a methodology utilizing a "rapid appraisal" technique of key informant interviews for assessing these organizations receptivity to partnerships with government on tobacco control. Attitudes and beliefs about smoking including views about tobacco policies, government role and interest in working with government on tobacco control are assessed.Acculturation and Tobacco Use among Chinese Americans
AbstractShelley, D., Fahs, M., Scheinmann, R., Swain, S., Qu, J., & Burton, D. (n.d.).Publication year
2004Journal title
American journal of public healthVolume
94Issue
2Page(s)
300-307AbstractObjectives: We examined the relationship between acculturation and tobacco use behaviors among Chinese Americans. Methods: Using a Chinese-language instrument based on validated questions from several national surveys, we conducted in-person, household-based interviews with 712 representative adults aged 18-74 years. Results: Observed smoking prevalence was 29% for men and 4% for women. Predictors of smoking cessation included being 35 years and older and having a high level of tobacco-related knowledge. Acculturation was positively associated with a history of never smoking, as was being younger than 35 years and having a high level of tobacco-related knowledge. Conclusions: Acculturation was positively associated with never smoking among men but not with smoking cessation. However, knowledge of tobacco-related health risks was associated with both. Results indicate a need for language-specific educational interventions.Community-based participatory research on smoking cessation among Chinese Americans in Flushing, Queens, New York City
Burton, D., Fahs, M., Chang, J. L., Qu, J., Chan, F., Yen, F., & Shelley, D. (n.d.).Publication year
2004Journal title
Journal of Interprofessional CareVolume
18Issue
4Page(s)
443-445Impact of economic policies on reducing tobacco use among Medicaid clients in New York
AbstractMurphy, J. M., Shelley, D., Repetto, P. M., Cummings, K. M., & Mahoney, M. C. (n.d.).Publication year
2003Journal title
Preventive MedicineVolume
37Issue
1Page(s)
68-70AbstractBackground. New York State (NYS) recently implemented Medicaid coverage for prescription pharmacologic adjuncts for cessation and a 55-cent excise tax on a pack of cigarettes. This study examined awareness and use of stop smoking medications and changes in smoking/purchasing behavior among Medicaid clients. Methods. Participants (n = 173) were English-speaking Medicaid clients ages 18-64 years who currently smoked cigarettes and volunteered to be interviewed while waiting to reregister with the NYC Medicaid Office during early 2001. Data were collected using a brief (10-min) interviewer-administered questionnaire. Results. Over 80% of Medicaid clients reported some desire to stop smoking and 40% intended to stop smoking in the next 6 months. Awareness of Medicaid coverage for tobacco cessation pharmacotherapy was 7% for nicotine replacement therapy and 13% for bupropion. Use of these stop smoking medications varied across products but in general was low (<10%). Half of the Medicaid clients reported changing their smoking behavior as a result of the cigarette tax increase. Conclusions. The majority of Medicaid clients report a desire to stop smoking, but these economic influences alone are insufficient to substantially reduce smoking in this population. These findings emphasize the importance of allocating a portion of tobacco tax revenue to promote both expanded awareness of this prescription benefit among Medicaid clients and to support programs to further assist low-income smokers in their attempts to stop smoking.Quality in women's health: the organizing principles for the NAWH (National Association for Women's Health) trade association.
AbstractShelley, D., Hoffman, E., Menitoff, R., & Maraldo, P. (n.d.).Publication year
2000Journal title
Quality management in health careVolume
8Issue
4Page(s)
65-74AbstractQuality in women's health care has been assessed with preventive measures such as mammograms and pap smears, and obstetrical measures, such as prenatal care. Although awareness about sex and gender differences among researchers, health professionals, and women themselves has grown dramatically over the last 10 years, health care policy and medical education have not been influenced to any significant degree. Sex and gender differences have not been developed for a wider range of services, such as diagnosis and treatment of acute or chronic conditions, outside of reproductive health. This article reviews contemporary women's health issues and discusses the need for collaboration among multiple stakeholder groups within the health care industry to address quality in women's health care.Evidence for distinctive and intrinsic defects in insulin action in polycystic ovary syndrome
AbstractDunaif, A., Segal, K. R., Shelley, D. R., Green, G., Dobrjansky, A., & Licholai, T. (n.d.).Publication year
1992Journal title
DiabetesVolume
41Issue
10Page(s)
1257-1266AbstractWomen with PCO have a unique but poorly characterized disorder of insulin action. Obese (n = 16) and nonobese (n = 14) PCO women and age- and weight-matched normal, nondiabetic ovulatory women (obese, n = 15; nonobese, n = 17) had insulin action determined in vivo with sequential multiple insulin dose euglycemic clamps and in isolated abdominal adipocytes to clarify the mechanisms of insulin resistance. PCO resulted in significant increases in the ED50 insulin for glucose utilization in vivo (P < 0.001) and in adipocytes (P < 0.01), without significant changes in adipocyte insulin-binding sites. PCO also resulted in significant decreases in maximal insulin-stimulated rates of glucose utilization in vivo (P < 0.01) and in adipocytes (P < 0.01). Obesity resulted in smaller decreases in insulin sensitivity than PCO (ED50 insulin, P < 0.001 in vivo and P < 0.05 in adipocytes), but greater decreases in insulin responsiveness (Vmax, P < 0.001 in vivo and in adipocytes). The ED50 insulin for suppression of HGP was increased only in obese PCO women (P < 0.001), and the interactions between PCO and obesity on this parameter were statistically significant. No significant correlations between androgen or estrogen levels and adipocyte insulin binding or action were found. Because insulin binding was not changed, we conclude that the major lesion causing insulin resistance in PCO is a striking decrease in insulin sensitivity secondary to a defect in the insulin receptor and/or postreceptor signal transduction. PCO also is associated with modest but significant decreases in glucose transport. These defects in insulin action appear to represent intrinsic abnormalities that are independent of obesity, metabolic derangements, body fat topography, and sex hormone levels. Conversely, changes in hepatic insulin sensitivity appear to be acquired with obesity.Polycystic ovary syndrome
Shelley, D. R., & Dunaif, A. (n.d.).Publication year
1990Journal title
Comprehensive TherapyVolume
16Issue
11Page(s)
26-34Medical cost containment: a daily patient log sheet to reduce unnecessary hospitalization.
Reff, D., DelGiudice, G., Aisen, P., Winters, S., & Gorlin, R. (n.d.).Publication year
1987Journal title
Mount Sinai Journal of MedicineVolume
54Issue
6Page(s)
496-499Conditioned opponent responses in human tolerance to caffeine
AbstractRozin, P., Reff, D., Mark, M., & Schull, J. (n.d.).Publication year
1984Journal title
Bulletin of the Psychonomic SocietyVolume
22Issue
2Page(s)
117-120AbstractRegular coffee drinkers show tolerance to the salivation-inducing effects of caffeine. We present evidence indicating that this tolerance results from a conditioned inhibition of salivation, with coffee as the conditioned stimulus. The tolerance disappears when caffeine is presented in an unfamiliar vehicle, and inhibition of salivation occurs when coffee drinkers drink decaffeinated coffee. These two findings are predictions of a conditioned opponent view, which holds that stimuli associated with the administration of caffeine induce physiological conditioned responses that oppose the basic effects of the drug. In contrast with salivation, the alerting effects of caffeine show little tolerance, and no evidence for conditioned opponent processes. Thus, different effects of the same drug can perhaps display totally different conditioning properties.