There is insufficient evidence to determine whether or not worksite-based incentives and competitions alone work to reduce tobacco use among workers. Evidence is considered insufficient because only one study of least suitable design was identified in this review. Worksite-based incentives and competitions when combined with additional interventions to support individual cessation efforts are recommended for decreasing tobacco use among workers based on strong evidence of effectiveness in reducing tobacco use among workers. Worksite-based incentives and competitions to reduce tobacco use among workers offer rewards to individual workers and to teams as a motivation to participate in a cessation program or effort. Rewards can be provided for participation, for success in achieving a specified behavior change, or for both. Types of rewards may include guaranteed financial payments, lottery chances for monetary or other prizes, and return of self-imposed payroll withholdings.

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Reduce Risk or Incidence of Disease or Condition, Effect Behavioral Change, Business & Private Sector, Government & Policymakers, Community- & Faith-Based Organizations, Behavioral & Social, Secondary Prevention, Environmental & Policy, Employers & Employees

Community Preventive Services Task Force. Recommendations for worksite-based interventions to improve workers' health. Am J Prev Med [Internet]. 2010 Feb [cited 2013 Feb 22];38(2S):S232-6. Available from http://www.thecommunityguide.org/worksite/Worksite2010Recommendations_TaskForce.pdf