Faculty

Michele Shedlin headshot

Michele G Shedlin

Professor

1 212 998 5714

433 First Avenue
Room 672
New York, NY 10010
United States

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Professional overview

Michele G. Shedlin, PhD, is a Professor in the Meyers College of Nursing and Adjunct Professor in the College of Dentistry, and Visiting Professor at the University of Szeged, Hungary. She is a medical anthropologist with extensive experience in qualitative reproductive health, substance abuse and HIV/AIDS research in Africa, Latin America and the U.S. She has designed and implemented behavioral studies at the community, university and national levels, to inform and evaluate prevention and care. Currently she teaches in the doctoral program and has taught Narrative Medicine in FAS. Dr. Shedlin mentors new researchers with the Center for Drug Use and HIV Research (CDUHR), at the VA and NYU School of Medicine. She is a member of the Meyers Faculty Council, Deputy Director, WHO Collaborating Center in Gerontologic Nursing, and the Provost’s Academic Advisory Committee and Cross University Faculty Forum. She has chaired the Council on Ethics and Professional Responsibility (Meyers and Dentistry) and is on the Advisory Committee of the NYU Center for Bioethics. Her past experience includes heading her own research consulting firm, and as faculty at Columbia University School of Public Health and the University of Texas (Leavell Chair in Nursing and Public Health and Co-Director, NIH Hispanic Health Disparities Research Center).

Education

PhD, 1982, Columbia University School of Arts and Sciences
MPhil, 1982, Columbia University School of Arts and Sciences
MA, 1975, Columbia University School of Arts and Sciences
BS, 1968, Columbia University School of General Studies
1961 & 1962, Universidad Nacional Autónoma de México, Summer Sessions

Honors and awards

Senior Fulbright Scholar (College of Dentistry, University of Szeged, Hungary (2013)
Honorary University Professorship, University of Szeged, Hungary (2013)

Specialties

Global
Immigrants
LGBTQ
Infectious disease
Women's health

Professional membership

Fellow, New York Academy of Medicine
Hungarian American Medical Association of America;American Anthropological Association
Society for Medical Anthropology;Population Association of America
American Public Health Association, Latino Caucus
Editorial Board, Advances in Population AIDS and Anthropology Research Group, Board of Directors, IMIFAP, Mexico
International Editorial Board, Journal of Sexuality Research & Social Policy
Editorial Board, EHQUIDAD: International Journal of Social Sciences and Social Work (Spain)

Publications

Publications

Patient decision-making regarding left ventricular assist devices: A multiple case study

Dillworth, J., Vaughan Dickson, V., Reyentovich, A., & Shedlin, M. (2018). Intensive and Critical Care Nursing. 10.1016/j.iccn.2018.10.004
Abstract
Objectives: To understand how patients make decisions regarding a left ventricular assist device (LVAD). Design: A qualitative multiple case study design was used to explore the context and influence of individuals regarding patients’ decision-making processes through: 1) detailed, in-depth interviews of those mostly involved in the patient's decision and 2) pertinent data including observations, medical records, educational information and physical artifacts. Data clusters and patterns of co-occurring codes were examined using thematic analysis. Main outcome measures: Themes were extrapolated from individual case summaries to provide an in-depth analysis of each case and a cross-case analysis across the multiple cases. The predominant theme, consistent with other studies, was the salience of survival. Findings: This case study approach revealed new themes beyond those of prior studies. Patients considered: 1) self-care management for patients without a caregiver, 2) acceptability and future expectations of the LVAD and 3) the role of nurses in eliciting patients’ fears, values and preferences. Conclusion: The patients’ decision-making processes regarding an LVAD involve a cost-benefit analysis of the anticipated needs and consequences of the LVAD. Acceptability of the device is relevant to clinical practice and public policy. Nurses have a unique role in seeking patients’ concerns, an essential component of shared decision-making.

Linguistic and cultural adaptation of a computer-based counseling program (CARE+ Spanish) to support HIV treatment adherence and risk reduction for people living with HIV/AIDS: A randomized controlled trial

Kurth, A. E., Chhun, N., Cleland, C. M., -Crespo-Fierro, M., Parés-Avila, J. A., Lizcano, J. A., GNorman, R., Shedlin, M., Johnston, B. E., & Sharp, V. L. (2016). Journal of Medical Internet Research, 18(7). 10.2196/jmir.5830
Abstract
Background: Human immunodeficiency virus (HIV) disease in the United States disproportionately affects minorities, including Latinos. Barriers including language are associated with lower antiretroviral therapy (ART) adherence seen among Latinos, yet ART and interventions for clinic visit adherence are rarely developed or delivered in Spanish. Objective: The aim was to adapt a computer-based counseling tool, demonstrated to reduce HIV-1 viral load and sexual risk transmission in a population of English-speaking adults, for use during routine clinical visits for an HIV-positive Spanish-speaking population (CARE+ Spanish); the Technology Acceptance Model (TAM) was the theoretical framework guiding program development. Methods: A longitudinal randomized controlled trial was conducted from June 4, 2010 to March 29, 2012. Participants were recruited from a comprehensive HIV treatment center comprising three clinics in New York City. Eligibility criteria were (1) adults (age ≥18 years), (2) Latino birth or ancestry, (3) speaks Spanish (mono- or multilingual), and (4) on antiretrovirals. Linear and generalized mixed linear effects models were used to analyze primary outcomes, which included ART adherence, sexual transmission risk behaviors, and HIV-1 viral loads. Exit interviews were offered to purposively selected intervention participants to explore cultural acceptability of the tool among participants, and focus groups explored the acceptability and system efficiency issues among clinic providers, using the TAM framework. Results: A total of 494 Spanish-speaking HIV clinic attendees were enrolled and randomly assigned to the intervention (arm A: n=253) or risk assessment-only control (arm B, n=241) group and followed up at 3-month intervals for one year. Gender distribution was 296 (68.4%) male, 110 (25.4%) female, and 10 (2.3%) transgender. By study end, 433 of 494 (87.7%) participants were retained. Although intervention participants had reduced viral loads, increased ART adherence and decreased sexual transmission risk behaviors over time, these findings were not statistically significant. We also conducted 61 qualitative exit interviews with participants and two focus groups with a total of 16 providers. Conclusions: A computer-based counseling tool grounded in the TAM theoretical model and delivered in Spanish was acceptable and feasible to implement in a high-volume HIV clinic setting. It was able to provide evidence-based, linguistically appropriate ART adherence support without requiring additional staff time, bilingual status, or translation services. We found that language preferences and cultural acceptability of a computer-based counseling tool exist on a continuum in our urban Spanish-speaking population. Theoretical frameworks of technology's usefulness for behavioral modification need further exploration in other languages and cultures.

Ethics-in-the-Round: A guided peer approach for addressing ethical issues confronting nursing students

Katherine Hutchinson, M., Shedlin, M., Gallo, B., -Krainovich-Miller, B., & Fulmer, T. (2014). Nursing Education Perspectives, 35(1), 58-60.