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Related Experiment Video

Updated: Jun 2, 2026

Electroencephalographic, Heart Rate, and Galvanic Skin Response Assessment for an Advertising Perception Study: Application to Antismoking Public Service Announcements
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Electroencephalographic, Heart Rate, and Galvanic Skin Response Assessment for an Advertising Perception Study: Application to Antismoking Public Service Announcements

Published on: August 28, 2017

Competitions and incentives for smoking cessation.

Kate Cahill1, Rafael Perera

  • 1Department of Primary Health Care, University of Oxford, Rosemary Rue Building, Old Road Campus, Oxford, UK, OX3 7LF.

The Cochrane Database of Systematic Reviews
|April 15, 2011
PubMed
Summary

Financial incentives and competitions generally do not improve long-term smoking cessation rates. One study showed success with substantial cash rewards for abstinence, suggesting this approach may work if independent cessation services are available.

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Published on: January 10, 2015

Area of Science:

  • Public Health
  • Behavioral Science

Background:

  • Financial incentives and competitions are explored as tools for behavior change, particularly for smoking cessation.
  • These methods have been used in workplace and community programs, with current UK initiatives planning similar schemes.

Purpose of the Study:

  • To evaluate if competitions and incentives increase long-term smoking cessation rates.
  • To examine the correlation between incentives and participation levels in cessation programs.

Main Methods:

  • Systematic review of randomized controlled trials and controlled studies.
  • Searches conducted across multiple databases (Cochrane, MEDLINE, EMBASE, CINAHL, PsycINFO) up to November 2010.
  • Primary outcome: smoking abstinence at least six months post-intervention, using biochemically validated rates where possible.

Main Results:

  • Nineteen studies (>4500 participants) were included; only one showed significantly higher long-term quit rates with incentives.
  • This successful trial offered substantial cash payments (up to $750) for sustained abstinence, linking participants to existing cessation services.
  • No clear evidence that self-funded or contingent rewards improved success over fixed payments; however, rewarding participation may boost recruitment.

Conclusions:

  • Incentives and competitions generally fail to sustain long-term smoking cessation, with effects often diminishing after rewards cease.
  • Rewarding participation and compliance could increase the absolute number of successful quitters.
  • Sustained success may depend on substantial, independently funded abstinence-contingent rewards, rather than program-run incentives.