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Related Experiment Videos

Competitions and incentives for smoking cessation.

K Hey1, R Perera

  • 1Cochrane Tobacco Addiction Group, Department of Primary Health Care, Old Road Campus, Old Road, Headington, Oxford, UK, OX3 7LF. kate.hey@dphpc.ox.ac.uk

The Cochrane Database of Systematic Reviews
|April 23, 2005
PubMed
Summary

Financial incentives and competitions do not improve long-term smoking cessation rates. However, rewarding participation can increase recruitment for smoking cessation programs.

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Area of Science:

  • Public Health
  • Behavioral Science
  • Health Promotion

Background:

  • Material or financial incentives are utilized to encourage behavior change, notably smoking cessation.
  • These incentives have been incorporated into workplace and community smoking cessation programs.
  • Quit and Win contests represent a specific type of incentive-based program.

Purpose of the Study:

  • To evaluate the effectiveness of competitions and incentives on long-term smoking cessation rates.
  • To examine the relationship between incentive programs and participant recruitment rates.

Main Methods:

  • Conducted a systematic search of multiple databases including Cochrane, MEDLINE, EMBASE, CINAHL, and PsycINFO.
  • Included randomized controlled trials and controlled studies with baseline and post-intervention measures.

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  • Extracted data on smoking abstinence (at least six months) and performed meta-analysis where appropriate.

    • Main Results:

    • Fifteen studies met inclusion criteria; none showed significantly higher long-term quit rates with incentives.
    • No clear evidence indicated that financial commitment or specific incentive types improved cessation outcomes.
    • Incentives for participation showed potential to improve recruitment rates, leading to more absolute quitters.

    Conclusions:

    • Incentives and competitions do not appear to enhance sustained smoking cessation.
    • Observed early success often diminishes once rewards are removed.
    • Rewarding participation and compliance may increase overall participant numbers in cessation programs.