The Lifestyle Engagement Activity Program (LEAP): Implementing Social and Recreational Activity into Case-Managed Home Care.
Identifieur interne : 000D42 ( Main/Exploration ); précédent : 000D41; suivant : 000D43The Lifestyle Engagement Activity Program (LEAP): Implementing Social and Recreational Activity into Case-Managed Home Care.
Auteurs : Lee-Fay Low [Australie] ; Jessica Rose Baker [Australie] ; Fleur Harrison [Australie] ; Yun-Hee Jeon [Australie] ; Maggie Haertsch [Australie] ; Cameron Camp [États-Unis] ; Margaret Skropeta [Australie]Source :
- Journal of the American Medical Directors Association [ 1538-9375 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Affect (MeSH), Australie (MeSH), Comportement (MeSH), Femelle (MeSH), Humains (MeSH), Loisir (MeSH), Mode de vie (MeSH), Mâle (MeSH), Prise en charge personnalisée du patient (MeSH), Services de soins à domicile (MeSH), Soutien social (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Évaluation de programme (MeSH).
- MESH :
- Wicri :
- geographic : Australie.
English descriptors
- KwdEn :
- MESH :
- geographic : Australia.
- Affect, Aged, Aged, 80 and over, Behavior, Case Management, Female, Home Care Services, Humans, Life Style, Male, Middle Aged, Program Evaluation, Recreation, Social Support.
Abstract
OBJECTIVES
The Lifestyle Engagement Activity Program (LEAP) incorporates social support and recreational activities into case-managed home care. This study's aim was to evaluate the effect of LEAP on engagement, mood, and behavior of home care clients, and on case managers and care workers.
DESIGN
Quasi-experimental.
SETTING
Five Australian aged home care providers, including 2 specializing in care for ethnic minorities.
PARTICIPANTS
Clients (n = 189) from 5 home care providers participated.
INTERVENTION
The 12-month program had 3 components: (1) engaging support of management and staff; (2) a champion to drive practice change; (3) staff training. Case managers were trained to set meaningful social and/or recreational goals during care planning. Care workers were trained in good communication, to promote client independence and choice, and in techniques such as Montessori activities, reminiscence, music, physical activity, and humor.
MEASUREMENTS
Data were collected 6 months before program commencement, at baseline, and 6 and 12 months. The Homecare Measure of Engagement Staff report and Client-Family interview were primary outcomes. Secondary outcomes were the Cohen-Mansfield Agitation Inventory; apathy, dysphoria, and agitation subscales of the Neuropsychiatric Inventory-Clinician Rating; the geriatric depression scale; UCLA loneliness scale; and home care satisfaction scale. Staff provided information on confidence in engaging clients and the Utrecht Work Engagement Scale.
RESULTS
Twelve months after program commencement, clients showed a significant increase in self- or family-reported client engagement (b = 5.39, t[113.09] = 3.93, P < .000); and a significant decrease in apathy (b = -0.23, t(117.00) = -2.03, P = .045), dysphoria (b = -0.25, t(124.36) = -2.25, P = .026), and agitation (b = -0.97, t(98.15) = -3.32, P = .001) on the Neuropsychiatric Inventory-Clinician. Case managers and care workers both reported significant increases in their confidence to socially and recreationally engage clients (b = 0.52, t(21.33) = 2.80, P = .011, b = 0.29, t(198.69) = 2.58, P = .011, respectively). There were no significant changes in care worker-rated client engagement or client or family self-complete measures of depression or loneliness (P > .05). Client and family self-rated apathy increased over 12 months (b = 0.04, t(43.36) = 3.06, P = .004; b = 3.63, t(34.70) = 2.20, P = .035) CONCLUSIONS: LEAP demonstrated that home care providers can incorporate social and recreational care into usual practice for older clients, and that this benefits clients' engagement, dysphoria, and agitation.
DOI: 10.1016/j.jamda.2015.07.002
PubMed: 26297617
Affiliations:
Links toward previous steps (curation, corpus...)
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Electronic address: lee-fay.low@sydney.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Faculty of Health Sciences, University of Sydney, Lidcombe, NSW</wicri:regionArea><orgName type="university">Université de Sydney</orgName><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Baker, Jessica Rose" sort="Baker, Jessica Rose" uniqKey="Baker J" first="Jessica Rose" last="Baker">Jessica Rose Baker</name><affiliation wicri:level="3"><nlm:affiliation>School of Psychiatry, University of New South Wales, Sydney, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Psychiatry, University of New South Wales, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Harrison, Fleur" sort="Harrison, Fleur" uniqKey="Harrison F" first="Fleur" last="Harrison">Fleur Harrison</name><affiliation wicri:level="3"><nlm:affiliation>School of Psychiatry, University of New South Wales, Sydney, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Psychiatry, University of New South Wales, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Jeon, Yun Hee" sort="Jeon, Yun Hee" uniqKey="Jeon Y" first="Yun-Hee" last="Jeon">Yun-Hee Jeon</name><affiliation wicri:level="4"><nlm:affiliation>Sydney Nursing School, University of Sydney, Camperdown, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Sydney Nursing School, University of Sydney, Camperdown, NSW</wicri:regionArea><orgName type="university">Université de Sydney</orgName><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Haertsch, Maggie" sort="Haertsch, Maggie" uniqKey="Haertsch M" first="Maggie" last="Haertsch">Maggie Haertsch</name><affiliation wicri:level="1"><nlm:affiliation>Arts Health Institute, Newcastle, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Arts Health Institute, Newcastle, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation></author><author><name sortKey="Camp, Cameron" sort="Camp, Cameron" uniqKey="Camp C" first="Cameron" last="Camp">Cameron Camp</name><affiliation wicri:level="2"><nlm:affiliation>Centre for Applied Research in Dementia, Solon, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Centre for Applied Research in Dementia, Solon</wicri:cityArea></affiliation></author><author><name sortKey="Skropeta, Margaret" sort="Skropeta, Margaret" uniqKey="Skropeta M" first="Margaret" last="Skropeta">Margaret Skropeta</name><affiliation wicri:level="1"><nlm:affiliation>School of Science and Health, University of Western Sydney, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Science and Health, University of Western Sydney, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of the American Medical Directors Association</title><idno type="eISSN">1538-9375</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Affect (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Australia (MeSH)</term><term>Behavior (MeSH)</term><term>Case Management (MeSH)</term><term>Female (MeSH)</term><term>Home Care Services (MeSH)</term><term>Humans (MeSH)</term><term>Life Style (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Program Evaluation (MeSH)</term><term>Recreation (MeSH)</term><term>Social Support (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Affect (MeSH)</term><term>Australie (MeSH)</term><term>Comportement (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Loisir (MeSH)</term><term>Mode de vie (MeSH)</term><term>Mâle (MeSH)</term><term>Prise en charge personnalisée du patient (MeSH)</term><term>Services de soins à domicile (MeSH)</term><term>Soutien social (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Évaluation de programme (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Australia</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Affect</term><term>Aged</term><term>Aged, 80 and over</term><term>Behavior</term><term>Case Management</term><term>Female</term><term>Home Care Services</term><term>Humans</term><term>Life Style</term><term>Male</term><term>Middle Aged</term><term>Program Evaluation</term><term>Recreation</term><term>Social Support</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Affect</term><term>Australie</term><term>Comportement</term><term>Femelle</term><term>Humains</term><term>Loisir</term><term>Mode de vie</term><term>Mâle</term><term>Prise en charge personnalisée du patient</term><term>Services de soins à domicile</term><term>Soutien social</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Évaluation de programme</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Australie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>The Lifestyle Engagement Activity Program (LEAP) incorporates social support and recreational activities into case-managed home care. This study's aim was to evaluate the effect of LEAP on engagement, mood, and behavior of home care clients, and on case managers and care workers.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Quasi-experimental.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Five Australian aged home care providers, including 2 specializing in care for ethnic minorities.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>Clients (n = 189) from 5 home care providers participated.</p></div><div type="abstract" xml:lang="en"><p><b>INTERVENTION</b></p><p>The 12-month program had 3 components: (1) engaging support of management and staff; (2) a champion to drive practice change; (3) staff training. Case managers were trained to set meaningful social and/or recreational goals during care planning. Care workers were trained in good communication, to promote client independence and choice, and in techniques such as Montessori activities, reminiscence, music, physical activity, and humor.</p></div><div type="abstract" xml:lang="en"><p><b>MEASUREMENTS</b></p><p>Data were collected 6 months before program commencement, at baseline, and 6 and 12 months. The Homecare Measure of Engagement Staff report and Client-Family interview were primary outcomes. Secondary outcomes were the Cohen-Mansfield Agitation Inventory; apathy, dysphoria, and agitation subscales of the Neuropsychiatric Inventory-Clinician Rating; the geriatric depression scale; UCLA loneliness scale; and home care satisfaction scale. Staff provided information on confidence in engaging clients and the Utrecht Work Engagement Scale.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Twelve months after program commencement, clients showed a significant increase in self- or family-reported client engagement (b = 5.39, t[113.09] = 3.93, P < .000); and a significant decrease in apathy (b = -0.23, t(117.00) = -2.03, P = .045), dysphoria (b = -0.25, t(124.36) = -2.25, P = .026), and agitation (b = -0.97, t(98.15) = -3.32, P = .001) on the Neuropsychiatric Inventory-Clinician. Case managers and care workers both reported significant increases in their confidence to socially and recreationally engage clients (b = 0.52, t(21.33) = 2.80, P = .011, b = 0.29, t(198.69) = 2.58, P = .011, respectively). There were no significant changes in care worker-rated client engagement or client or family self-complete measures of depression or loneliness (P > .05). Client and family self-rated apathy increased over 12 months (b = 0.04, t(43.36) = 3.06, P = .004; b = 3.63, t(34.70) = 2.20, P = .035) CONCLUSIONS: LEAP demonstrated that home care providers can incorporate social and recreational care into usual practice for older clients, and that this benefits clients' engagement, dysphoria, and agitation.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26297617</PMID><DateCompleted><Year>2016</Year><Month>09</Month><Day>15</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1538-9375</ISSN><JournalIssue CitedMedium="Internet"><Volume>16</Volume><Issue>12</Issue><PubDate><Year>2015</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Journal of the American Medical Directors Association</Title><ISOAbbreviation>J Am Med Dir Assoc</ISOAbbreviation></Journal><ArticleTitle>The Lifestyle Engagement Activity Program (LEAP): Implementing Social and Recreational Activity into Case-Managed Home Care.</ArticleTitle><Pagination><MedlinePgn>1069-76</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jamda.2015.07.002</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1525-8610(15)00449-1</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The Lifestyle Engagement Activity Program (LEAP) incorporates social support and recreational activities into case-managed home care. This study's aim was to evaluate the effect of LEAP on engagement, mood, and behavior of home care clients, and on case managers and care workers.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Quasi-experimental.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Five Australian aged home care providers, including 2 specializing in care for ethnic minorities.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Clients (n = 189) from 5 home care providers participated.</AbstractText><AbstractText Label="INTERVENTION" NlmCategory="METHODS">The 12-month program had 3 components: (1) engaging support of management and staff; (2) a champion to drive practice change; (3) staff training. Case managers were trained to set meaningful social and/or recreational goals during care planning. Care workers were trained in good communication, to promote client independence and choice, and in techniques such as Montessori activities, reminiscence, music, physical activity, and humor.</AbstractText><AbstractText Label="MEASUREMENTS" NlmCategory="METHODS">Data were collected 6 months before program commencement, at baseline, and 6 and 12 months. The Homecare Measure of Engagement Staff report and Client-Family interview were primary outcomes. Secondary outcomes were the Cohen-Mansfield Agitation Inventory; apathy, dysphoria, and agitation subscales of the Neuropsychiatric Inventory-Clinician Rating; the geriatric depression scale; UCLA loneliness scale; and home care satisfaction scale. Staff provided information on confidence in engaging clients and the Utrecht Work Engagement Scale.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Twelve months after program commencement, clients showed a significant increase in self- or family-reported client engagement (b = 5.39, t[113.09] = 3.93, P < .000); and a significant decrease in apathy (b = -0.23, t(117.00) = -2.03, P = .045), dysphoria (b = -0.25, t(124.36) = -2.25, P = .026), and agitation (b = -0.97, t(98.15) = -3.32, P = .001) on the Neuropsychiatric Inventory-Clinician. Case managers and care workers both reported significant increases in their confidence to socially and recreationally engage clients (b = 0.52, t(21.33) = 2.80, P = .011, b = 0.29, t(198.69) = 2.58, P = .011, respectively). There were no significant changes in care worker-rated client engagement or client or family self-complete measures of depression or loneliness (P > .05). Client and family self-rated apathy increased over 12 months (b = 0.04, t(43.36) = 3.06, P = .004; b = 3.63, t(34.70) = 2.20, P = .035) CONCLUSIONS: LEAP demonstrated that home care providers can incorporate social and recreational care into usual practice for older clients, and that this benefits clients' engagement, dysphoria, and agitation.</AbstractText><CopyrightInformation>Copyright © 2015 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Low</LastName><ForeName>Lee-Fay</ForeName><Initials>LF</Initials><AffiliationInfo><Affiliation>Faculty of Health Sciences, University of Sydney, Lidcombe, NSW, Australia. Electronic address: lee-fay.low@sydney.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Baker</LastName><ForeName>Jessica Rose</ForeName><Initials>JR</Initials><AffiliationInfo><Affiliation>School of Psychiatry, University of New South Wales, Sydney, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Harrison</LastName><ForeName>Fleur</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>School of Psychiatry, University of New South Wales, Sydney, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jeon</LastName><ForeName>Yun-Hee</ForeName><Initials>YH</Initials><AffiliationInfo><Affiliation>Sydney Nursing School, University of Sydney, Camperdown, NSW, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Haertsch</LastName><ForeName>Maggie</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Arts Health Institute, Newcastle, NSW, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Camp</LastName><ForeName>Cameron</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Centre for Applied Research in Dementia, Solon, OH.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Skropeta</LastName><ForeName>Margaret</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>School of Science and Health, University of Western Sydney, NSW, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D023362">Evaluation Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>08</Month><Day>18</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Am Med Dir Assoc</MedlineTA><NlmUniqueID>100893243</NlmUniqueID><ISSNLinking>1525-8610</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000339" MajorTopicYN="N">Affect</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001315" MajorTopicYN="N" Type="Geographic">Australia</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001519" MajorTopicYN="N">Behavior</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019090" MajorTopicYN="Y">Case Management</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006699" MajorTopicYN="Y">Home Care Services</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008019" MajorTopicYN="Y">Life Style</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015397" MajorTopicYN="N">Program Evaluation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011998" MajorTopicYN="Y">Recreation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012944" MajorTopicYN="Y">Social Support</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Home care</Keyword><Keyword MajorTopicYN="N">ethnic minority</Keyword><Keyword MajorTopicYN="N">recreation</Keyword><Keyword MajorTopicYN="N">social support</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>03</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2015</Year><Month>06</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>07</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>8</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>8</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>9</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26297617</ArticleId><ArticleId IdType="pii">S1525-8610(15)00449-1</ArticleId><ArticleId IdType="doi">10.1016/j.jamda.2015.07.002</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li><li>États-Unis</li></country><region><li>Nouvelle-Galles du Sud</li><li>Ohio</li></region><settlement><li>Sydney</li></settlement><orgName><li>Université de Sydney</li></orgName></list><tree><country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Low, Lee Fay" sort="Low, Lee Fay" uniqKey="Low L" first="Lee-Fay" last="Low">Lee-Fay Low</name></region><name sortKey="Baker, Jessica Rose" sort="Baker, Jessica Rose" uniqKey="Baker J" first="Jessica Rose" last="Baker">Jessica Rose Baker</name><name sortKey="Haertsch, Maggie" sort="Haertsch, Maggie" uniqKey="Haertsch M" first="Maggie" last="Haertsch">Maggie Haertsch</name><name sortKey="Harrison, Fleur" sort="Harrison, Fleur" uniqKey="Harrison F" first="Fleur" last="Harrison">Fleur Harrison</name><name sortKey="Jeon, Yun Hee" sort="Jeon, Yun Hee" uniqKey="Jeon Y" first="Yun-Hee" last="Jeon">Yun-Hee Jeon</name><name sortKey="Skropeta, Margaret" sort="Skropeta, Margaret" uniqKey="Skropeta M" first="Margaret" last="Skropeta">Margaret Skropeta</name></country><country name="États-Unis"><region name="Ohio"><name sortKey="Camp, Cameron" sort="Camp, Cameron" uniqKey="Camp C" first="Cameron" last="Camp">Cameron Camp</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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