sadie cabaniss hall at v.c.u.

Michelle D. Graf, Ph.D., RN, CFNP

Pronouns: she/her

Assistant Professor

Box 980567, Richmond, VA 23298-0567

Department of Adult Health and Nursing Systems

Education

  • Postdoctoral Trainee (T32 Multilevel Interventions for Preventing and Managing Chronic Illness), University of North Carolina at Chapel Hill
  • Ph.D. (Nursing), Vanderbilt University
  • M.S. (Family Nurse Practitioner), George Mason University
  • B.S. (Nursing), University of Virginia

Research/Scholarship Interests

Graf’s clinical background in neonatal and pediatric nursing, combined with interdisciplinary research training, informs her scholarship at the intersection of early life stress, biological adaptation and child health equity. Her research focuses on understanding how multilevel stressors experienced during the prenatal and early postnatal periods influence the gut microbiome, neurodevelopment and risk for childhood obesity. She is especially interested in the biological and behavioral mechanisms that link early adversity to later health outcomes, including dysregulated eating behaviors and growth trajectories.

Her current work leverages secondary analysis of longitudinal cohort data and incorporates biomarkers of stress (e.g., hair cortisol concentration), microbiome sequencing and geospatial methods to explore the role of social and environmental context in shaping child health and development. She is also building toward future research that integrates prospective data collection using wearable devices, microbiome sampling and digital health tools to assess the impact of stress and the caregiving environment on maternal-child health outcomes.

Teaching

Graf teaches courses in the graduate program, focusing on interrelated topics including advanced nursing practice, pathophysiology, professionalism and writing. Graf’s teaching approach is grounded in the belief that fostering inclusive, reflective and evidence-based learning environments supports students in developing the skills essential for both clinical excellence and nursing scholarship. She prioritizes the use of evidence-based teaching methods that promote critical thinking, active engagement and real-world application. Through reflective practice and open dialogue, she encourages students to examine their assumptions, consider multiple perspectives and grow as both learners and future practitioners.

Select Publications

  • Graf, M.D., Meneses, J.N., Vogel, S.C., Hicks, L., Propper, C., Kimmel, M. Prenatal stress and offspring gut microbiome: a cross-species systematic review. (2025). Journal of Developmental Psychobiology.
  • Hicks, L., Graf, M.D., Yeo, S.A. Systematic review and meta-analysis of prenatal physical activity interventions and postpartum mental health. (2024). Journal of Midwifery and Women’s Health.
  • Thompson, K, Graf, M.D. Environmental Scan of Online Government Complementary Feeding Resources in the United States. (2024). The American Journal of Maternal Child Nursing, 49(5), 276-283.
  • Graf, M.D., Wasser, H., Lynn, M.R., Karp, S.M., Lutenbacher, M., Hodges, E.A. (2023). Parental food selection questionnaire-Infant version. Appetite, 186 (1).
  • Graf, M.D., Karp, S.M., Lutenbacher, M., Wasser, H., & Dietrich, M.S. (2021). Choking, allergic reaction, and pickiness: A qualitative study of maternal fears and strategies. Appetite, 171 (1).

Current Funded Grants

Name of Grant Role Funding Agency Period
Investigating Maternal Cortisol, Infant Regulation, And Childhood Stress in Socioeconomically Disadvantaged Families PI Sigma Theta Tau Alpha Alpha Chapter 2025-2026
The Role of Prenatal Stress and Maternal Gut Microbiome in Shaping Childhood Growth and Obesity Risk: A Pilot Study PI Barbara A. Senich Research and Innovation Foundation 2024-2025
Multilevel Interventions for Preventing and Managing Chronic Illness Postdoctoral Trainee NIH/NINR 2022-2025

Professional Service

Graf served on the University of North Carolina at Chapel Hill Ph.D. Executive Committee and was a key contributor to the development of curriculum and program structure for doctoral students. She led a pre-conference workshop for Southern Nursing Research Society on the use of generative artificial intelligence in nursing research and education, and she contributed to the development of artificial intelligence use guidelines at the University of North Carolina at Chapel Hill School of Nursing. She has served as a content expert for WIC Health, as a reviewer for peer-reviewed journals, and as a participant in the Partnership for a Healthy Durham, a community-based coalition working to improve access to health, physical activity and nutrition resources.

She is an active member of the American Public Health Association, Southern Nursing Research Society, Society for Research in Child Development, Council for the Advancement of Nursing Science and Sigma Theta Tau International Honor Society of Nursing.

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