Effective e-learning allows more participants to access more personalized instruction compared to traditional classroom-based instruction. However, achieving these results requires strong e-learning design. Effective e-learning design must carefully consider first, if e-learning serves the purpose of the instruction and, second, how to effectively incorporate content in a manner that is usable and engaging. Facilitators implementing the course, whether they are a facilitator in a webinar, or the IT whiz posting an asynchronous e-learning module online, must be familiar with how participants are likely to interact with the e-learning lesson. Finally, all aspects of effective e-learning design and implementation must be carried out with a focus on how participants will be evaluated in the levels of reaction, learning, and behavior.