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Learning By Teaching With Deliberate Errors Promotes Argumentative Reasoning, Sarah Shi Hui Wong Jan 2025

Learning By Teaching With Deliberate Errors Promotes Argumentative Reasoning, Sarah Shi Hui Wong

Research Collection School of Social Sciences

Reasoning and arguing well lies at the core of thinking and constructing knowledge about complex, controversial issues. Leveraging the techniques of learning by teaching and deliberate erring, the present study developed and tested a novel intervention—learning by misteaching—to boost argumentative reasoning. University students (N = 208) were trained on argumentation strategies and studied a dual-position argumentative text on a controversial topic using one of three learning methods: notetaking, correct teaching, or misteaching. The notetaking group prepared to be tested and wrote study notes while generating good arguments about the topic, whereas both teaching groups prepared to teach and wrote a …


The Autonomy Paradox, Working From Home And Psychosocial Hazards, Alexis Vassiley, Azadeh Shafaei, Mehran Nejati, Leigh Ann Onnis, Tim Bentley Jan 2025

The Autonomy Paradox, Working From Home And Psychosocial Hazards, Alexis Vassiley, Azadeh Shafaei, Mehran Nejati, Leigh Ann Onnis, Tim Bentley

Research outputs 2022 to 2026

This article investigates the experience of knowledge workers in New South Wales (NSW), Australia, who worked from home during the COVID-19 pandemic to understand their exposure to psychosocial hazards, specifically: workload and work pace; the work-home interface and social isolation. We explored how the increased autonomy afforded by working from home fitted with workers’ actual experience during the pandemic. Drawing on interviews with 33 NSW remote workers and 19 line-managers conducted in early 2021, this article argues that the increased autonomy afforded to employees by remote work is paradoxical. Many interviewees worked longer hours and experienced work intensification, as well …


Effects Of Parent Involvement In Their Children’S Academic And Behavioral Performance, Megan Menozzi Jan 2025

Effects Of Parent Involvement In Their Children’S Academic And Behavioral Performance, Megan Menozzi

Theses and Dissertations

This applied dissertation was designed to investigate the best practices to increase parental involvement in their children’s school activities by recording and scribing the experiences of certified teachers. Prior to this study, the current school experienced a decrease in parental involvement with their child’s scheduled school activities. As the school carry on with planning scheduled events for parental involvement, teachers were still expected to be prepared to implement curriculum in the classrooms, while ensuring children’s needs were being met by way of continuous communication with families.

The researcher developed a qualitative phenomenological approach. The design allowed the researcher to interview …


Perspectives Of Corporate Instructional Design Experts On Effectiveness, Personal Traits And Attributes, And Technology, Thomas A. Gant Jan 2025

Perspectives Of Corporate Instructional Design Experts On Effectiveness, Personal Traits And Attributes, And Technology, Thomas A. Gant

Theses and Dissertations

This qualitative phenomenological descriptive study explored corporate instructional design experts' perspectives on effectiveness, personal traits and attributes, and technology that enhance their expertise. Three central themes emerged: "Mastering Instructional Design: The Journey of Continuous Learning and Skill Development," highlighting the importance of mentorship, lifelong learning, and professional development; "Accessing Instructional Design Expertise Through Individual Strengths," emphasizing adaptability, problem-solving, and empathy; and "Navigating Technological Integration and Innovation in Instructional Design," showcasing the transformative role of tools such as virtual reality, learning management systems, and authoring software. Semi-structured interviews conducted via Zoom with 10 corporate instructional designers with at least 10 years …


Teacher Perception On The Implementation Of A Culturally Responsive Ela Curriculum, Erica Tate Dial Jan 2025

Teacher Perception On The Implementation Of A Culturally Responsive Ela Curriculum, Erica Tate Dial

Theses and Dissertations

While the principles of culturally responsive and culturally relevant teaching hold transformative potential, they can only be fully realized if educators are genuinely equipped and empowered to implement them. This qualitative study examined teacher perceptions of an English Language Arts curriculum through the lens of culturally relevant and culturally responsive teaching. A diverse group of teachers, varying in experience, age, gender, and race, were interviewed to gather a range of perspectives on the implementation of this curriculum. The study focused on addressing the following research questions: 1. What are teachers’ perceptions of culturally responsive and culturally relevant instruction and academic …


Mindful Parenting And Child Outcomes: Examining Potential Mediators, Riley Laffoon Jan 2025

Mindful Parenting And Child Outcomes: Examining Potential Mediators, Riley Laffoon

Graduate Research Theses & Dissertations

Incorporating themes from general mindfulness practices, the concept of mindful parenting teaches parents to bring present centered attention and awareness to their interaction with their child. For parents of all children, but especially children who may exhibit more challenging behaviors or attention deficit/hyperactive symptoms, the practice of mindful parenting may be especially useful. Using data collected from parents of children ages 5-8 (n = 179), results of the current study suggest significant positive associations between mindful parenting and supporting good behavior and limit setting, and a negative association with parental over-reactivity. Parent emotion regulation served as a mediator between mindful …


Rise Or Retreat: The Role Of Appraisal And Goal Orientations In Leader Engagement, Haleigh Broucher Jan 2025

Rise Or Retreat: The Role Of Appraisal And Goal Orientations In Leader Engagement, Haleigh Broucher

Graduate Research Theses & Dissertations

This dissertation examines how leaders psychologically interpret developmental challenges as threats or challenges, and how these interpretations shape engagement. Furthermore, I propose that these processes are shaped by mastery-approach and mastery avoidance orientations. Study 1 manipulated the presence of developmental challenges to test causal pathways. Results indicated that developmental challenges increased threat appraisal but not challenge appraisal, and threat was negatively associated with absorption. Study 2 found the opposite pattern: challenge appraisal, not threat appraisal, explained engagement. Relative importance analysis showed that challenge appraisal accounted for nearly all explained variance in engagement (97.6%). There was no significant moderation of mastery …


Examining The Role Of Affective Arousal In Future-Choice Processing, Justine Sara Rivard Jan 2025

Examining The Role Of Affective Arousal In Future-Choice Processing, Justine Sara Rivard

Graduate Research Theses & Dissertations

Humans employ different processes of decision-making, depending on a variety of factors including the temporal situation of the potential outcome. This study proposes a hybrid, dual-systems theoretical model of future-choice making, with an arousal-based switch as the main predictor of the decision-making process employed. Using a sample of 120 undergraduate participants, this relationship was explored using an episodic future-thought cue, paired with a temporal-discounting task in the same timeframe. Response times were measured to identify which of the proposed decision-making processes were employed, as well as temporal discounting rates for each participant. An ANOVA showed that there was no significant …


Construct Validity Of The Cognitive Assessment System- 2nd Edition: Rating Scale: Comparisons With The Learning Behaviors Scale, Cameron Graham Jan 2025

Construct Validity Of The Cognitive Assessment System- 2nd Edition: Rating Scale: Comparisons With The Learning Behaviors Scale, Cameron Graham

Masters Theses

Cognitive assessment instruments, such as the Cognitive Assessment System Second Edition: Rating Scale (CAS2: Rating Scale), are frequently utilized by school psychologists to assess children’s cognitive abilities and psychopathology. However, the CAS2 and the CAS2: Rating Scale have little research regarding their psychometric properties. The present thesis examined the construct validity of the CAS2: Rating Scale in comparison to the Learning Behaviors Scale (LBS). Canivez and Gaboury (2013), while assessing the construct validity of the CAS, found that for the ADHD group, the LBS Attitude Toward Learning, Attention/Persistence, and Strategy/Flexibility scores and the CAS Planning and Attention scores were significantly …


The Roles Of Parental Self-Efficacy And Educational Instrumental Support In Predicting Academic Motivation And Reading Skills Among Students With Adhd Symptoms, Saheli Anil Jan 2025

The Roles Of Parental Self-Efficacy And Educational Instrumental Support In Predicting Academic Motivation And Reading Skills Among Students With Adhd Symptoms, Saheli Anil

Graduate Research Theses & Dissertations

Attention-deficit/Hyperactivity disorder (ADHD) symptoms can manifest early in a child's life and can result in detrimental outcomes in education if left unaddressed. Often, children with ADHD symptoms tend to experience low levels of academic motivation (Smith & Langberg, 2018; Volpe et al., 2006). However, previous research has established that parents with high levels of self-efficacy for helping their children academically and parental educational instrumental support tend to predict greater educational outcomes. The current study examined whether both mothers’ and fathers’ support and mothers’ self-efficacy influenced the associations between child ADHD symptoms, academic motivation, and reading in a sample of 181 …


Hurts So Good: An Exploration Of Benign Masochism And Other Motivations Toward Discomfort, Cody T. Gibson Jan 2025

Hurts So Good: An Exploration Of Benign Masochism And Other Motivations Toward Discomfort, Cody T. Gibson

Graduate Research Theses & Dissertations

Benign masochism describes the tendency for individuals to seek discomfort for enjoyment andis frequently measured by the self-reported enjoyment of various experiences thought to involve mild levels of discomfort. Although research suggests individuals engage in uncomfortable experiences because they enjoy discomfort, research on benign masochism rarely considers other motivations individuals might have. Pilot testing (N = 81), exploratory factor analysis (N = 442), and confirmatory factor analysis (N = 363) were conducted using three rounds of data collection using U.S. participants on CloudResearch’s Connect platform, resulting in a 28-item scale for benign masochism. Six factors—benign masochism, identity, limitations, affiliation, growth, …


Path Analysis Of Person, Socio-Cognitive, Environmental Factors On International Counseling Students’ Researcher Development, Priyanka Jha Jan 2025

Path Analysis Of Person, Socio-Cognitive, Environmental Factors On International Counseling Students’ Researcher Development, Priyanka Jha

Graduate Research Theses & Dissertations

Counseling and counselor education programs consider researcher development as a core component of professional development, preparing students and scholars to contribute to knowledge and evidence-based practices in the field. Despite this importance, researcher development remains understudied, especially for international graduate students in counseling and counselor education programs. Guided by the Social Cognitive Career Theory framework, this dissertation quantitively examined the impact of person, socio-cognitive, and environmental factors on researcher development for international graduate students. This study was correlational in nature and adopted a cross-sectional survey design. The sample for the current study was 85 international graduate students or recent graduate …


The Role Of Metaperceptions In Mindset Formation From Performance Feedback, Audra Paige Jensen Jan 2025

The Role Of Metaperceptions In Mindset Formation From Performance Feedback, Audra Paige Jensen

Graduate Research Theses & Dissertations

This dissertation investigated the cognitions that recipients of feedback had about their evaluators, and how that impacted achievement choices. Specifically, it aimed to analyze the role that metaperceptions of developability played in the mindset formation process following feedback. Although mindsets form based on different ways feedback is framed, the exact method that leads from feedback to mindset formation is not clear. Prior research has pointed to a meta-lay theory as the mediating component that leads from feedback framing to mindset. However, how the perception of an evaluator’s mindset would lead to changes in a recipient’s own beliefs was still unclear. …


A Daily Study Of Emotion Regulation Strategies And Stress Response, Maxwell J. Katsikas Jan 2025

A Daily Study Of Emotion Regulation Strategies And Stress Response, Maxwell J. Katsikas

Graduate Research Theses & Dissertations

Emotion regulation is a critical mechanism in the study of many forms of psychopathology. It is widely believed that maladaptive emotion regulation strategies (e.g., emotional suppression) may contribute to the development and maintenance of post-traumatic stress disorder (PTSD). Conversely, engaging in adaptive emotion regulation strategies (e.g., cognitive reappraisal) is suggested to be a crucial mechanism of change in some forms of treatment for PTSD. Therefore, understanding how emotion regulation strategies modulate stress response is critical. Much of the prior literature on emotion regulation in PTSD is cross-sectional and, therefore, cannot examine momentary emotion regulation and its immediate sequelae. Hence, the …


Exploring School Psychologists’ Sld Decisions For Emergent Bilingual Students, Brooke Ann Butcher Jan 2025

Exploring School Psychologists’ Sld Decisions For Emergent Bilingual Students, Brooke Ann Butcher

Graduate Research Theses & Dissertations

Emergent bilinguals (EBs) are one of the fastest-growing student populations in K-12 schools, yet research on their evaluation for special education, particularly for specific learning disabilities (SLD), remains limited. School psychologists play a critical role in these evaluations, yet prior studies indicate they often struggle to differentiate between language-based learning difficulties and true learning disabilities. This study examined how school psychologists weigh different evaluation components—background information, progress monitoring data, and standardized test data—when making SLD eligibility determinations for EBs compared to native English speakers. Using an experimental vignette design, 109 practicing school psychologists were randomly assigned to review a student …


Examining School Psychologists’ Perspectives Of School Resource Officers, Kaylee Engle Jan 2025

Examining School Psychologists’ Perspectives Of School Resource Officers, Kaylee Engle

All Graduate Theses, Dissertations, and Other Capstone Projects

Following highly publicized acts of school violence since the 1990s, school resource officers (SROs) have become increasingly common fixtures in U.S. public schools. However, research on educational stakeholders' perceptions of school resource officers is limited, and studies that have been conducted have produced mixed results. The purpose of this study was to examine school psychologists' perspectives of school resource officers. School psychologists have unique training and knowledge regarding the establishment of safe and supportive schools, as well as an ethical obligation to promote practices that contribute to positive school environments, yet no previous studies had examined these professionals' perceptions of …


Embodied Affliction: Somalis’ Perception Of Trauma, Ahmed M. Hassan Jan 2025

Embodied Affliction: Somalis’ Perception Of Trauma, Ahmed M. Hassan

All Graduate Theses, Dissertations, and Other Capstone Projects

Somali immigrants and refugees have a high rate of trauma, mainly because of their traumatic experiences during the Somali civil war and subsequent migration. Nevertheless, they do not readily access available psychological services in the countries to which they migrate. Research of the past two decades has revealed that different cultures conceptualize and communicate mental distress differently from one another. Those differences affect how Western mental health providers approach the treatment of clients who immigrate from an unfamiliar culture to Western countries, where the biomedical model of mental health dominates the health care system. Improved cultural awareness and communication between …


Knowledge And Education Of Minnesota High School Coaches Regarding The Signs And Symptoms Of Eating Disorders In High School Athletes, Mikaela Whiteford Jan 2025

Knowledge And Education Of Minnesota High School Coaches Regarding The Signs And Symptoms Of Eating Disorders In High School Athletes, Mikaela Whiteford

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study was to assess the level of education and knowledge among Minnesota high school coaches regarding the signs and symptoms of eating disorders in high school athletes. Data were collected through a researcher-developed survey, adapted from three existing instruments. The survey was administered through Qualtrics and distributed to participants through email. The findings indicate that while Minnesota high school coaches possess some knowledge of eating disorder signs and symptoms, their formal training and education on the topic are limited. Most of the education or training received by coaches was obtained for reasons unrelated to their responsibilities …


Social Cognition And Interaction Training In First Episode Psychosis, David W. Rose Iii Jan 2025

Social Cognition And Interaction Training In First Episode Psychosis, David W. Rose Iii

Clinical Psychology Dissertations

Social cognition (SC) involves a suite of neurocognitive and neuropsychological functions that are relevant to and crucial for successful navigation and overall functioning. Within this suite are domains of function such as emotion processing/recognition, attributional style/bias, and theory of mind. In individuals with schizophrenia and first episode psychosis (FEP), these faculties are grossly impaired, and result in difficulties with occupational, social, and basic functioning. Social Cognition and Interaction Training (SCIT) is a treatment intervention that was developed to improve these SC domain impairments in individuals with Schizophrenia, but has not been experimentally applied to FEP populations as thoroughly, where the …


Racial Preference As A Moderator In The Match-Alliance Relationship: A Mixed-Methods Study Of Indian Immigrants, Sarika Agarwal M.S. Jan 2025

Racial Preference As A Moderator In The Match-Alliance Relationship: A Mixed-Methods Study Of Indian Immigrants, Sarika Agarwal M.S.

Selected Full Text Dissertations, 2011-

Patient preferences are defined as a patient’s desire for specific behaviors or attributes of the therapist or therapy (Arnkoff et al., 2002). Psychotherapy patients may hold a preference for a same-race therapist due to their perception that the therapist is similar to themselves, which may positively affect the therapeutic alliance (Cabral & Smith, 2011). However, since previous research has found mixed results on the positive effects of racial matching in psychotherapy (Cheng et al., 2023), another possible angle to examine the effects of racial matching on the therapeutic alliance is by taking patient preference into account. While data is limited …


Attachment And Delusional Ideation: A Systematic Review And Proposed Model Of The Association Between Attachment Insecurity And Delusion Symptoms, Ryan Sparks M.S. Jan 2025

Attachment And Delusional Ideation: A Systematic Review And Proposed Model Of The Association Between Attachment Insecurity And Delusion Symptoms, Ryan Sparks M.S.

Selected Full Text Dissertations, 2011-

Early repeated child-parent experiences impact the emergence of children’s reality testing by providing them with secure, trusting relationships with reality-oriented caregivers in which beliefs can be evaluated and refined. These relationships facilitate open and reciprocal communication about thoughts and feelings. Caregivers facilitate the development of children’s reflective capacities by helping them connect their inner experiences to their behavior. This process encourages them to assess whether their thoughts and feelings accurately reflect reality by remaining attuned to the perceptions of reality that are shared with others. Given the centrality of early caregiving experiences to one’s development of reality testing, attachment theory …


Context-Dependent Functional Connectivity During Attention Orienting And Reorienting: Comparing Individuals With Schizophrenia And Controls, Hyun Freeman Jan 2025

Context-Dependent Functional Connectivity During Attention Orienting And Reorienting: Comparing Individuals With Schizophrenia And Controls, Hyun Freeman

All ETDs from UAB

Attentional deficits are a well-established feature of schizophrenia, impacting various functional domains. Previous research suggested altered connectivity within attention networks may underlie these deficits, but few studies have examined how these net-works dynamically interact during different types of attention processes. In this study, we investigated functional connectivity patterns during attentional orienting and reori-enting to social and nonsocial cues in 25 individuals with schizophrenia and 25 controls. Participants completed a modified Posner spatial cueing task with both social (eyes) and nonsocial (arrows) cues during fMRI scanning. Using generalized psychophysiological interaction analysis with the left lateral occipital cortex (LOC) as a seed …


Religious Participation, Subjective Happiness, And Purpose In Life As Predictors Of Psychological Resilience Among College Students At A Faith-Based Institution In The United States, Elaine Powell Oliver Jan 2025

Religious Participation, Subjective Happiness, And Purpose In Life As Predictors Of Psychological Resilience Among College Students At A Faith-Based Institution In The United States, Elaine Powell Oliver

Dissertations

Problem

During the transition from adolescence to adulthood, also known as emerging adulthood, many college students experience psychological distress, such as anxiety, depression, stress, and loneliness (Arnett & Tanner, 2009; DeRosier et al., 2013). For some students, their psychological distress will impact how they perform academically and whether they will persist in their academic goals (Hartley, 2012; Robbins et al., 2018). Many students lack the resilience needed to survive and thrive amid the challenges of college life (Lane, 2020; McLafferty et al., 2022; Watkins et al., 2012). -- Resilience is considered an essential psychological characteristic to assist students in navigating …


Exploring The Mental Health Of Korean-American Elderly Immigrants, Iris Minkyung Kim Jan 2025

Exploring The Mental Health Of Korean-American Elderly Immigrants, Iris Minkyung Kim

Antioch University Dissertations & Theses

This study sought to understand the mental health of Korean-American elderly immigrants using the theoretical frameworks Erikson’s Stages of Psychosocial Development and Interpersonal Psychotherapy Theory (IPT). To achieve this purpose, this study incorporated a qualitative thematic analysis and conducted in-depth interviews with 10 elderly Korean immigrants living in the United States. From these interviews, eight themes were identified: (a) multifaceted immigration experiences, (b) immigration challenges, (c) complex language barriers, (d) personality constructs impacting experience, (e) the importance of relationships, (f) limited information and access to support, (g) life satisfaction and dissatisfaction, and (h) advice for future immigrants. These themes indicate …


Mental Heath Experiences Of Transracial Adoptees Of The Global Majority (Black, Indigenous, And People Of Color - Bipoc)., Phebe Brako Jan 2025

Mental Heath Experiences Of Transracial Adoptees Of The Global Majority (Black, Indigenous, And People Of Color - Bipoc)., Phebe Brako

Antioch University Dissertations & Theses

This qualitative hermeneutic phenomenological study explores the lived experiences of transracial adoptees of the global majority (BIPOC), focusing on their bicultural identity integration and its impact on mental health. During semi-structured interviews, nine participants shared their stories of navigating cultural and racial dynamics as adoptees in predominantly White adoptive families and communities. The findings revealed six core themes: (1) the Quest for Bicultural Identity Formation, (2) Cultural Integration and Adaptation, (3) Navigating Racial and Cultural Tensions, (4) the Role of Family in Cultural Integration, (5) the Importance of Community and Support Systems, and (6) Mental Health and Therapeutic Experiences, addressing …


Exploring The Use Of Somatic Skills And Techniques In Clinical Supervision, Areka D. Foster Jan 2025

Exploring The Use Of Somatic Skills And Techniques In Clinical Supervision, Areka D. Foster

Antioch University Dissertations & Theses

This study explores the lived experiences of clinical supervisors who engage in somatically oriented supervision. Informed by relational-cultural theory and polyvagal theory, the research employs a grounded theory methodology to investigate the potential development of a somatic supervision framework. Eleven participants completed semi-structured interviews and data were analyzed using both thematic analysis and grounded theory techniques. Eleven core themes emerged: (a) conceptualizations of somatic supervision, (b) integration of somatic techniques in supervisory practice, (c) theoretical foundations for somatic supervision, (d) attunement to countertransference, (e) the supervisory relationship, (f) trauma-informed approaches, (g) somatic techniques and practices, (h) initiating and structuring somatic …


Initial Validation Of The Measure Of Practical Existential Wellbeing, Bryant L. Moore Jan 2025

Initial Validation Of The Measure Of Practical Existential Wellbeing, Bryant L. Moore

Antioch University Dissertations & Theses

According to the theory of existential psychology, all humans experience existential anxiety, a negative feeling that results from the understanding of certain unavoidable truths. If left unchecked, existential anxiety can lead to symptoms of mental illness. Much work has been done to explore and measure existential anxiety, but little has focused on protective factors within existential theory. This dissertation proposes the construct of existential wellbeing, representing protective factors corresponding to different existential domains. To assess this construct, a new instrument, the Measure of Practical Existential Wellbeing (MPEW), was developed, distributed, and analyzed in relation to other established measures. The MPEW …


Exploring Mental Health Concerns And Loneliness Among East Asian International Students In U.S. Universities, Shihan Xu Jan 2025

Exploring Mental Health Concerns And Loneliness Among East Asian International Students In U.S. Universities, Shihan Xu

Antioch University Dissertations & Theses

This study examined the unique stressors encountered by international college students, with particular attention to East Asian international students, whose collectivistic cultural values contribute to their mental health status and reported symptoms. Following the COVID-19 pandemic, the rise in stress levels and loneliness highlighted the need for further examination. Using data collected in 2024 through the Counseling Center Assessment of Psychological Symptoms-34 (CCAPS-34) and the UCLA Loneliness Scale, the study surveyed East Asian international students enrolled in universities in the United States to identify prevalent mental health concerns and explore the correlation between loneliness and self-reported symptoms among East Asian …


My Body My Choice: A Qualitative Study Of Volitional Female Sterilization In The U. S. Latina And Hispanic Female Population, Heather Morris Tuip Jan 2025

My Body My Choice: A Qualitative Study Of Volitional Female Sterilization In The U. S. Latina And Hispanic Female Population, Heather Morris Tuip

Antioch University Dissertations & Theses

This qualitative study, utilizing an interpretative phenomenological analysis methodology, elucidates the experience of Latina and Hispanic women living in the United States who have volitionally undergone sterilization or have sought the procedure out for birth control. Understanding the rich, contextual, lived experience of Latina and Hispanic women through an intersectional framework highlights how cultural influences and contemporary policies on reproductive rights informed their personal choice to undergo a female sterilization procedure. The participants of this study shared how they made meaning of their experiences. Within a homogenous sampling of study participants who share ethnicities and genders, six group experiential themes …


Responses To Tobacco Use Screening And Tobacco Cessation Assistance Offers Among Rural And Ubran Cancer Survivors At An Nci-Designated Comprehensive Cancer, Abigayle Feather Jan 2025

Responses To Tobacco Use Screening And Tobacco Cessation Assistance Offers Among Rural And Ubran Cancer Survivors At An Nci-Designated Comprehensive Cancer, Abigayle Feather

Theses and Dissertations--Psychology

Smoking after cancer diagnosis is associated with poor outcomes while smoking cessation can improve quality of life and promote survival. Although there are calls for equitable tobacco treatment delivery in cancer and other healthcare settings, disparities in tobacco-related disease burden persist. In the context of an outpatient cancer center’s population-based tobacco treatment program, this study examines the association between cancer survivors’ rural and Appalachian residence and 1) current tobacco use status, 2) decision to decline cessation assistance, and 3) reason for declining assistance. A cross-sectional, retrospective analysis was conducted using electronic health record data from 16,839 adults (64.04% female, 88.49% …