Danielle Ramo-Larios, PhD
Associate Professor
Psychiatry
School of Medicine

Her research program focuses on using digital media to understand and address risky drug and alcohol use. Dr. Ramo has developed the Tobacco Status Project social media intervention to help young adults quit smoking, and is leading three clinical trials testing the efficacy of social media-mediated treatment to reduce substance use in young adults. Additional studies are examining patterns and toxicology of electronic-cigarette use in adolescents and tobacco and marijuana co-use in a changing policy landscape. Her research has demonstrated the high prevalence of tobacco and marijuana co-use, associations between co-use and smoking, and differences in motivation and thoughts about abstinence for the two substances in co-users. Her funding includes awards from the National Institute on Drug Abuse (K23, R34, R21), and the California Tobacco-Related Diseases Research Program (fellowship, High Impact Project awards).

Dedicated to teaching and mentoring, Dr. Ramo serves as program faculty for the NIDA-funded Substance Abuse Treatment and Services Research Training Program and the Center for Tobacco Control Research and Education Postdoctoral Fellowship in the UCSF School of Medicine. She also directs the smoking cessation curriculum for the UCSF Medical School.

Dr. Ramo serves on the Scientific Advisory Board of the Being Adept prevention intervention program (Beingadept.org), and regularly speaks to teens, parents, and school administrators throughout the Bay Area about adolescent substance abuse.

Dr. Ramo obtained a Bachelor of Arts from Columbia University, doctoral training at the University of California, San Diego and San Diego State University, and postdoctoral training in the Department of Psychiatry at UCSF.

• Technology Matters: Using apps to address loneliness in adolescents and young adults - leveraging tech engagement among digital natives.
  Child and adolescent mental health 2021 Ramo D, Lim MH
• Addressing cigarette smoking cessation treatment challenges during the COVID-19 pandemic with social media.
  Journal of substance abuse treatment 2021 Meacham MC, Vogel EA, Thrul J, Ramo DE, Satre DD
• Corrigendum to: Connectedness Based on Shared Engagement Predicts Remote Biochemically Verified Quit Status Within Smoking Cessation Treatment Groups on Facebook.
  Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco 2021 Meacham MC, Liang OS, Zhao M, Yang CC, Thrul J, Ramo DE
• Effects of Social Media on Adolescents' Willingness and Intention to Use E-Cigarettes: An Experimental Investigation.
  Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco 2021 Vogel EA, Ramo DE, Rubinstein ML, Delucchi KL, Darrow SM, Costello C, Prochaska JJ
• Smoking cessation, metabolic risk behaviors, and stress management over time in a sample of young adult smokers.
  Translational behavioral medicine 2021 Vogel EA, Ramo DE
• Connectedness Based on Shared Engagement Predicts Remote Biochemically Verified Quit Status Within Smoking Cessation Treatment Groups on Facebook.
  Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco 2021 Meacham MC, Liang OS, Zhao M, Yang CC, Thrul J, Ramo DE
• Twitter-Based Social Support Added to Fitbit Self-Monitoring for Decreasing Sedentary Behavior: Protocol for a Randomized Controlled Pilot Trial With Female Patients From a Women's Heart Clinic.
  JMIR research protocols 2020 Oppezzo M, Tremmel J, Desai M, Baiocchi M, Ramo D, Cullen M, Prochaska JJ
• A Facebook intervention to address cigarette smoking and heavy episodic drinking: A pilot randomized controlled trial.
  Journal of substance abuse treatment 2020 Meacham MC, Ramo DE, Prochaska JJ, Maier LJ, Delucchi KL, Kaur M, Satre DD
• Smartphone App to Address Loneliness Among College Students: Pilot Randomized Controlled Trial.
  JMIR mental health 2020 Bruehlman-Senecal E, Hook CJ, Pfeifer JH, FitzGerald C, Davis B, Delucchi KL, Haritatos J, Ramo DE
• The Put It Out Project (POP) Facebook Intervention for Young Sexual and Gender Minority Smokers: Outcomes of a Pilot, Randomized, Controlled Trial.
  Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco 2020 Vogel EA, Ramo DE, Meacham MC, Prochaska JJ, Delucchi KL, Humfleet GL
• Factors associated with readiness to quit smoking among young adults enrolled in a Facebook-based tobacco and alcohol intervention study.
  Addictive behaviors 2020 Maier LJ, Ramo DE, Kaur M, Meacham MC, Satre DD
• Strategies to improve treatment utilization for substance use disorders: A systematic review of intervention studies.
  Drug and alcohol dependence 2020 Vogel EA, Ly K, Ramo DE, Satterfield J
• Multiple Health Risk Behaviors in Young Adult Smokers: Stages of Change and Stability over Time.
  Annals of behavioral medicine : a publication of the Society of Behavioral Medicine 2020 Ramo DE, Thrul J, Vogel EA, Delucchi K, Prochaska JJ
• Live counselor contact in a Facebook intervention predicts smoking cessation outcomes.
  Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors 2019 Thrul J, Meacham MC, Tice C, Kelly O, Ramo DE
• Cigarette Smoking, Mental Health, and Other Substance Use among Court-Involved Youth.
  Substance use & misuse 2019 Harrison A, Ramo D, Hall SM, Estrada-Gonzalez V, Tolou-Shams M
• Use of the Chatbot "Vivibot" to Deliver Positive Psychology Skills and Promote Well-Being Among Young People After Cancer Treatment: Randomized Controlled Feasibility Trial.
  JMIR mHealth and uHealth 2019 Greer S, Ramo D, Chang YJ, Fu M, Moskowitz J, Haritatos J
• Frequently asked questions about dabbing concentrates in online cannabis community discussion forums.
  The International journal on drug policy 2019 Meacham MC, Roh S, Chang JS, Ramo DE
• Adolescents' E-Cigarette Use: Increases in Frequency, Dependence, and Nicotine Exposure Over 12 Months.
  The Journal of adolescent health : official publication of the Society for Adolescent Medicine 2019 Vogel EA, Prochaska JJ, Ramo DE, Andres J, Rubinstein ML
• Prevalence and Correlates of Simultaneous and Separate 30-Day Use of Tobacco and Cannabis: Results from the California Adult Tobacco Survey.
  Substance use & misuse 2019 Apollonio DE, Spetz J, Schmidt L, Jacobs L, Kaur M, Ramo D
• Development of a social media-based intervention targeting tobacco use and heavy episodic drinking in young adults.
  Addiction science & clinical practice 2019 Ramo DE, Meacham MC, Kaur M, Corpuz ES, Prochaska JJ, Satre DD
• Sexual and gender minority young adults' smoking characteristics: Assessing differences by sexual orientation and gender identity.
  Addictive behaviors 2019 Vogel EA, Humfleet GL, Meacham M, Prochaska JJ, Ramo DE
• Development and acceptability testing of a Facebook smoking cessation intervention for sexual and gender minority young adults.
  Internet interventions 2019 Vogel EA, Belohlavek A, Prochaska JJ, Ramo DE
• Tobacco use in the sexual borderlands: The smoking contexts and practices of bisexual young adults.
  Health & place 2019 McQuoid J, Thrul J, Ozer E, Ramo D, Ling PM
• Exploring Identities and Preferences for Intervention Among LGBTQ+ Young Adult Smokers Through Online Focus Groups.
  The Journal of adolescent health : official publication of the Society for Adolescent Medicine 2018 Ramo DE, Meacham M, Thrul J, Belohlavek A, Sarkar U, Humfleet G
• Smoking cessation intervention trial outcomes for sexual and gender minority young adults.
  Health psychology : official journal of the Division of Health Psychology, American Psychological Association 2018 Vogel EA, Thrul J, Humfleet GL, Delucchi KL, Ramo DE
• Psychiatric Disorders and Comorbid Cannabis Use: When Should We Be Concerned and What Can We Do About It?
  The Journal of clinical psychiatry 2018 Satre DD, Borsari B, Tompkins DA, Ramo D
• Conversation Within a Facebook Smoking Cessation Intervention Trial For Young Adults (Tobacco Status Project): Qualitative Analysis.
  JMIR formative research 2018 McKelvey K, Ramo D
• Real-time predictors of smoking among sexual minority and heterosexual young adults: An ecological momentary assessment study.
  Drug and alcohol dependence 2018 Nguyen N, McQuoid J, Ramo D, Holmes LM, Ling PM, Thrul J
• Associations between marijuana use and tobacco cessation outcomes in young adults.
  Journal of substance abuse treatment 2018 Vogel EA, Rubinstein ML, Prochaska JJ, Ramo DE
• Expanding Opportunities for Professional Development: Utilization of Twitter by Early Career Women in Academic Medicine and Science.
  JMIR medical education 2018 Lewis JD, Fane KE, Ingraham AM, Khan A, Mills AM, Pitt SC, Ramo D, Wu RI, Pollart SM
• Medical and non-medical marijuana use in depression: Longitudinal associations with suicidal ideation, everyday functioning, and psychiatry service utilization.
  Journal of affective disorders 2018 Bahorik AL, Sterling SA, Campbell CI, Weisner C, Ramo D, Satre DD
• Psychiatric Disorders and Comorbid Cannabis Use: How Common Is It and What Is the Clinical Impact?
  The Journal of clinical psychiatry 2018 Satre DD, Bahorik A, Zaman T, Ramo D
• Using Social Media to Target Cancer Prevention in Young Adults: Viewpoint.
  Journal of medical Internet research 2018 Sarkar U, Le GM, Lyles CR, Ramo D, Linos E, Bibbins-Domingo K
• A randomized controlled evaluation of the tobacco status project, a Facebook intervention for young adults.
  Addiction (Abingdon, England) 2018 Ramo DE, Thrul J, Delucchi KL, Hall S, Ling PM, Belohlavek A, Prochaska JJ
• Meta-Analysis of the Association of Alcohol-Related Social Media Use with Alcohol Consumption and Alcohol-Related Problems in Adolescents and Young Adults.
  Alcoholism, clinical and experimental research 2018 Curtis BL, Lookatch SJ, Ramo DE, McKay JR, Feinn RS, Kranzler HR
• Prevalence and correlates of adolescents' e-cigarette use frequency and dependence.
  Drug and alcohol dependence 2018 Vogel EA, Ramo DE, Rubinstein ML
• A novel and remote biochemical verification method of smoking abstinence: Predictors of participant compliance.
  Tobacco prevention & cessation 2018 Thrul J, Meacham MC, Ramo DE
• Understanding emerging forms of cannabis use through an online cannabis community: An analysis of relative post volume and subjective highness ratings.
  Drug and alcohol dependence 2018 Meacham MC, Paul MJ, Ramo DE
• Smart Steps for Psychiatric Education: Approaching Smartphone Apps for Learning and Care.
  Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry 2018 Torous J, Bauer A, Chan S, Boland R, Ramo D
• Representations of Codeine Misuse on Instagram: Content Analysis.
  JMIR public health and surveillance 2018 Cherian R, Westbrook M, Ramo D, Sarkar U
• Adolescent Exposure to Toxic Volatile Organic Chemicals From E-Cigarettes.
  Pediatrics 2018 Rubinstein ML, Delucchi K, Benowitz NL, Ramo DE
• Using Facebook to address smoking and heavy drinking in young adults: Protocol for a randomized, controlled trial.
  Contemporary clinical trials 2018 Ramo DE, Kaur M, Corpuz ES, Satre DD, Delucchi K, Brown SA, Prochaska JJ
• Associations between medical cannabis and other drug use among unstably housed women.
  The International journal on drug policy 2017 Meacham MC, Ramo DE, Kral AH, Riley ED
• Alcohol and Drug Use, Pain and Psychiatric Symptoms among Adults Seeking Outpatient Psychiatric Treatment: Latent Class Patterns and Relationship to Health Status.
  Journal of psychoactive drugs 2017 Ramo DE, Bahorik AL, Delucchi KL, Campbell CI, Satre DD
• Conducting online focus groups on Facebook to inform health behavior change interventions: Two case studies and lessons learned.
  Internet interventions 2017 Thrul J, Belohlavek A, Hambrick D, Kaur M, Ramo DE
• Internet gaming disorder: Trends in prevalence 1998-2016.
  Addictive behaviors 2017 Feng W, Ramo DE, Chan SR, Bourgeois JA
• Social Media and Substance Use: What Should We Be Recommending to Teens and Their Parents?
  The Journal of adolescent health : official publication of the Society for Adolescent Medicine 2017 Costello CR, Ramo DE
• Young adults report increased pleasure from smoking cigarettes when drinking alcohol but not when using marijuana.
  Addiction research & theory 2017 Gubner NR, Thrul J, Kelly OA, Ramo DE
• What Did You Expect?: The Interaction Between Cigarette and Blunt vs. Non-Blunt Marijuana Use among African American Young Adults.
  Journal of substance use 2017 Montgomery L, Ramo D
• Polydrug use among urban adolescent cigarette smokers.
  Addictive behaviors 2016 McKelvey KL, Ramo DE, Delucchi K, Rubinstein ML
• Impact of quitting smoking and smoking cessation treatment on substance use outcomes: An updated and narrative review.
  Addictive behaviors 2016 McKelvey K, Thrul J, Ramo D
• Cessation Strategies Young Adult Smokers Use After Participating in a Facebook Intervention.
  Substance use & misuse 2016 Thrul J, Ramo DE
• Medical marijuana legalization and cigarette and marijuana co-use in adolescents and adults.
  Drug and alcohol dependence 2016 Wang JB, Ramo DE, Lisha NE, Cataldo JK
• Associations between binge drinking frequency and tobacco use among young adults.
  Addictive behaviors 2016 Gubner NR, Delucchi KL, Ramo DE
• Feasibility and Quit Rates of the Tobacco Status Project: A Facebook Smoking Cessation Intervention for Young Adults.
  Journal of medical Internet research 2015 Ramo DE, Thrul J, Chavez K, Delucchi KL, Prochaska JJ
• Smoking Cessation Intervention on Facebook: Which Content Generates the Best Engagement?
  Journal of medical Internet research 2015 Thrul J, Klein AB, Ramo DE
• The Tobacco Status Project (TSP): Study protocol for a randomized controlled trial of a Facebook smoking cessation intervention for young adults.
  BMC public health 2015 Ramo DE, Thrul J, Delucchi KL, Ling PM, Hall SM, Prochaska JJ
• Cannabis Mobile Apps: A Content Analysis.
  JMIR mHealth and uHealth 2015 Ramo DE, Popova L, Grana R, Zhao S, Chavez K
• Mobile App-Delivered Cognitive Behavioral Therapy for Insomnia: Feasibility and Initial Efficacy Among Veterans With Cannabis Use Disorders.
  JMIR research protocols 2015 Babson KA, Ramo DE, Baldini L, Vandrey R, Bonn-Miller MO
• Gender differences in a randomized controlled trial treating tobacco use among adolescents and young adults with mental health concerns.
  Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco 2015 Prochaska JJ, Fromont SC, Ramo DE, Young-Wolff KC, Delucchi K, Brown RA, Hall SM
• Prevalence and Correlates of Social Smoking in Young Adults: Comparisons of Behavioral and Self-Identified Definitions.
  Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco 2014 Lisha NE, Delucchi KL, Ling PM, Ramo DE
• Prevalence and correlates of electronic-cigarette use in young adults: findings from three studies over five years.
  Addictive behaviors 2014 Ramo DE, Young-Wolff KC, Prochaska JJ
• Facebook Recruitment of Young Adult Smokers for a Cessation Trial: Methods, Metrics, and Lessons Learned.
  Internet interventions 2014 Ramo DE, Rodriguez TM, Chavez K, Sommer MJ, Prochaska JJ
• A mixed-methods study of young adults' receptivity to using Facebook for smoking cessation: if you build it, will they come?
  American journal of health promotion : AJHP 2014 Ramo DE, Liu H, Prochaska JJ
• Young adults who smoke cigarettes and marijuana: analysis of thoughts and behaviors.
  Addictive behaviors 2013 Ramo DE, Delucchi KL, Liu H, Hall SM, Prochaska JJ
• Subjective social status and substance use severity in a young adult sample.
  Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors 2013 Finch KA, Ramo DE, Delucchi KL, Liu H, Prochaska JJ
• Marijuana and tobacco co-use in young adults: patterns and thoughts about use.
  Journal of studies on alcohol and drugs 2013 Ramo DE, Delucchi KL, Hall SM, Liu H, Prochaska JJ
• Validity and reliability of the nicotine and marijuana interaction expectancy (NAMIE) questionnaire.
  Drug and alcohol dependence 2013 Ramo DE, Liu H, Prochaska JJ
• Tobacco use and its treatment among young people in mental health settings: a qualitative analysis.
  Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco 2013 Prochaska JJ, Fromont SC, Wa C, Matlow R, Ramo DE, Hall SM
• Correlates of tobacco dependence and motivation to quit among young people receiving mental health treatment.
  Drug and alcohol dependence 2012 Grana RA, Ramo DE, Fromont SC, Hall SM, Prochaska JJ
• Prevalence and co-use of marijuana among young adult cigarette smokers: An anonymous online national survey.
  Addiction science & clinical practice 2012 Ramo DE, Prochaska JJ
• Broad reach and targeted recruitment using Facebook for an online survey of young adult substance use.
  Journal of medical Internet research 2012 Ramo DE, Prochaska JJ
• Tobacco and marijuana use among adolescents and young adults: a systematic review of their co-use.
  Clinical psychology review 2011 Ramo DE, Liu H, Prochaska JJ
• Variation in substance use relapse episodes among adolescents: a longitudinal investigation.
  Journal of substance abuse treatment 2011 Ramo DE, Prince MA, Roesch SC, Brown SA
• Reliability and validity of young adults' anonymous online reports of marijuana use and thoughts about use.
  Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors 2011 Ramo DE, Liu H, Prochaska JJ
• Cocaine use trajectories of club drug-using young adults recruited using time-space sampling.
  Addictive behaviors 2011 Ramo DE, Grov C, Delucchi KL, Kelly BC, Parsons JT
• Reliability and validity of self-reported smoking in an anonymous online survey with young adults.
  Health psychology : official journal of the Division of Health Psychology, American Psychological Association 2011 Ramo DE, Hall SM, Prochaska JJ
• Reaching young adult smokers through the internet: comparison of three recruitment mechanisms.
  Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco 2010 Ramo DE, Hall SM, Prochaska JJ
• Self-efficacy mediates the relationship between depression and length of abstinence after treatment among youth but not among adults.
  Substance use & misuse 2010 Ramo DE, Myers MG, Brown SA
• Alcohol and drug involvement after adolescent treatment and functioning during emerging adulthood.
  Drug and alcohol dependence 2010 Anderson KG, Ramo DE, Cummins KM, Brown SA
• Typology of club drug use among young adults recruited using time-space sampling.
  Drug and alcohol dependence 2009 Ramo DE, Grov C, Delucchi K, Kelly BC, Parsons JT
• Intentions to quit smoking among youth in substance abuse treatment.
  Drug and alcohol dependence 2009 Ramo DE, Prochaska JJ, Myers MG
• Gender differences in factors influencing alcohol use and drinking progression among adolescents.
  Clinical psychology review 2009 Schulte MT, Ramo D, Brown SA
• Psychometric Properties of a Revised Form of the Drug-Taking Confidence Questionnaire for Use with Adolescents.
  Journal of child & adolescent substance abuse 2009 Ramo DE, Myers MG, Brown SA
• Classes of substance abuse relapse situations: a comparison of adolescents and adults.
  Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors 2008 Ramo DE, Brown SA
• Impact of relapse predictors on psychosocial functioning of SUD youth one year after treatment.
  Substance abuse 2008 Anderson KG, Ramo DE, Schulte MT, Cummins K, Brown SA
• Substance use treatment outcomes for youth: integrating personal and environmental predictors.
  Drug and alcohol dependence 2006 Anderson KG, Ramo DE, Schulte MT, Cummins K, Brown SA
• Life stress, coping and comorbid youth: an examination of the stress-vulnerability model for substance relapse.
  Journal of psychoactive drugs 2006 Anderson KG, Ramo DE, Brown SA
• Characteristics of relapse to substance use in comorbid adolescents.
  Addictive behaviors 2005 Ramo DE, Anderson KG, Tate SR, Brown SA
• Treatment of adolescent alcohol-related problems. A translational perspective.
  Recent developments in alcoholism : an official publication of the American Medical Society on Alcoholism, the Research Society on Alcoholism, and the National Council on Alcoholism 2005 Brown SA, Anderson KG, Ramo DE, Tomlinson KL
• Context of relapse for substance-dependent adults with and without comorbid psychiatric disorders.
  Addictive behaviors 2004 Tate SR, Brown SA, Unrod M, Ramo DE