Service Delivery

Weight control among coworkers. Effects of monetary contingencies and social milieu.

Colvin et al. (1983) · Behavior modification 1983
★ The Verdict

Small cash refunds triple weekly weight-loss success at work, but the effect fades once payments stop.

✓ Read this if BCBAs running adult wellness or staff health programs in clinics, schools, or corporate settings.
✗ Skip if Clinicians serving children or clients with eating disorders where weight talk is contraindicated.

01Research in Context

01

What this study did

Researchers ran a workplace weight-loss program. Coworkers set weekly goals, stepped on a scale, and saw their progress posted on a public chart.

Half the group could earn small cash refunds for meeting goals. The other half got the same program but no money.

The team tracked how many weeks each person hit their target and who kept weight off later.

02

What they found

Money tripled success. Ninety-seven percent of weekly goals were met when refunds were offered. Only forty-two percent were met without money.

After the refunds stopped, many people regained weight. The cash worked wonders while it lasted, then faded.

03

How this fits with other research

Winters et al. (2026) saw the same crash in HIV care. Monthly cash kept adults coming to clinic, but visits dropped the day payments ended. Both studies warn: behavior fades when money stops.

Potter et al. (2013) found the opposite stickiness. Homeless adults stayed in job training longer when paid, even after incentives ended. The difference may be that job skills build new reinforcers, while weight loss lacks built-in rewards.

Siegel et al. (1970) started the trend early. Donated goods lifted welfare meeting attendance five-fold, showing low-cost tokens can move adults decades before workplace refunds were tried.

04

Why it matters

You can use tiny cash refunds to spark quick gains at work or day programs. Pair weigh-ins, attendance charts, or step goals with small payments for fast buy-in. Plan a fade-out or add social praise and internal rewards before stopping cash. This keeps the behavior alive after the money stops.

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Add a one-dollar refund for each weekly wellness goal met, post names and results publicly, and schedule a praise party before you taper the cash.

02At a glance

Intervention
token economy
Design
quasi experimental
Sample size
23
Population
not specified
Finding
positive
Magnitude
large

03Original abstract

Twenty-three coworkers participated in an 1 -week weight loss program based in the office in which they worked and studied. Treatment consisted of individual goal-setting, weekly weigh-ins, semipublic display of weight charts, and monetary refunds contingent on meeting weekly weight loss goals. A control group was exposed to an identical program minus the pyramidal monetary contingencies. Attrition was 50% for both groups for the first 4-week enrollment period, but did not occur during the remainder of the program. Of those who completed the program, all but one lost weight. However, weekly goals for the control group were met only 42% of the time and only one of five participants met their terminal weight goal. The experimental group met their weekly goals 97% of the time and all members met their terminal goals. Follow-up data collected 6 months after the program ended showed that most persons in both groups had regained weight since the end of treatment, but continued to weigh less than they had at the beginning of the program. Results are discussed in terms of (a) the social milieu of the work site as a means of reducing attrition and encouraging the achievement of weight loss goals, and (b) the effects of program length and fading of monetary contingencies on maintenance of weight loss.

Behavior modification, 1983 · doi:10.1177/01454455830071005