Evidence map›Paper›PMID 23403276›Full record

Trial reportAddictive behaviors2013

The effect of framing incentives as either losses or gains with contingency management for smoking cessation.

Paul Romanowich, R J Lamb

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Addictive behaviors, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Incentives for smoking cessation.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Incentives for smoking cessation.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Pooled it
  4. Effect of Behavioral Economic Incentives for Colorectal Cancer Screening in a Randomized Trial.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2021
    Trial
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  12. Review
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  15. Concrete Messages Increase Healthy Eating Preferences.European journal of investigation in health, psychology and education · 2020
    Article
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Paul RomanowichDepartment of Psychiatry, University of Texas Health Science Center, San Antonio, TX, USA. promanowich@csuchico.edu
R J Lamb

Funding

INCREASING CONTINGENCY MANAGEMENT SUCCESS USING SHAPINGR01DA013304 · NIDA · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI LAMB, RICHARD J · 1999 to 2009
$3.3M
NIDA NIH HHS DA013304NIDA NIH HHS R01 DA013304
6 · The paper itself

Abstract

Cumulative prospect theory predicts that losses motivate behavior more than equal gains. Contingency management procedures effectively reduce drug use by placing incentives in direct competition with the drug taking behavior. Therefore, framing incentives as losses, rather than gains should decrease drug use to a greater extent, given equivalent incentives. We examined whether contingent vouchers described as either losses or gains differentially affected smoking abstinence rates. Over 5 consecutive days, participants could either gain $75 per day for verified abstinence or lose $75 per day (initial endowment=$375) for continuing to smoke. As a result, loss-framed participants were more likely to achieve at least one day of abstinence. There was a trend towards loss-framed participants reducing the amount smoked more than gain-framed participants. However, participants in the gain-framed group were more likely to maintain abstinence, once initiated. The results partially support cumulative prospect theory and suggest additional ways to initiate behavior change using incentives, outside of using larger magnitude incentives in contingency management procedures.

Indexed as

MotivationAdultBehavior TherapyFemaleHumansMaleMiddle AgedReinforcement, PsychologySmokingSmoking CessationTreatment Outcome

Identifiers

PMID23403276
PMCPMC3575603

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.