The effects of contingent payment and frequent workplace monitoring on smoking abstinence

Cynthia S Rand, Maxine L. Stitzer, George E. Bigelow, Andrew M. Mead

Research output: Contribution to journalArticlepeer-review

36 Scopus citations


This study examined the relative contribution of contingent payment and worksite CO monitoring to the long-term maintenance of smoking abstinence. Forty-seven hospital employees who had abstained from smoking for five days (confirmed by CO analysis) were randomly assigned to one of three follow-up groups: (a) contingent payment /frequent monitoring (n = 17); (b) noncontingent payment/frequent monitoring (n = 16); or (c) non-contingent payment/frequent monitoring (n = 14). Contingent payment combined with frequent CO monitoring delayed but did not ultimately prevent subjects relapse to smoking by the end of the six month follow-up. Contingent subjects maintained CO values less than or equal to 11 ppm significantly longer than did either the Non- contingent or the Control subjects (p = .03). CO monitoring alone had no effect on abstinence outcomes; both Noncontingent and Control subjects showed high rates of early relapse.

Original languageEnglish (US)
Pages (from-to)121-128
Number of pages8
JournalAddictive Behaviors
Issue number2
StatePublished - 1989

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Clinical Psychology
  • Toxicology
  • Psychiatry and Mental health


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