Longitudinal testing of the Information-Motivation-Behavioral Skills model of self-care among adults with type 2 diabetes.
Identifieur interne : 000E56 ( Main/Exploration ); précédent : 000E55; suivant : 000E57Longitudinal testing of the Information-Motivation-Behavioral Skills model of self-care among adults with type 2 diabetes.
Auteurs : Sophie Meunier [Canada] ; Simon Coulombe [Canada] ; Marie-Dominique Beaulieu [Canada] ; José Côté [Canada] ; François Lespérance [Canada] ; Jean-Louis Chiasson [Canada] ; Louis Bherer [Canada] ; Jean Lambert [Canada] ; Janie Houle [Canada]Source :
- Patient education and counseling [ 1873-5134 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Auto-efficacité (MeSH), Autosoins (méthodes), Comportement en matière de santé (MeSH), Connaissances, attitudes et pratiques en santé (MeSH), Diabète de type 2 (sang), Enquêtes et questionnaires (MeSH), Exercice physique (MeSH), Femelle (MeSH), Glycémie (analyse), Humains (MeSH), Modèles théoriques (MeSH), Motivation (MeSH), Mâle (MeSH), Régime alimentaire (MeSH), Sujet âgé (MeSH), Éducation du patient comme sujet (MeSH), Éducation pour la santé (MeSH), Études longitudinales (MeSH), Études prospectives (MeSH).
- MESH :
- analyse : Glycémie.
- méthodes : Autosoins.
- sang : Diabète de type 2.
- Adulte, Adulte d'âge moyen, Auto-efficacité, Comportement en matière de santé, Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Exercice physique, Femelle, Humains, Modèles théoriques, Motivation, Mâle, Régime alimentaire, Sujet âgé, Éducation du patient comme sujet, Éducation pour la santé, Études longitudinales, Études prospectives.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Blood Glucose (analysis), Diabetes Mellitus, Type 2 (blood), Diet (MeSH), Exercise (MeSH), Female (MeSH), Health Behavior (MeSH), Health Education (MeSH), Health Knowledge, Attitudes, Practice (MeSH), Humans (MeSH), Longitudinal Studies (MeSH), Male (MeSH), Middle Aged (MeSH), Models, Theoretical (MeSH), Motivation (MeSH), Patient Education as Topic (MeSH), Prospective Studies (MeSH), Self Care (methods), Self Efficacy (MeSH), Surveys and Questionnaires (MeSH).
- MESH :
- chemical , analysis : Blood Glucose.
- blood : Diabetes Mellitus, Type 2.
- methods : Self Care.
- Adult, Aged, Diet, Exercise, Female, Health Behavior, Health Education, Health Knowledge, Attitudes, Practice, Humans, Longitudinal Studies, Male, Middle Aged, Models, Theoretical, Motivation, Patient Education as Topic, Prospective Studies, Self Efficacy, Surveys and Questionnaires.
Abstract
OBJECTIVE
The study's aim was to test prospective associations between information, motivation, and behavioral skills (IMB model) and self-care behaviors (diet, exercise, and blood glucose testing) among patients with type 2 diabetes.
METHODS
295 participants were surveyed one (T1), six (T2), and 12 (T3) months after a diabetes course. Cross-lagged panel analyses were performed to test unidirectional and bidirectional relationships between IMB model variables and self-care behaviors.
RESULTS
Blood-glucose testing at T1 was positively related to information at T2, which in turn was positively related to blood-glucose testing at T3. Controlled motivation at T1 was positively related to exercise at T2. Autonomous motivation at T2 was positively associated with exercise at T3. There was a positive bidirectional relationship across time between behavioral skills and general diet.
CONCLUSION
Patterns of prospective associations between IMB model variables and diabetes self-care depend on the self-care behavior considered. This model offers an interesting framework for examining how diabetes self-care behaviors evolve.
PRACTICE IMPLICATIONS
Diabetes education programs should provide information about current health status and promote experiential learning to help patients realize the impact of their behaviors on glycemic control; should foster autonomous motivation for long-term change; and should build on patients' strengths and skills.
DOI: 10.1016/j.pec.2016.06.011
PubMed: 27373961
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Electronic address: jose.cote@umontreal.ca.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>CHUM Research Center, Montréal, Canada; Faculty of Nursing, Université de Montréal, Montréal</wicri:regionArea><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Lesperance, Francois" sort="Lesperance, Francois" uniqKey="Lesperance F" first="François" last="Lespérance">François Lespérance</name><affiliation wicri:level="3"><nlm:affiliation>CHUM Research Center, Montréal, Canada; Department of Psychiatry, Université de Montréal, Montréal, Canada. 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Electronic address: jean.lambert@umontreal.ca.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Social and Preventive Medicine, School of Public Health, Université de Montréal, Montréal</wicri:regionArea><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Houle, Janie" sort="Houle, Janie" uniqKey="Houle J" first="Janie" last="Houle">Janie Houle</name><affiliation wicri:level="4"><nlm:affiliation>Department of Psychology, Université du Québec à Montréal, Montréal, Canada; CHUM Research Center, Montréal, Canada. Electronic address: houle.janie@uqam.ca.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Psychology, Université du Québec à Montréal, Montréal, Canada; CHUM Research Center, Montréal</wicri:regionArea><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName><orgName type="university">Université du Québec à Montréal</orgName></affiliation></author></analytic><series><title level="j">Patient education and counseling</title><idno type="eISSN">1873-5134</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Blood Glucose (analysis)</term><term>Diabetes Mellitus, Type 2 (blood)</term><term>Diet (MeSH)</term><term>Exercise (MeSH)</term><term>Female (MeSH)</term><term>Health Behavior (MeSH)</term><term>Health Education (MeSH)</term><term>Health Knowledge, Attitudes, Practice (MeSH)</term><term>Humans (MeSH)</term><term>Longitudinal Studies (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Models, Theoretical (MeSH)</term><term>Motivation (MeSH)</term><term>Patient Education as Topic (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Self Care (methods)</term><term>Self Efficacy (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Auto-efficacité (MeSH)</term><term>Autosoins (méthodes)</term><term>Comportement en matière de santé (MeSH)</term><term>Connaissances, attitudes et pratiques en santé (MeSH)</term><term>Diabète de type 2 (sang)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Exercice physique (MeSH)</term><term>Femelle (MeSH)</term><term>Glycémie (analyse)</term><term>Humains (MeSH)</term><term>Modèles théoriques (MeSH)</term><term>Motivation (MeSH)</term><term>Mâle (MeSH)</term><term>Régime alimentaire (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Éducation du patient comme sujet (MeSH)</term><term>Éducation pour la santé (MeSH)</term><term>Études longitudinales (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>Blood Glucose</term></keywords><keywords scheme="MESH" qualifier="analyse" xml:lang="fr"><term>Glycémie</term></keywords><keywords scheme="MESH" qualifier="blood" xml:lang="en"><term>Diabetes Mellitus, Type 2</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Self Care</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Autosoins</term></keywords><keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Diabète de type 2</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Diet</term><term>Exercise</term><term>Female</term><term>Health Behavior</term><term>Health Education</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Longitudinal Studies</term><term>Male</term><term>Middle Aged</term><term>Models, Theoretical</term><term>Motivation</term><term>Patient Education as Topic</term><term>Prospective Studies</term><term>Self Efficacy</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Auto-efficacité</term><term>Comportement en matière de santé</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enquêtes et questionnaires</term><term>Exercice physique</term><term>Femelle</term><term>Humains</term><term>Modèles théoriques</term><term>Motivation</term><term>Mâle</term><term>Régime alimentaire</term><term>Sujet âgé</term><term>Éducation du patient comme sujet</term><term>Éducation pour la santé</term><term>Études longitudinales</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>The study's aim was to test prospective associations between information, motivation, and behavioral skills (IMB model) and self-care behaviors (diet, exercise, and blood glucose testing) among patients with type 2 diabetes.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>295 participants were surveyed one (T1), six (T2), and 12 (T3) months after a diabetes course. Cross-lagged panel analyses were performed to test unidirectional and bidirectional relationships between IMB model variables and self-care behaviors.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Blood-glucose testing at T1 was positively related to information at T2, which in turn was positively related to blood-glucose testing at T3. Controlled motivation at T1 was positively related to exercise at T2. Autonomous motivation at T2 was positively associated with exercise at T3. There was a positive bidirectional relationship across time between behavioral skills and general diet.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Patterns of prospective associations between IMB model variables and diabetes self-care depend on the self-care behavior considered. This model offers an interesting framework for examining how diabetes self-care behaviors evolve.</p></div><div type="abstract" xml:lang="en"><p><b>PRACTICE IMPLICATIONS</b></p><p>Diabetes education programs should provide information about current health status and promote experiential learning to help patients realize the impact of their behaviors on glycemic control; should foster autonomous motivation for long-term change; and should build on patients' strengths and skills.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27373961</PMID><DateCompleted><Year>2017</Year><Month>09</Month><Day>04</Day></DateCompleted><DateRevised><Year>2018</Year><Month>05</Month><Day>22</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-5134</ISSN><JournalIssue CitedMedium="Internet"><Volume>99</Volume><Issue>11</Issue><PubDate><Year>2016</Year><Month>11</Month></PubDate></JournalIssue><Title>Patient education and counseling</Title><ISOAbbreviation>Patient Educ Couns</ISOAbbreviation></Journal><ArticleTitle>Longitudinal testing of the Information-Motivation-Behavioral Skills model of self-care among adults with type 2 diabetes.</ArticleTitle><Pagination><MedlinePgn>1830-1836</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0738-3991(16)30276-2</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.pec.2016.06.011</ELocationID><Abstract><AbstractText Label="OBJECTIVE">The study's aim was to test prospective associations between information, motivation, and behavioral skills (IMB model) and self-care behaviors (diet, exercise, and blood glucose testing) among patients with type 2 diabetes.</AbstractText><AbstractText Label="METHODS">295 participants were surveyed one (T1), six (T2), and 12 (T3) months after a diabetes course. Cross-lagged panel analyses were performed to test unidirectional and bidirectional relationships between IMB model variables and self-care behaviors.</AbstractText><AbstractText Label="RESULTS">Blood-glucose testing at T1 was positively related to information at T2, which in turn was positively related to blood-glucose testing at T3. Controlled motivation at T1 was positively related to exercise at T2. Autonomous motivation at T2 was positively associated with exercise at T3. There was a positive bidirectional relationship across time between behavioral skills and general diet.</AbstractText><AbstractText Label="CONCLUSION">Patterns of prospective associations between IMB model variables and diabetes self-care depend on the self-care behavior considered. This model offers an interesting framework for examining how diabetes self-care behaviors evolve.</AbstractText><AbstractText Label="PRACTICE IMPLICATIONS">Diabetes education programs should provide information about current health status and promote experiential learning to help patients realize the impact of their behaviors on glycemic control; should foster autonomous motivation for long-term change; and should build on patients' strengths and skills.</AbstractText><CopyrightInformation>Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Meunier</LastName><ForeName>Sophie</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Psychology, Université du Québec à Montréal, Montréal, Canada. Electronic address: meunier.sophie@uqam.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Coulombe</LastName><ForeName>Simon</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Psychology, Université du Québec à Montréal, Montréal, Canada. Electronic address: coulombe.simon@courrier.uqam.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Beaulieu</LastName><ForeName>Marie-Dominique</ForeName><Initials>MD</Initials><AffiliationInfo><Affiliation>CHUM Research Center, Montréal, Canada; Department of Family and Emergency Medicine, Université de Montréal, Montréal, Canada. Electronic address: marie-dominique.beaulieu@umontreal.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Côté</LastName><ForeName>José</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>CHUM Research Center, Montréal, Canada; Faculty of Nursing, Université de Montréal, Montréal, Canada. Electronic address: jose.cote@umontreal.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lespérance</LastName><ForeName>François</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>CHUM Research Center, Montréal, Canada; Department of Psychiatry, Université de Montréal, Montréal, Canada. Electronic address: francois.lesperance@umontreal.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chiasson</LastName><ForeName>Jean-Louis</ForeName><Initials>JL</Initials><AffiliationInfo><Affiliation>CHUM Research Center, Montréal, Canada; Department of Medicine, Université de Montréal, Montréal, Canada. Electronic address: jean.louis.chiasson@umontreal.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bherer</LastName><ForeName>Louis</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>PERFORM Centre, Concordia University, Montréal, Canada; Institut universitaire de gériatrie de Montréal, Montréal, Canada. Electronic address: louis.bherer@concordia.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lambert</LastName><ForeName>Jean</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Social and Preventive Medicine, School of Public Health, Université de Montréal, Montréal, Canada. Electronic address: jean.lambert@umontreal.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Houle</LastName><ForeName>Janie</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Psychology, Université du Québec à Montréal, Montréal, Canada; CHUM Research Center, Montréal, Canada. Electronic address: houle.janie@uqam.ca.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>200909MOP-20936S-PB 1·AOWY-41522</GrantID><Agency>CIHR</Agency><Country>Canada</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>06</Month><Day>17</Day></ArticleDate></Article><MedlineJournalInfo><Country>Ireland</Country><MedlineTA>Patient Educ Couns</MedlineTA><NlmUniqueID>8406280</NlmUniqueID><ISSNLinking>0738-3991</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D001786">Blood Glucose</NameOfSubstance></Chemical></ChemicalList><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001786" MajorTopicYN="N">Blood Glucose</DescriptorName><QualifierName UI="Q000032" MajorTopicYN="N">analysis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003924" MajorTopicYN="N">Diabetes Mellitus, Type 2</DescriptorName><QualifierName UI="Q000097" MajorTopicYN="N">blood</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004032" MajorTopicYN="N">Diet</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015444" MajorTopicYN="N">Exercise</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015438" MajorTopicYN="Y">Health Behavior</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006266" MajorTopicYN="Y">Health Education</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="N">Health Knowledge, Attitudes, Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008962" MajorTopicYN="N">Models, Theoretical</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009042" MajorTopicYN="Y">Motivation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010353" MajorTopicYN="Y">Patient Education as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012648" MajorTopicYN="N">Self Care</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D020377" MajorTopicYN="N">Self Efficacy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Behavioral skills</Keyword><Keyword MajorTopicYN="Y">Diabetes</Keyword><Keyword MajorTopicYN="Y">Information</Keyword><Keyword MajorTopicYN="Y">Motivation</Keyword><Keyword MajorTopicYN="Y">Self-care</Keyword><Keyword MajorTopicYN="Y">Self-efficacy</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>09</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>05</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>06</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>10</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>9</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>7</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27373961</ArticleId><ArticleId IdType="pii">S0738-3991(16)30276-2</ArticleId><ArticleId IdType="doi">10.1016/j.pec.2016.06.011</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Canada</li></country><region><li>Québec</li></region><settlement><li>Montréal</li></settlement><orgName><li>Université du Québec à Montréal</li></orgName></list><tree><country name="Canada"><region name="Québec"><name sortKey="Meunier, Sophie" sort="Meunier, Sophie" uniqKey="Meunier S" first="Sophie" last="Meunier">Sophie Meunier</name></region><name sortKey="Beaulieu, Marie Dominique" sort="Beaulieu, Marie Dominique" uniqKey="Beaulieu M" first="Marie-Dominique" last="Beaulieu">Marie-Dominique Beaulieu</name><name sortKey="Bherer, Louis" sort="Bherer, Louis" uniqKey="Bherer L" first="Louis" last="Bherer">Louis Bherer</name><name sortKey="Chiasson, Jean Louis" sort="Chiasson, Jean Louis" uniqKey="Chiasson J" first="Jean-Louis" last="Chiasson">Jean-Louis Chiasson</name><name sortKey="Cote, Jose" sort="Cote, Jose" uniqKey="Cote J" first="José" last="Côté">José Côté</name><name sortKey="Coulombe, Simon" sort="Coulombe, Simon" uniqKey="Coulombe S" first="Simon" last="Coulombe">Simon Coulombe</name><name sortKey="Houle, Janie" sort="Houle, Janie" uniqKey="Houle J" first="Janie" last="Houle">Janie Houle</name><name sortKey="Lambert, Jean" sort="Lambert, Jean" uniqKey="Lambert J" first="Jean" last="Lambert">Jean Lambert</name><name sortKey="Lesperance, Francois" sort="Lesperance, Francois" uniqKey="Lesperance F" first="François" last="Lespérance">François Lespérance</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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