In the days of old, before e-learning tools like learning management systems existed in abundance, people who developed instructional learning material for profit, for the challenge, or for use within an organization, created it on paper. They sent it to a textbook publisher. Later perhaps when the content was being used, an instructor might have added a few supplementary materials involving audio or video, but otherwise, the content was paper-based and controlled by people who did not actually create it.
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