Bridget Ryan, PhD, Peer Reviewed Publications

Cai Y, Guo P, Tu J, Hu M, Liu L, Ryan BL, Liao J, Dev R, Li Y, Huang T, Wang R, Kuang L, Huang R, Li X, Melipillán ER, Zhao S, He W, Wang X, Zhang N, Xu DR. Contextualizing the revised Patient Perception of Patient-Centeredness (PPPC-R) scale in primary healthcare settings: a validity and reliability evaluation study. BMC Prim Care. 2024 Jan 5;25(1):11. doi: 10.1186/s12875-023-02227-x.

Carter B, Rodrigues R, Edwards J, Jan SH, Ryan BL, Booth RG, Archie S, Anderson KK; project co-investigators. Early Psychosis Intervention and Primary Care: A Mixed Methods Study of Family Physician Knowledge, Attitudes, Preferences, and Needs. Community Ment Health J. 2024 Mar 5. doi: 10.1007/s10597-024-01242-1. Online ahead of print. PMID: 38441824.

Flores-Sandoval C, Sibbald SL, Ryan BL, et al. Virtual care during COVID-19: The perspectives of older adults and their healthcare providers in a cardiac rehabilitation setting. Canadian Journal on Aging / La Revue canadienne du vieillissement. Published online 2024:1-8. doi:10.1017/S0714980824000102.

Flores-Sandoval C, Orange JB, Ryan BL, Adams TL, Suskin N, McKelvie R, Elliott J, Sibbald SL. Transitional Care from Hospital to Cardiac Rehabilitation During COVID-19: The Perspectives of Older Adults and Their Healthcare Providers. J Patient Exp. 2023 Nov 13; doi: 10.1177/23743735231213757. eCollection 2023.

He JW, Terry AL, Lizotte D, Bauer G, Ryan BL. Understanding intersectional inequality in access to primary care providers using multilevel analysis of individual heterogeneity and discriminatory accuracy. PLoS One, 2024 Jan 1; 19 (1): e0296657, Coauthor, DOI: 10.1371/journal.pone.0296657.

Premji K, Green ME, Glazier RH, Khan S, Schultz SE, Mathews M, Nastos S, Frymire E, Ryan BL. Characteristics of patients attached to near-retirement family physicians: a population-based serial cross-sectional study in Ontario, Canada. BMJ Open. 2023 Dec 7;13(12):e074120. doi: 10.1136/bmjopen-2023-074120.

Ratzki-Leewing A, Black JE, Kahkoska AR, Ryan BL, Zou G, Klar N, Timcevska K, Harris SB. Severe (level 3) hypoglycaemia occurrence in a real-world cohort of adults with type 1 or 2 diabetes mellitus (iNPHORM, United States).  Diabetes Obes Metab. 2023 Dec;25(12):3736-3747. doi: 10.1111/dom.15268. Epub 2023 Sep 13.

Rodrigues R, Reid JNS, Wiener JC, Archie S, Booth RG, Cheng C, MacDougall AG, Palaniyappan L, Ryan BL, Voineskos A, Kurdyak P, Jan SH, Anderson KK, project co-investigators. Access to a regular primary care physician among young people with early psychosis in Ontario, Canada. Early Interv Psychiatry, 2023 Nov 30, Coauthor, DOI: 10.1111/eip.13487. 

Black JE, Harris SB, Ryan BL, Zou G, Ratzki-Leewing A. Real-World Effects of Second-Generation Versus Earlier Intermediate/Basal Insulin Analogues on Rates of Hypoglycemia in Adults with Type 1 and 2 Diabetes (iNPHORM, US).Diabetes Ther. 2023 Jun 3. doi: 10.1007/s13300-023-01423-3. Online ahead of print. PMID: 37270453.

Hedden, L., Spencer, S., Mathews, M., Marshall, E.G., Lukewich, J., Asghari, S., Brown, J.B., Gill, P.S., Freeman, T.R., McCracken, R.K., Ryan, B.L., Vaughan, C., Wong, E., Buote, R., Meredith, L., Moritz, L., Ryan, D., McKay, M., Schacter, G. “There’s nothing like a good crisis for innovation”: a qualitative study of family physicians’ experiences with virtual care during the COVID-19 pandemic. BMC Health Serv Res 23, 338 (2023).

Freeman TR, Stewart M, Léger D, Jordan J, Copeland J, Hons I, Thind A, Ryan B. Natural history of abdominal pain in family practice: Longitudinal study of electronic medical record data in southwestern Ontario. Can Fam Physician. 2023 May;69(5):341-351. doi: 10.46747/cfp.6905341. PMID: 37172994; PMCID: PMC10177648.

Mathews M, Ryan D, Hedden L, Lukewich J, Marshall EG, Buote R, Meredith L, Moritz LR, Spencer S, Brown JB, Gill PS, Ryan BL, Wetmore SJ. Strengthening the integration of primary care in pandemic response plans: a qualitative interview study of Canadian family physicians. Br J Gen Pract. 2023 Apr 27;73(730): e348-e355. doi: 10.3399/BJGP.2022.0350. Print 2023 May. PMID: 37105750.

Ratzki-Leewing AA, Black JE, Ryan BL, Zou G, Klar N, Webster-Bogaert S, Timcevska K, Harris SB. Development and validation of a real-world model to predict 1-year Level 3 (severe) hypoglycaemia risk in adults with diabetes (the iNPHORM study, United States). Diabetes Obes Metab. 2023 Jul 6. doi: 10.1111/dom.15186. Online ahead of print. PMID: 37409569.

Ryan B, Thompson K, Meredith L, Richard L, Shariff S, Terry A, Freeman T, Brown J, Matthews M, Stewart M, He J, Choi YH, Wilson H, Reichert S, Cejic S. Family physician virtual care during COVID-19 in London-Middlesex, Ontario, Canada: a mixed methods exploration. Ann Fam Med. 2022 Apr 1;(20 Suppl 1). doi: 10.1370/afm.20.s1.2863.

Kueper JK, Terry A, Bahniwal R, Meredith L, Beleno R, Brown JB, Dang J, Leger D, McKay S, Pinto A, Ryan BL, Zwarenstein M, Lizotte DJ. Connecting artificial intelligence and primary care challenges: findings from a multi stakeholder collaborative consultation. BMJ Health Care Inform. 2022 Jan;29(1):e100493. doi: 10.1136/bmjhci-2021-100493.

Mathews M, Meredith L, Ryan D, Hedden L, Lukewich J, Marshall EG, Buote RD, Moritz L, Spencer S, Asghari A, Brown JB, Freeman TR, Gill PS, McCracken RK, McKay M, Ryan B, Sibbald SL, Wetmore S, Wong E. The roles of family physicians during a pandemic. Healthcare Management Forum 2022; (0):1-6.

Mathews M, Ryan D, Hedden L, Lukewich J, Marshall EG, Brown JB, Gill PS, McKay M, Wong E, Wetmore SJ, Buote R, Meredith L, Moritz L, Spencer S, Alexiadis M, Freeman TR, Letto A, Ryan BL, Sibbald SL, Terry AL. Family physician leadership during the COVID-19 pandemic: roles, functions and key supports. Leadersh Health Serv (Bradf Engl). 2022 Jul 27; (ahead-of-print). doi: 10.1108/LHS-03-2022-0030.

Ratzki-Leewing A, Black JE, Ryan BL, Harris SB. Real-world risk factors of confirmed or probable COVID-19 in Americans with diabetes: A prospective, community-based study (iNPHORM). Endocrinol Diabetes Metab. 2022 May 29:e342. doi: 10.1002/edm2.342. Epub ahead of print.

Ratzki-Leewing A, Ryan BL, Zou G, Webster-Bogaert S, Black JE, Stirling K, Timcevska K, Khan N, Buchenberger JD, Dickens JW, Harris SB. Predicting real-world hypoglycemia risk in American adults with type 1 or 2 diabetes mellitus prescribed insulin and/or secretagogues: Protocol for a prospective, 12-wave internet-based panel survey with email support (the iNPHORM study, USA). JMIR Res Protoc. 2022 Jan 6. doi: 10.2196/33726. Epub ahead of print.

Ravichandiran N, Mathews M, Ryan BL. Utilization of healthcare by immigrants in Canada: a cross-sectional analysis of the Canadian Community Health Survey. BMC Prim Care. 2022 Apr 6;23(1):69. doi: 10.1186/s12875-022-01682-2.

Rebicki CVM, Ryan BL, Ratzki-Leewing A, Tremblay PF, Harris SB. Family Physician Clinical Inertia in Managing Hypoglycemia. Prim Care Diabetes. 2022 Feb 24:S1751-9918(22)00034-1. doi: 10.1016/j.pcd.2022.02.005. Epub ahead of print.

Ryan BL, Brown JB, Freeman TR, Richard L, Stewart M, Meredith L, Choi YH, He JW, Cejic S, Thompson K, Reichert S, Shariff SZ, Booth R, Terry AL, Mathews M. Virtual family physician care during COVID-19: a mixed methods study using health administrative data and qualitative interviews. BMC Prim Care. 2022 Nov 25;23(1):300. doi: 10.1186/s12875-022-01902-9.

Terry AL, Kueper JK, Beleno R, Brown JB, Cejic S, Dang J, Leger D, McKay S, Meredith L, Pinto AD, Ryan BL, Stewart M, Zwarenstein M, Lizotte DJ. Is primary health care ready for artificial intelligence? What do primary health care stakeholders say? BMC Med Inform Decis Mak, 2022 Sep 9; 22 (1): 237, DOI: 10.1186/s12911-022-01984-6.

Wiener JC, Rodrigues R, Reid JNS, Archie S, Booth RG, Cheng C, Jan SH, Kurdyak P, MacDougall AG, Palaniyappan L, Ryan BL, Anderson KK; project co-investigators. Patient and Physician Factors Associated with First Diagnosis of Non-affective Psychotic Disorder in Primary Care. Adm Policy Ment Health. 2022 Nov 20. doi: 10.1007/s10488-022-01233-y. Online ahead of print.

Au NH, Ratzki-Leewing A, Zou G, Ryan BL, Webster-Bogaert S, Reichert SM, Brown JB, Harris SB. Real-World Incidence and Risk Factors for Daytime and Nocturnal Non-Severe Hypoglycemia in Adults With Type 2 Diabetes Mellitus on Insulin and/or Secretagogues (InHypo-DM Study, Canada). Can J Diabetes. 2022 Mar;46(2):196-203.e2. doi: 10.1016/j.jcjd.2021.09.004. Epub 2021 Sep 21. PMID: 35288040.

Brown JB, Reichert SM, Valliere Y, McLachlan C, Webster-Bogaert S, Ratzki-Leewing A, Ryan BL, Harris SB. Health Care Providers' Emotional Responses to their Patients' Hypoglycemic Events: Qualitative Findings from the InHypo-DM Study, Canada. Diabetes Spectrum May 2021. doi: 10.2337/ds20-0061 

Flores-Sandoval C , Sibbald S, Ryan BL, Orange JB. Healthcare teams and patient-related terminology: a review of concepts and uses. Scand J Caring Sci. 2021 Mar;35(1):55-66. doi: 10.1111/scs.12843. Epub 2020 Apr 1. 

Fortin M, Stewart M, Ngangue P, Almirall J, Bélanger M, Brown JB, Couture M, Gallagher F, Katz A, Loignon C, Ryan BL, Sampalli T, Wong ST, Zwarenstein M. Scaling Up Patient-Centered Interdisciplinary Care for Multimorbidity: A Pragmatic Mixed-Methods Randomized Controlled Trial. Ann Fam Med. 2021 Mar-Apr;19(2):126-134. doi: 10.1370/afm.2650. 

Fortin M, Stewart M , Almirall J, Berbiche D, Bélanger M, Katz A, Ryan BL, Wong ST, Zwarenstein M. One year follow-up and exploratory analysis of a patient-centered interdisciplinary care intervention for multimorbidity. J Comorb. 2021 Nov 17;11:26335565211039780. doi: 10.1177/26335565211039780.

Kudesia P, Salimarouny B, Stanley M, Fortin M , Stewart M, Terry A, Ryan BL. The incidence of multimorbidity and patterns in accumulation of chronic conditions: A systematic review. J Comorb. 2021 Jul 15;11:26335565211032880. doi: 10.1177/26335565211032880.

Lee ES, Koh HL, Ho EQ, Teo SH, Wong FY , Ryan BL, Fortin M, Stewart M. Systematic review on the instruments used for measuring the association of the level of multimorbidity and clinically important outcomes. BMJ Open. 2021 May 5;11(5):e041219. doi: 10.1136/bmjopen-2020-041219 

Liaw ST, Kuziemsky C, Schreiber R, Jonnagaddala J, Liyanage H, Chittalia A, Bahniwal R, He JW, Ryan BL, Lizotte DJ, Kueper JK, Terry AL, de Lusignan S. Primary Care Informatics Response to Covid-19 Pandemic: Adaptation, Progress, and Lessons from Four Countries with High ICT Development. Yearb Med Inform. 2021 Aug;30(1):44-55. doi: 10.1055/s-0041-1726489. Epub 2021 Apr 21

Mathews M, Spencer S, Hedden L, Marshall EG, Lukewich J, Meredith L, Ryan D, Buote R, Liu T, Volpe E, Gill PS, Ryan B, Schacter G, Wickett J, Freeman TR, Sibbald SL, Wong E, McKay M, McCracken R, Brown JB. Development of a primary care pandemic plan informed by in-depth policy analysis and interviews with family physicians across Canada during COVID-19: a qualitative case study protocol. BMJ Open. 2021 Jul 22;11(7):e048209. doi: 10.1136/bmjopen-2020-048209.

Piccinini-Vallis H, Brown JB, Ryan BL, McDonald SD, Stewart M. Women's Views on Advice About Weight Gain in Pregnancy: A Grounded Theory Study. Matern Child Health J. 2021 Nov;25(11):1717-1724. doi: 10.1007/s10995-021-03222-3. Epub 2021 Aug 18.

Premji K, Sucha E, Glazier RH, Green ME, Wodchis WP, Hogg WE, Kiran T, Frymire E, Freeman TR , Ryan BL. Primary care bonus payments and patient-reported access in urban Ontario: a cross-sectional study. CMAJ Open. 2021 Nov 30;9(4):E1080-E1096. doi: 10.9778/cmajo.20200235.

Ratzki-Leewing AA, Ryan BL, Buchenberger JD, Dickens JW, Black JE, Harris SB . COVID-19 hinterland: surveilling the self-reported impacts of the pandemic on diabetes management in the USA (cross-sectional results of the iNPHORM study). BMJ Open. 2021 Sep 2;11(9):e049782. doi: 10.1136/bmjopen-2021-049782.

Rodrigues M, Wiener JC, Stranges S, Ryan BL, Anderson KK. The risk of physical multimorbidity in people with psychotic disorders: A systematic review and meta-analysis. J Psychosom Res. 2021 Jan;140:110315. doi: 10.1016/j.jpsychores.2020.110315. Epub 2020 Nov 24. 

Rodrigues M, Stranges S , Ryan BL, Anderson KK. The prevalence of physical multimorbidity among people with non-affective psychotic disorders 10 years after first diagnosis: a matched retrospective cohort study. Soc Psychiatry Psychiatr Epidemiol. 2021 Aug 6. doi: 10.1007/s00127-021-02157-y. Epub ahead of print. 

Schoer N, Rodrigues R, Reid J, Ryan BL, Lizotte DJ, Booth R, MacDougall AG, Kurdyak P, Anderson KK. Patterns of Primary Care Use Prior to a First Diagnosis of Nonaffective Psychotic Disorder in Ontario, Canada: Modèles d'utilisation des soins de première ligne avant un premier diagnostic de trouble psychotique non affectif en Ontario, Canada. Can J Psychiatry. 2021 Apr;66(4):406-417. doi: 10.1177/0706743720961732. Epub 2020 Oct 5. 

Stewart M, Fortin M, Brown JB , Ryan BL, Pariser P, Charles J, Pham TN, Boeckxstaens P, Reichert SM, Zou GY, Bhattacharya O, Katz A, Piccinini-Vallis H, Sampalli T, Wong ST, Zwarenstein M. Patient-centred innovation for multimorbidity care: a mixed-methods, randomised trial and qualitative study of the patients' experience.  Br J Gen Pract. 2021 Mar 26;71(705):e320-e330. doi: 10.3399/bjgp21X714293.

Brown JB, Valliere Y, McLachlan C, Reichert SM, Webster-Bogaert S, Ratzki-Leewing A,Ryan BL, Harris SB, Beyond the Sick Role: The Many Roles of Adults With Type 1 and Type 2 Diabetes in the Management of Hypoglycemia-The InHypo-DM Study, Canada. Can J Diabetes. 2020 Apr 9:S1499-2671(20)30084-8. doi: 10.1016/j.jcjd.2020.03.011. Epub ahead of print. 

Flores-Sandoval C, Sibbald S, Ryan BL, Orange JB. Healthcare teams and patient-related terminology: a review of concepts and uses. Scand J Caring Sci. 2020 Apr 1. doi: 10.1111/scs.12843. Epub ahead of print. Review. 

Flores-Sandoval C, Sibbald S, Ryan BL, Orange JB. Interprofessional team-based geriatric education and training: A review of interventions in Canada. Gerontol Geriatr Educ. 2020 Aug 13:1-18. doi: 10.1080/02701960.2020.1805320. Epub ahead of print. 

Nguyen TN, Ngangue PA, Ryan BL, Stewart M, Brown JB, Bouhali T, Fortin M. The revised Patient Perception of Patient-Centeredness Questionnaire: Exploring the factor structure in French-speaking patients with multimorbidity. Health Expect. 2020 Apr 27. doi: 10.1111/hex.13068. Epub ahead of print.

Nicholson K, De Burghgraeve T, Fortin M, Griffith LE, Licher S, Lizotte D, Mair FS, Miozzo R, Nouri MS, Ryan BL, Lee ES, Smith S, Stewart M, Terry AL, Tisminetzky M, Ukhanova M, Wetmore S, Stranges S. Advancing cross-national planning and partnership: Proceedings from the International Multimorbidity Symposium 2019. J Comorb. 2020 Sep 24;10:2235042X20953313. doi: 10.1177/2235042X20953313.

Ryan BL, Allen B, Zwarenstein M, Stewart M , Glazier RH, Fortin M, Wetmore SJ, Shariff SZ. Multimorbidity and mortality in Ontario, Canada: A population-based retrospective cohort study. J Comorb. 2020 Aug 27;10:2235042X20950598. doi: 10.1177/2235042X20950598.

Clemens KK, Kalatharan V,  Ryan BL, Reichert S. Nonconventional diabetes-related care strategies for patients with chronic kidney disease: A scoping review of the literature. J Comorb. 2019 Mar 1;9:2235042X19831918. doi: 10.1177/2235042X19831918. eCollection 2019 Jan-Dec.

Clemens KK, Getchell L, Robinson T, Ryan BL, O'Donnell J, Reichert SM. Clinical care gaps and solutions in diabetes and advanced chronic kidney disease: a patient-oriented qualitative research study. CMAJ Open. 2019 Apr 23;7(2):E258-E263. doi: 10.9778/cmajo.20180177.

Nguyen TN, Ngangue P, Bouhali T, Ryan BL, Stewart M, Fortin M. Social Vulnerability in Patients with Multimorbidity: A Cross-Sectional Analysis. Int J Environ Res Public Health. 2019 Apr 8;16(7). pii: E1244. doi: 10.3390/ijerph16071244.

Ryan BL, Brown JB, Tremblay PF, Stewart M. Measuring Patients' Perceptions of Health Care Encounters: Examining the Factor Structure of the Revised Patient Perception of Patient-Centeredness (PPPC-R) Questionnaire. J Patient Cent Res Rev. 2019 Jul 29;6(3):192-202. doi: 10.17294/2330-0698.1696. eCollection 2019 Summer.

Ryan BL, Thorpe C, Zwarenstein M, Wickett J, Talukdar N, Boisvert L, Wetmore SJ. Building research culture and capacity in academic family medicine departments: Insights from a simulation workshop. Can Fam Physician. 2019 Jan;65(1):e38-e44.

Ryan BL, Krishnan RJ, Terry A, Thind A. Do four or more antenatal care visits increase skilled birth attendant use and institutional delivery in Bangladesh? A propensity-score matched analysis. BMC Public Health. 2019 May 16;19(1):583. doi: 10.1186/s12889-019-6945-4.

Ryan BL, Maddocks HL, McKay S, Petrella R, Terry AL, Stewart M. Identifying musculoskeletal conditions in electronic medical records: a prevalence and validation study using the Deliver Primary Healthcare Information (DELPHI) database. BMC Musculoskelet Disord. 2019 May 3;20(1):187. doi: 10.1186/s12891-019-2568-2.

Stringer K, Ryan BL, Terry AL, Pike A. Primary care of adults with severe and profound intellectual and developmental disabilities: Family physicians' perspectives on patient-physician relationships. Can Fam Physician. 2019 Apr;65(Suppl 1):S59-S65.

2018

Brown JB, Ryan BL. Processes that influence the evolution of family health teams. Can Fam Physician. 2018 Jun;64(6):e283-e289.

Premji K, Ryan BL, Hogg WE, Wodchis WP. Primary care patients’ perceptions of access to care in Ontario: An analysis of the QUALICO PC Patient Experiences Survey. Can Fam Physician 2018 Mar;64(3):212-220. 

Stringer K, Terry AL, Ryan BL, Pike A. Patient-centred primary care of adults with severe and profound intellectual and developmental disabilities: Patient-caregiver-physician relationship. Can Fam Physician. 2018 Apr;64(Suppl 2):S63-S69.

Ratzki-Leewing A, Harris SB, Mequanint S, Reichert SM, Brown JB, Black JE, Ryan BL. Real-world crude incidence of hypoglycemia in adults with diabetes: Results of the InHypo-DM Study, Canada. BMJ Open Diabetes Res Care. 2018 Apr 24;6(1):e000503. doi: 10.1136/bmjdrc-2017-000503. eCollection 2018. 

Ryan BL, Bray Jenkyn K, Shariff SZ, Allen B, Glazier RH, Zwarenstein M, Fortin M, Stewart M. Beyond the grey tsunami: a cross-sectional population-based study of multimorbidity in Ontario. Can J Public Health. 2018 Jul Dec;109(5-6):845-854. doi: 10.17269/s41997-018-0103-0. Epub 2018 Jul 18.

Terry AL, Brown JB, Van Hoorn R, Stewart M; TUTOR-PHC Program Co-Investigators (incl. Ryan BL). Evolution and 15-year effect of a pan-Canadian training program: Transdisciplinary Understanding and Training on Research-Primary Health Care. Can Fam Physician. 2018 Jun;64(6):475-476.

Terry AL, Ryan BL, McKay S, Oates M, Strong J, McRobert K, Thind A. Towards optimal electronic medical record use: perspectives of advanced users. Fam Pract. 2018 Feb 10. doi: 10.1093/fampra/cmy009.

Stewart M, Fortin M, with the PACE in MM Team, Belanger M, Bestard-Denomme L, Bhattacharyya O, Borges DS, Bouhali T, Brown JB, Charles J, Chouinard MC, Emond V, Gallagher F, Glazier RH, Hogg WE, Katz A, Loignon C, Pariser P, Pham TN, Piccinini-Vallis H, Reichert S, Ryan BL, Sampalli T, Sussman J, Thind A, Wodchis W, Wong ST, Zwarenstein MF, Couture M, Huras PW. Patient-Centred Innovations for Persons with Multimorbidity Team. Patient-Centred Innovations for Persons with Multimorbidity: funded evaluation protocol. CMAJ Open, May 9 2017. vol. 5 no. 2 E365-E372. DOI: 10.9778/cmajo.20160097 

Ryan BL, Shadd J , Maddocks H, Stewart M, Thind A, Terry AL. Methods to Describe Referral Patterns in a Canadian Primary Care Electronic Medical Record Database: Modelling Multilevel Count Data. J Innov Health Inform. 2017:24(4):311-316. doi:org/10.14236/jhi.v24i4.888.