Self-Incentives Uniquely Boost Cessation in Community-Based Stop Smoking Programs: Randomized Controlled Trial

Research output: Contribution to journalArticle

Original languageEnglish
Pages (from-to)442-452
Number of pages11
JournalAnnals of Behavioral Medicine
Issue number5
Publication statusPublished - 21 Jul 2018
BackgroundSelf-incentives offer a plausible alternative to paying smokers to quit but have not yet been tested in a randomized controlled trial.PurposeThe present study tested whether, compared with a control group, prompting smokers explicitly to self-incentivize if they abstain from smoking for a week or a month encouraged sustained abstinence.MethodOne hundred and fifty-nine smokers were recruited from stop smoking clinics and randomized to an active control condition (asked to form a plan to quit, n = 65) or one of two intervention conditions in which they were asked to form implementation intentions designed to ensure that they incentivized themselves if they had not smoked at all by the end of (a) the week (n = 44) or (b) the month (n = 50). The main outcome measure was self-reported abstinence at 3- and 6-month follow-ups, which was biochemically verified at baseline and in a subsample at 3-month follow-up.ResultsAt 3-month follow-up, 34% (15/44; p < .05, d = 0.45) and 36% (18/50; p < .05, d = 0.49) of smokers abstained in the weekly and monthly self-incentivizing conditions respectively, compared with 15% (10/65) in the control. The same pattern of findings was observed at 6-month follow-up: 30% (13/44; p < .05, d = 0.35), 34% (17/50; p < .05, d = 0.45) and 15% (10/65) of smokers remained abstinent in the two intervention groups and control group, respectively.ConclusionsEnsuring that smokers self-incentivized boosted significantly the effectiveness of the stop smoking program. Self-incentivizing implementation intentions could be implemented at low cost with high public health “reach” to change many health behaviors beyond smoking.

    Research areas

  • Implementation intentions, Intervention, Smoking cessation, Self-incentive, Behavior Change


  • annals_of_beh_med_final_accepted_2018

    Rights statement: This is a pre-copyedited, author-produced version of an article accepted for publication in Annals of Behavioral Medicine following peer review. The version of record Brown, E. M., Smith, D. M., & Armitage, C. J. (2018). Self-Incentives Uniquely Boost Cessation in Community-Based Stop Smoking Programs: Randomized Controlled Trial. Annals of Behavioral Medicine. is available online at:

    Accepted author manuscript, 579 KB, PDF document

Related faculties, schools or groups

External organisations

  • University of Manchester
  • University of East Anglia

View graph of relations