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Updated: Jun 27, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
The "happy end" effect: colonoscopies provide clues on enhancing marketing training
C W Von Bergen1, Barlow Soper, David Loudon
1Johns Massey School of Business, Southeastern Oklahoma State University, Durant, OK 74701, USA.
Abstract:
With many activities, even unlikely ones such as colonoscopies, it appears that ending procedures are important and affect evaluation of the entire experience. This has been dubbed the "happy end" effect. Training specialists, while acknowledging the importance of endings (e.g., seminar closures, class conclusions, and workshop completions), often place greater emphasis on openers, icebreakers, and starters. A sample of trade publications in the training and development field, as well as professional publications was reviewed. It was found that such resources had significantly higher numbers of articles/exercises and pages devoted to beginning activities than to closings. A number of suggestions are offered on how closing activities could be better incorporated into training and development programs to improve them.
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