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Drug Alcohol Depend. 2014 Jul 1;140:208-12. doi: 10.1016/j.drugalcdep.2014.03.032. Epub 2014 Apr 13.

Prize contingency management for smoking cessation: a randomized trial.

Author information

  • 1Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, 3901 Chrysler Drive, Detroit, MI 48201, USA. Electronic address: dledgerw@med.wayne.edu.
  • 2Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, 3901 Chrysler Drive, Detroit, MI 48201, USA.
  • 3Department of Medicine, University of Connecticut Health Center, 263 Farmington Ave., Farmington, CT 06030, USA.

Abstract

BACKGROUND:

Adjunctive behavioral smoking cessation treatments have the potential to improve outcomes beyond standard care. The present study had two aims: (1) compare standard care (SC) for smoking (four weeks of brief counseling and monitoring) to SC plus prize-based contingency management (CM), involving the chance to earn prizes on days with demonstrated smoking abstinence (carbon monoxide (CO) ≤6 ppm); and (2) compare the relative efficacy of two prize reinforcement schedules-one a traditional CM schedule, and the second an early enhanced CM schedule providing greater reinforcement magnitude in the initial week of treatment but equal overall reinforcement.

METHODS:

Participants (N=81 nicotine-dependent cigarette smokers) were randomly assigned to one of the three conditions.

RESULTS:

Prize CM resulted in significant reductions in cigarette smoking relative to SC. These reductions were not apparent at follow-up. We found no meaningful differences between the traditional and enhanced CM conditions.

CONCLUSIONS:

Our findings reveal that prize CM leads to significant reductions in smoking during treatment relative to a control intervention, but the benefits did not extend long-term.

Copyright © 2014. Published by Elsevier Ireland Ltd.

KEYWORDS:

Cigarette; Contingency management; Prize; Tobacco; Treatment efficacy

[PubMed - indexed for MEDLINE]
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