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White Paper on evidence based study ROI Results and HR Wellness objectives achieved in ASTRO’s “I DARE QUIT”

2014 Challenge for a Smoke Free Workplace and Increased Performance with Cigarette Break Reduction

The T.ransform E.motional A.ddictive C.ompulsive H.abit - Science to Quit Smoking Technology

Training done for ASTRO to measure and reveal benefits gained in training smokers to quit and achieve a smoke free and healthier workplace

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The Science to Quit Smoking (S2QS) – A ROI Evidence based Study done on how ASTRO achieved Wellness objectives via T.E.A.C.H. quit smoking training that employ workshop, Internet and Telecommunication Technology to promote cigarette cessation to Smokers in the Work Place for better health and productivity.

Authors: Julian Leicester : Reviewed by ASTRO HR, OSHE

ABSTRACT

Background There are many clinical stop smoking techniques using either products,

consultation or in combination with counseling techniques. The majority of these

methods are achieved via a one to one clinical approach. While it has been shown

that these methods can be effective in the treatment of cigarette smoking, it is not

known whether such methods can be conducted or applied in groups. This study is a

study on systems of combined education, advanced subconscious techniques for

change, music and sound impacts and using internet interaction technologies

Methods This was a study done during a training with smokers who wanted to quit

and had volunteered to come. The participants were provided 2 days intensive

training of the S2QS seminar education and group therapies and were further given

educational and therapy support via the internet. Daily counts of their cigarettes

were taken with initial video and audio testimonies done for authenticity of the

evidence and monitoring process. At the beginning of the 2nd day after the training

the cigarette count was done and documented. After a lapse of about 10 days where

these participants were left without any support what so ever, a final count of their cigarettes was done to conclude the study evidence on 24th February 2014.

Results The evidence of this in-house training study has shown that the S2QS

program is a world-class resilient anti-tobacco training program that ASTRO had

employed. In the reporting and study it has shown flexibility, and minimal logistic in

the process of delivery, handling challenges with minimal format changes, receiving

reasonable consistency in result and objectives. It shows its key potential as an in-

house quit smoking program that can be scaled and rollout throughout the

organization. It has the potential to scale effectively and brand anti-smoking

in ASTRO.

Conclusions The S2QS training not only teaches ASTRO smokers to be a ‘non-

smoker’ but provide a rapid solution to quit smoking at the workplace. We have seen

a significant drop in usage of the quit smoking designated areas i.e., Jurassic Park

and Lost World by these training participants.

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About the T.E.A.C.H. Training Format:

Based on the original book and 13 years of evidence clinical research and

development of “The Science to Quit Smoking” by Julian Leicester.

It had been conducted in public seminars promoted nationwide in Malaysia,

Holland and Philippines.

It’s a group format which teaches while providing a quit solution in it.

It complements the Government of Malaysia’s Anti-tobacco programs and

OSHA objectives at the workplace as well as DOSH’ s drug of abuse protocols.

It is the first of its type in the world in terms of non drug or products used, its

training delivery format; and uses education, therapy and technology using

the “pleasure based method”.

It uses subconscious coaching, healthy lifestyle mentoring, food and therapy

advises to implement a quit smoking habit.

It teaches smokers who don’t want to currently quit with a system that they

can use and quit someday.

It can scale effectively into ASTRO and eventually provide a collective mindset

transformation to effectively change smoking culture in ASTRO.

If implemented intensively, it can get help ASTRO management get rid of

Jurassic Park and Lost World stigma and utilize that area for more commercial

benefits.

About the Results:

All the participants drastically reduced cigarette consumption to date.

There was a significant reduction in cigarette breaks resulting in higher

productivity, cost spending and higher ROI in the training employed by

ASTRO.

Increased commitment for a healthy lifestyle at home and work.

Less spending in cigarette purchase, increasing financial savings for the

participant.

The overall results demonstrate that the T.E.A.C.H. trainings potential of

being an Anti-Tobacco S.O.P. for ASTRO HR and OSH in converting smoke

outside offices to smoke-free staff.

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“I DARE QUIT ASTRO CHALLENGE 2014”

SUBJECTS

When ASTRO HR and Facilities management employed the S2QS training, on initial

discussion, all had set an expectation that at least 20 of the smoking participants be

attending the challenge training. The training was to be conducted in-house and

based on participants who volunteered to quit. The training took note of the

challenges faced especially of the participants who were coming to the training

without disrupting shift duties or operation assignments.

The majority of the training participants were initially briefed on their expectation in

via emails and also when some were ‘recruited’ in Jurassic Park and Lost world’ on

13th and 14th October 2012 in the THEATER Auditorium. Many of them were

optimistic, some skeptical and other’s with an open-mind while attending this quit

smoking in-house training. However, only 9 of the 20 participants who have online

signed and agreed to attend turn up for the training.

PROCEDURES

The study on the ASTRO’s “I DARE QUIT” Quit smoking training Challenge 2014 was

done in in house “THEATER” training room. The training dates were:

1. 13th of February 2014 – 14th of February 2014

training days and ROI monitoring period ending

24th of February 2014.

Number of participants: 9

The method used for the S2QS seminar training involved a specialist trainer,

EuGrow, MARSH and ASTRO OSHE Facilities. The training was a joint working and

cooperative venture between ASTRP and You1Quit

In the study the methods of documentation, recording of events and sampling

document records to monitor evidence were properly supervised and validated. In

the training many key areas of evidence and proof points were controlled and

recorded daily. This was done in various ways:

1. Video testimony before and after the training to proof the effect

2. Pictures of both the trainings

3. Online Questionnaires in which the attitude, feeling and response were asked

to measure results

4. Email and e-lesson to collect daily smoking counts

5. Online extraction of excel spreadsheets for daily monitoring

During the whole duration of the training and study period, the TEACH Trainer

collected the records of the cigarette consumption (if any) of the participants. We

presented to the management of ASTRO for authentication, endorsement and

acceptance.

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ROI DATA COLLECTION AND EVALUATION ANALYSIS

Official Training Statistic Collection and measure Amount of Cigarettes taken by the participants each day for ASTRO “I Dare Quit”

training. Before each training day the participants filled a form on whether they were

still non-Smokers to check the effectiveness of their progress. This feedback

continued until 24th February 2014. The collective results can be found below.

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STATISTICAL METHODS

The principal data analysis method was the daily computation of participant’s records

into MS Excel spreadsheet where the source was done through document form filling

and, email feedback, online form filing. The data on the forms were used to populate

calculation on ROI and to reflect the daily reduction efforts of each participant in the seminars.

ASTRO “I DARE QUIT” CHALLENGE 2014 – RESULTS/BENEFIT ACHEIVED

RATIONALE: Why have S2QS Quit Smoking Training? – It’s a Big Cost to sustain Smokers at Work! Our studies and experiences over 12 years doing corporate quit smoking programs, showed that most smokers don’t want to quit. However, there are smokers who want to quit and have tried many methods and still cannot quit the habit. These smokers are the primary targets. Today management can send their staff for wellness training. The corporate industry today is paying for:

Additional cost in areas of medical bills due to cigarette related diseases.

More smokers in office environments practicing this unhealthy habit.

Smoking staffs are spending more time smoking out of office, in fire escapes or designated smoking rooms.

Smoking created a lapse of productivity time due to smoking.

Cigarette littering in toilets and environment

Cigarette Smell when engaging with clients

High loading fire insurance yearly because of audit failure due to smoking Many organizations are seriously discouraging their staff from smoking. Many smokers want to quit because their working colleagues are complaining about their habit. It’s a tedious task but with S2QS this mission can be achieved. Management must champion wellness at work. ASTRO “I DARE QUIT” Challenge 2014 - Quit Smoking Training Objectives

Educational and Intervention program to learn the will to quit smoking.

A non drug, non product method and claimable by HRDF funds.

A specialist training program with health commitment processes

Monitoring and data collection of effectiveness of participant’s efforts and S2QS.

Providing a post-training support for 60 days in the event of relapse or enforcement.

A “Blueprint’ to assist ASTRO to be completely smoke-free ie. Closure of Jurassic Park and Lost World.

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Benefits to ASTRO HR and Workplace Wellness Objectives

A training solution towards a Smoke Free Staff instead of a Smoke outside Office.

Better Productivity at work without many cigarette breaks

Complements towards OSH protocols and healthy ASTRO workplace activities.

Reduce cigarette related medical bills and insurance medical claims

Reduce possible risk due to cancer and stroke on smoking staffs

Making a healthy and tobacco free organization.

Less “smoking breaks” and better productivity.

Protect the health of passive smokers from these smokers carelessness.

Encourage ASTRO’s staff salary to be used effectively – A CSR effort to reduce money wastage. S2QS’s ASH to CASH concept.

Benefit to the ASTRO’s Smoking Participants.

Break smoking beliefs using mind techniques and structured quit habit education to empower change.

Leveraging subconscious coaching and health, food and therapy programs to implement a quit smoking habit.

Smoke-free family and work-place.

Increased Savings of minimum RM300-00 per month via “ASH2CASH” saving boxes..

Reduction of the need for long corridor walks to smoke at designation smoking areas.

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ASTRO “I DARE QUIT” CHALLENGE 2014 - ROI RESULTS COMPUTATION

[A] STATEMENT OF PROBLEM – WORKPLACE SMOKING COST TO ASTRO

FACTUAL ASSUMPTIONS USED:

Consider that an average ASTRO smoker will need a cigarette at least every hour. He

or she would probably go out of the office to smoke that cigarette. It is estimated

that it takes five minutes in travel time to and from to light that cigarette outside.

Assume it takes five minutes to smoke that cigarette. Thus a conservative estimate

of ten minutes is use to smoke a cigarette. A smoker may call one or more smoking

staff to join them for smoking which may incur additional ‘chat time’. We do not

include this ‘chat time’ as it’s unsupervised and cannot be estimate correctly.

(S2QS provided the following assumptions/calculations for ROI. These had been

previously jointly provided by the Manager Petronas Gas – Plant Turnaround Service

Team (PTAS)

The calculation is as follows:

Smoke time = 1 cigarette = 10 minutes to smoke (5 minutes. for travel time to go

outside; another 5 minutes to smoke)

Working day = no of days in a year – weekend – public holiday

= 365 days – (52 weekend x 2 days/weekend) – 17 days

= (365 – 104 – 17) days

= 244 days

Break time hours per day due to smoking

= no of cigarettes x 10 min (smoke time) / 60

i. Total number of all participant’s cigarette smoked on before training = 140

ii. Average consumption per participant = 140 /9 = 15.6 cigarettes per day

iii. Total lost work productivity per smoker = 15.6 x 10 / 60 minutes = 2.6 hrs. /per

day

iv. Annual workplace productivity lost time per smoker = 2.6 x 244 / 24 (hrs./day)

= 26.43 days (estimate as one month annual leave to smoke)

v. ASTRO annually lose out on average = 26.43 x 9 participants = 237.87 days

yearly just for 9 smokers. This is a very high smoking community in ASTRO.

Why must ASTRO still fund the smoking addiction at work?

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Problem Impact Considerations – OSH/HR Workplace Impact Analysis:

1. Why must ASTRO pay staff to sustain their addiction in the workplace?

2. Why must management notice smokers at designated areas smoking during

office hours and not break time?

3. 26.43 days to smoke is more than a normal staff’s annual leave entitlement

of 14 days!

4. Human Resource Department policies view seriously absentees to/at work,

yet why is these 26.43 days leniency privileges given to smokers for cigarette

breaks?

5. Why pay for extra loading of health insurance and fire insurance premiums for

smokers and increase bills on related diseases?

6. Why spend money for the designated smoking areas and cleanliness

maintenance of it? This space can house another ASTRO building.

7. Why not take step to reduce risk of your staff’s health and promote healthy

lifestyles in the workplace?

8. Smokers cost ASTRO higher loading medical and fire insurance premiums

annually.

Statement of Problem (STOP):

Conclusion*:

“From the data collected in ASTRO’s “I DARE QUIT” Challenge 2014 using S2QS training facilities we have discovered that an

estimate of 26.43 days, which estimate to approximately one month’s salary value is given to these smoker yearly to smoke

in-house by ASTRO. Apart from health reasons, why must ASTRO still fund the smoking addiction in Jurassic Park and

Lost World designated areas?

*This STOP is for ASTRO HR & OSH Management to reconsider the impact of

tolerance and cost of maintaining the activities of smokers. It’s crucial now

to invest in health interventions to reduce these smokers’ impact to

productivity at work and healthy life.

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[A] ROI RESULTS ACHIEVED AFTER TRAINING IN ASTRO CHALLENGE 2014.

DATA COLLECTED TO 24th FEBRUARY 2014.

i. Total number of all participant’s cigarette smoked to date after training =

22.5

ii. Average consumption per participant = 22.5 /9 = 2.5 cigarettes per day

iii. Total lost work productivity per smoker = 2.5 x 10 / 60 minutes = 0.42 hrs

/per day

iv. Annual workplace productivity lost time = 0.42 x 244 / 24 (hrs/day) = 4.27

days per smoker

v. ASTRO annually losing out on average = 4.27 x 9 participants = 38.43 days yearly

[C] SUMMARY REDUCTION/ SAVED PRODUCTIVITY TIME

Actual Cigarette Cessation Results Person Success %

a. No of participants quit smoking to zero 3 33.33%

b. No of participants reduce more that 80% 3 33.33%

c. No of participants reduce more than 50% < 80% 3 33.34%

d. No of participants reduce less than 50% 0 0%

Productivity Increase Analysis Before After

a. Total Cigarette Smoked per day/9 persons 140 22.5

b. Average Daily cigarettes smoked per person 15.6 2.5

c. Annual cigarette break days per person 26.43 4.27

d. Annual ASTRO staff productivity lost in days 237.87 38.43

SCORING % REDUCTION / SAVING FACTS ROI OF S2QS TRAINING RESULTS

a) We reduced total participant’s consumption of cigarettes per day by: 140 – 22.5 / 140 *100 = 83.91%

b) We reduced average participant’s consumption of cigarettes per day by: 15.6 – 2.5 / 15.6 *100 = 82.95%

c) We reduced daily cigarettes break time hours per smoker/per day by: 2.6 – 0.42 / 2.6 *100 = 83.85%

d) We reduced annual total cigarettes break time in days per smoker by: 26.43 – 4.27 / 26.43 *100 = 83.84%

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CONCLUSION – 83.85 % SUCCESSFUL DAILY CIGARETTE BREAK TIME

REDUCTION AT THE WORKPLACE FOR HIGHER PRODUCTIVITY AND HEALTH

The evidence of the ASTRO “I Dare Quit” Challenge 2014 – S2QS training ROI study

has shown that the participants of the challenge training have put great effort for the

success of their quit and the challenge 2014. The S2QS training has shown stability

in process of delivery, handling challenges with minimal format changes, and

receiving reasonable consistency in result and meeting objectives. Despite the

training done for 2 days, this small group of participants had managed to restraint

and maintain good effort to quit or reduce smoking. The S2QS systems had detected

via feedback on difficulties faced or ‘detox’ symptoms experienced in their quit

smoking journey and effort. This differentiates S2QS training as a world class anti

tobacco training system. It can be scaled and be rolled out effectively in a large

Malaysian organization like ASTRO It methods can be employed to brand anti-

smoking in the mindset of all staffs soon. The following are some of the key impact

from this training challenge.

Every participant had reduced 100 % or quit smoking to zero cigarettes.

It was notice that these staff visit the Jurassic Park, designated smoking area

during the challenge.

It was notice that out of 20 participants who registered and sign online

agreements to attend, only these 9 attended. It is recommended that HR and

Facilities Department should list the quit smoking trainings in their yearly

calendar so that staffs have ample time to come and their boss are able to

approve their training attendance. Also, such training should be spread

throughout the years and never too close or after any public holidays.

Many of these smokers have quit and had save daily RM12 in their money

box. This is truly a ASH 2 CASH effort to recapitalize their smoking habit into

salary invested.

Many smokers are taking healthy step to improve their level of health as their

body detox the poison of cigarettes in their body. We had feedback of

drinking more water, started exercising and better food intake.

Some participants have support the “Smoke free Family” concepts for their

home, spouse and children. This is more commitment to be better leaders of

health at home and the workplace.

Some of the participants have become “healthy encouragers” to other

smokers in ASTRO to quit smoking.

The ASTRO Facilities and HR management team should be become aware of

intangible productivity cost saved because of smokers quitting their habit in

ASTRO. Perhaps S2QS which is HRDF Claimable should be a standard

curriculum in HR ongoing training calendar.

ACHIEVING A SMOKE FREE WORKPLACE IN ASTRO

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AUTHOR INFORMATION AND APPRECIATION

Submitted for publication March 10, 2014

This study was supported by

The management of ASTRO who recommended and approved the training for healthy

workplace for all staff in all departments.

ASTRO’s Facilities Department and Human Resource for organizing the S2QS training for ASTRO “I Dare Quit 2014”.

Julian Leicester of You1Quit.com for conducting this training using years of research

and development in group anti tobacco training, the designer and author of the patented TEACH systems.

Thanks and Appreciation:

We thank the ASTRO’s Management and their staffs for their committed full support to coordinate the S2QS trainings in their organization.

We thank all the participant for giving a 84% collective effort to quit smoking in this

training.

We thank EUGrow and MARSH for co-organizing the training with ASTRO

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REFERENCES

1. Hypnosis mobilizes this ability to move into or away from sensory experience.

Sensation can be made to expand or recede – Appel 1992, Warner 1988

2. “…hypnosis is not mind control. It's a naturally occurring state of

concentration; It's actually a means of enhancing your control over both your

mind and your body.”

3. Dr. David Spiegel, Assoc. Chair of Psychiatry Stanford University School of

Medicine,9/04

4. “The technique has been accepted by the American Medical Association, the

American Psychiatric Association and the American Psychological Association”

5. Martin Orne, M.D. Professor of psychiatry, University of Pennsylvania -

Newsweek, 11/86

6. “Hypnosis is the most effective way of giving up smoking, according to the

largest ever scientific comparison of ways of breaking the habit.” -New

Scientist, 10/92

7. “Hypnosis seems helpful in treating addictions, and the depression and

anxiety associated with them…” -Psychology Today, 9/96

Bibliography

1. Graff, H et al. (1966) ‘Results of Four Anti-Smoking Therapy Methods’,

Pennsylvania Medical Journal, February. Pp39-43.

2. Grosz, H. (1978). ‘Nicotine addiction: Treatment with Medical Hypnosis’,

Journal of Indiana State Medical Association, 71, pp1074-1075 and

pp1136-1137.

3. Nuland, W. and Field, P. (1970). ”Smoking and Hypnosis: A systematic

clinical approach”, International Journal of Clinical and Experimental

Hypnosis, 18, pp290-306.

4. Watkins, H (1976) ‘Hypnosis and Smoking. A five session approach’,

International Journal of Clinical and Experimental Hypnosis, 24 pp381-

390.

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Level 2, USJ 19

Jalan Persiaran Kewajipan

47620 Subang Jaya

Malaysia

Phone: 0123891552

E-mail: julianleicester@gmail.com

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