There was not convincing evidence that effects were different between different groups of behaviours .
Meta-regression found some , limited , evidence that effect sizes decreased as post-intervention follow-up period and incentive value increased .
However , the latter effect may be confounded by the former .
The available evidence suggests that financial incentive interventions are more effective than usual care or no intervention for encouraging healthy behaviour change .
BACKGROUND Financial incentive interventions have been suggested as one method of promoting healthy behaviour change .
OBJECTIVES To conduct a systematic review of the effectiveness of financial incentive interventions for encouraging healthy behaviour change ; to explore whether effects vary according to the type of behaviour incentivised , post-intervention follow-up time , or incentive value .
A randomized, controlled trial of financial incentives for smoking cessation.
BACKGROUND Smoking is the leading preventable cause of premature death in the United States . Previous studies of financial incentives for smoking cessation in work setting s have not shown that such incentives have significant effects on cessation rates , but these studies have had limited power , and the incentives used may have been insufficient . METHODS We r and omly assigned 878 employees of a multinational company based in the United States to receive information about smoking-cessation programs ( 442 employees ) or to receive information about programs plus financial incentives ( 436 employees ) . The financial incentives were $ 100 for completion of a smoking-cessation program , $ 250 for cessation of smoking within 6 months after study enrollment , as confirmed by a biochemical test , and $ 400 for abstinence for an additional 6 months after the initial cessation , as confirmed by a biochemical test . Individual participants were stratified according to work site , heavy or nonheavy smoking , and income . The primary end point was smoking cessation 9 or 12 months after enrollment , depending on whether initial cessation was reported at 3 or 6 months . Secondary end points were smoking cessation within the first 6 months after enrollment and rates of participation in and completion of smoking-cessation programs . RESULTS The incentive group had significantly higher rates of smoking cessation than did the information-only group 9 or 12 months after enrollment ( 14.7 % vs. 5.0 % , P<0.001 ) and 15 or 18 months after enrollment ( 9.4 % vs. 3.6 % , P<0.001 ) . Incentive-group participants also had significantly higher rates of enrollment in a smoking-cessation program ( 15.4 % vs. 5.4 % , P<0.001 ) , completion of a smoking-cessation program ( 10.8 % vs. 2.5 % , P<0.001 ) , and smoking cessation within the first 6 months after enrollment ( 20.9 % vs. 11.8 % , P<0.001 ) . CONCLUSIONS In this study of employees of one large company , financial incentives for smoking cessation significantly increased the rates of smoking cessation . ( Clinical Trials.gov number , NCT00128375 .
There was not convincing evidence that effects were different between different groups of behaviours .
Meta-regression found some , limited , evidence that effect sizes decreased as post-intervention follow-up period and incentive value increased .
However , the latter effect may be confounded by the former .
The available evidence suggests that financial incentive interventions are more effective than usual care or no intervention for encouraging healthy behaviour change .
BACKGROUND Financial incentive interventions have been suggested as one method of promoting healthy behaviour change .
OBJECTIVES To conduct a systematic review of the effectiveness of financial incentive interventions for encouraging healthy behaviour change ; to explore whether effects vary according to the type of behaviour incentivised , post-intervention follow-up time , or incentive value .