title: The effect of framing incentives as either losses or gains with contingency management for smoking cessation.
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.
authors: Department of Psychiatry, University of Texas Health Science Center, San Antonio, TX, USA. promanowich@csuchico.edu
authors: Paul
authors: P
authors: Romanowich
authors: R J
authors: RJ
authors: Lamb
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D012054:Reinforcement, Psychology; D012907:Smoking / Q000628:therapy*; D016540:Smoking Cessation / Q000379:methods*; D016896:Treatment Outcome
references: J Appl Behav Anal. 2008 Winter;41(4):629-33
references: 19192867
references: J Appl Behav Anal. 2010 Fall;43(3):357-67
references: 21358898
references: Addict Behav. 2004 May;29(3):507-23
references: 15050670
references: Addiction. 2005 Feb;100(2):159-67
references: 15679745
references: Br J Soc Psychol. 1989 Mar;28 ( Pt 1):89-94
references: 2706433
references: Psychol Sci. 2007 Dec;18(12):1099-105
references: 18031418
references: Exp Clin Psychopharmacol. 2010 Feb;18(1):32-6
references: 20158292
references: Cochrane Database Syst Rev. 2011 Dec 07;(12):CD006777
references: 22161408
references: Nicotine Tob Res. 2002 May;4(2):149-59
references: 12028847
references: Health Psychol. 1999 Mar;18(2):189-96
references: 10194055
references: Drug Alcohol Depend. 2000 Feb 1;58(1-2):103-9
references: 10669060