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The proposed trial compares printed books with e-books, but one step up is the way content is being made today. Printed books follow strict intellectual property protocols and much digital content is being created with different protocols. The question the study hopes to provide answers about is whether investment in e-readers is cost effective. If the issue is best ways to distribute digital content, the trial should compare different ways of distributing digitally created content, for example the cost of providing open-textbook projects in different formats; printing or e-book.