Graham_Amanda_2023

Amanda Graham, Ph.D.

Chief Health Officer

As Chief Health Officer, Dr. Graham leads a cross-functional team that develops, evaluates, and markets digital products for tobacco cessation. Under her leadership and in collaboration with partners at the Mayo Clinic, Dr. Graham led the development of the EX Program, an enterprise digital tobacco cessation platform designed for employers and health plans, and This is Quitting, a first-of-its-kind quit vaping program for teens and young adults. Dr. Graham is Adjunct Professor of Medicine at the Mayo Clinic College of Medicine and Science.

For over 20 years, Dr. Graham’s NIH-funded research has focused on technology-based tobacco cessation interventions. She is internationally recognized as a thought leader in web and mobile quit-smoking interventions and online social networks and has been awarded over $15 million in research funding. She has published over 100 peer reviewed manuscripts and serves on National Institutes of Health study sections and numerous journal editorial boards.

She is a frequent presenter at international, national, and local scientific and public health meetings. She has also been interviewed by numerous media outlets including NBC News, WIRED, Kaiser Health News, California Healthline, American Heart Association News, HR Magazine, Employee Benefits Advisor, and Prevention.com, and been quoted in top-tier outlets including CNN, US News & World Report, the Los Angeles Times, Univision, New York Post, and the Daily Mail.

Dr. Graham obtained her bachelor’s degree in psychology from the University of Richmond. She earned her Master of Science and doctorate in Clinical Health Psychology from the University of Health Sciences/Chicago Medical School and completed a postdoctoral fellowship in Behavioral Medicine at Brown Medical School where she remained on faculty for seven years. She has been Adjunct Professor of Oncology at Georgetown University Medical Center and a member of the Lombardi Comprehensive Cancer Center since 2006.

Articles

Doctors and nurses who smoke can affect more than your organization’s healthcare costs; they can influence the quality of care for patients, too.

Doctors and Nurses Who Smoke: Unraveling the Impact on Patient Care

Doctors and nurses who smoke can affect more than your organization’s healthcare costs; they can influence the quality of care for patients, too. Healthcare professionals are some of the most influential employees for a clinic, hospital, or health care system. They impact everything from the work environment to patient satisfaction […]

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Here are 10 examples of how we’ve made an impact on helping people overcome their tobacco addiction in 2023.

Empowering Quitters: A Year in Review of EX Program’s Impact on Tobacco Addiction

Every day, millions of U.S. adults struggle with tobacco addiction. At Truth Initiative, we’re on a mission to change this. Our vision is to create a world where young people reject tobacco and anyone can quit. Inspired by Mayo Clinic’s effective on-site treatment model for tobacco addiction, we partnered with […]

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Certain populations and communities are still disproportionately impacted by smoking. See how.

1 Key Takeaway Cancer Moonshot and Tobacco Nation Share

When we participated in the Biden-Harris Administration’s Cancer Moonshot Smoking Cessation Forum last June, one priority was front and center throughout the meeting: the need to eliminate the marked disparities in smoking-related morbidity and mortality. Certain populations and communities are still disproportionately impacted by smoking and critically need support to […]

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Nearly half of people with HIV smoke—here are some key facts about how tobacco affects those with HIV, and what that means for health plans.

What Medicaid Health Plans Need to Know about HIV and Smoking

HIV and smoking are a costly and deadly combination that absorbs significant Medicaid dollars. In 2022, the federal government spent an estimated $13 billion on Medicaid services for people with HIV. Additionally, state Medicaid spending totaled an estimated $5.4 billion in the same year. Antiretroviral therapies have provided the ability […]

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construction or blue collar worker in pain due to musculoskeletal disorders that can impact productivity

4 Ways Tobacco Use Makes Musculoskeletal Disorders More Costly

Inadequate home working set-ups could be causing thousands of workers discomfort, with many people who began working remotely during the pandemic developing some form of musculoskeletal pain. This is in addition to those in positions already more likely to experience musculoskeletal disorders (MSD), such as those on manufacturing lines or […]

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multiple doors with one ajar to illustrate how organizations need help in choosing a digital health platform

Choosing a Solid Partner in a Turbulent Digital Health Market

In 2021, the digital health market seemed unstoppable, with growth-driven startups attracting major funding. This uptick in activity began in response to COVID-19 when demand for tech-heavy services like virtual care prompted significant innovation. But no industry can stay white-hot forever, and with digital health, the cooling period has been […]

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brightly colored candy and flavored tobacco cigarettes layed out on a table

What Restricting Flavored Tobacco Means for Your Quit-smoking Program

In 2018, San Francisco became the first city to prohibit the sale of all flavored tobacco products, including menthol cigarettes. While San Francisco’s restriction is the strongest in the nation, other cities across the U.S. have taken similar action. The legislation is designed to restrict flavored tobacco products that entice […]

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Research

Messaging Content on Engagement With a Short Messaging Service

Effect of Messaging Content on Engagement With a Short Messaging Service for Perioperative Smoking Cessation

Introduction We determined whether a tobacco cessation intervention targeting brief perioperative abstinence (“quit for a bit”) increased engagement of surgical patients with treatment compared with an intervention targeting long-term postoperative […]

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Tailored text message and web intervention for smoking cessation in U.S.

Tailored Text Message and Web Intervention for Smoking Cessation in U.S. Socioeconomically-Disadvantaged Young Adults: A Randomized Controlled Trial

Trial design A parallel, two-group individually-randomized controlled trial with 1:1 allocation compared the tailored text message program and companion web-based intervention for SDYA who smoke cigarettes with a usual-care control […]

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Truth Initiative study found that smoking cessation live chat can broaden the reach of tobacco treatment specialists to deploy evidence-based counseling skills and behavior change techniques.

Delivery of Smoking Cessation Treatment via Live Chat: An Analysis of Client-centered Coaching Skills and Behavior Change Techniques

Abstract Objective: This qualitative study explored whether evidence-based tobacco cessation treatment components can be deployed via web-based live chat coaching. Methods: N = 100 randomly selected chats were coded. Researchers […]

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Optimizing Text Messages to Promote Engagement With Internet Smoking Cessation Treatment: Results From a Factorial Screening Experiment

Background Smoking remains a leading cause of preventable death and illness. Internet interventions for smoking cessation have the potential to significantly impact public health, given their broad reach and proven […]

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Menthol Cigarette Smoking

Menthol Cigarette Use is Associated with Greater Subjective Reward, Satisfaction, and “Throat Hit” From Cigarette Smoking but Not Greater Behavioral Economic Demand

Aims The cooling and minty flavor of menthol in cigarettes has been hypothesized to mask the harshness of inhaled cigarette smoke, contributing to menthol’s appeal and subjective reinforcement and linking […]

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Effectiveness of a Quit Vaping Text Message Program

Effectiveness of a Quit Vaping Text Message Program in Promoting Abstinence Among Young Adult E-Cigarette Users: Protocol for a Randomized Controlled Trial

Background Millions of young adults currently vape electronic cigarettes (e-cigarettes), yet little research on vaping cessation interventions exists. Text messaging is a promising, scalable intervention strategy for delivering vaping cessation […]

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Alcohol Use in an Online Social Network

Discussions of Alcohol Use in an Online Social Network for Smoking Cessation: Analysis of Topics, Sentiment, and Social Network Centrality

Background Few Internet smoking cessation programs specifically address the impact of alcohol use during a quit attempt, despite its common role in relapse. This study used topic modeling to describe […]

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Links Between Symptoms of Anxiety Depression and Alcohol Use

Treatment Engagement Mediates the Links Between Symptoms of Anxiety, Depression, and Alcohol Use Disorder with Abstinence Among Smokers Registered on an Internet Cessation Program

Abstract Mental health problems like anxiety, depression, and substance use problems commonly co-occur with cigarette smoking and are linked to poor cessation outcomes. Although millions of smokers seek online quitting […]

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Online for Smoking Cessation Help

Twelve Million Smokers Look Online for Smoking Cessation Help Annually: Health Information National Trends Survey Data, 2005–2017

Background This study quantified the potential reach of Internet smoking cessation interventions to support calculations of potential population impact (reach × effectiveness). Using a nationally representative survey, we calculated the […]

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Peer Sentiment About Nicotine Replacement Therapy

Exposure to Positive Peer Sentiment About Nicotine Replacement Therapy in an Online Smoking Cessation Community is Associated with NRT Use

Background Little is known about the influence of online peer interactions on health behavior change. This study examined the relationship between exposure to peer sentiment about nicotine replacement therapy (NRT) […]

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holding hands for healthy lung month

Lung Cancer Screening and Smoking Cessation Clinical Trials. SCALE (Smoking Cessation within the Context of Lung Cancer Screening) Collaboration

Abstract National recommendations for lung cancer screening for former and current smokers aged 55-80 years with a 30-pack year smoking history create demand to implement efficient and effective systems to […]

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Prevalence and Typology of Alcohol-related Posts in an Online Social Network for Smoking Cessation

A Descriptive Study of the Prevalence and Typology of Alcohol-related Posts in an Online Social Network for Smoking Cessation

Objective: Alcohol use and problem drinking are associated with smoking relapse and poor smoking-cessation success. User-generated content in online social networks for smoking cessation provides an opportunity to understand the […]

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Clinical Approach to Smoking Cessation in Lung Cancer Screening

An Integrated Digital/Clinical Approach to Smoking Cessation in Lung Cancer Screening: Study Protocol for a Randomized Controlled Trial

Background Delivering effective tobacco dependence treatment that is feasible within lung cancer screening (LCS) programs is crucial for realizing the health benefits and cost savings of screening. Large-scale trials and […]

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Engagement and Attrition in Web-based Cessation Interventions

Engagement and Attrition in Web-based Cessation Interventions: Insights from a Cross-sectional Survey of “One-hit Wonders”

Introduction Internet interventions can reach large numbers of individuals. However, low levels of engagement and high rates of follow-up attrition are common, presenting major challenges to evaluation. This study investigated […]

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Insights and Cautions from a Secondary Analysis of Data from a Study of Online Treatment-seeking Smokers

E-cigarettes and Smoking Cessation: Insights and Cautions from a Secondary Analysis of Data from a Study of Online Treatment-seeking Smokers

Background: Evidence from observational studies regarding the association between electronic cigarette (e-cigarette) use and cessation is mixed and difficult to interpret. Utilizing 2 analytic methods, this study illustrates challenges common […]

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Impact of Seasonality on Recruitment, Retention, Adherence, and Outcomes in a Web-Based Smoking Cessation Intervention

Impact of Seasonality on Recruitment, Retention, Adherence, and Outcomes in a Web-Based Smoking Cessation Intervention: Randomized Controlled Trial

Background Seasonal variations in smoking and quitting behaviors have been documented, with many smokers seeking cessation assistance around the start of the New Year. What remains unknown is whether smokers […]

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