College of Medicine

Research Area(s)

  • Healthcare Research
  • Patient-Oriented Research
  • Realist Synthesis and Evaluation
  • Rural and Remote Health

About

Dr. Tracey Carr (she/her) is an Assistant Professor in the Department of Community Health and Epidemiology, University of Saskatchewan. She has years of experience in healthcare evaluation, patient-oriented research, and clinical research. Throughout her career as a healthcare researcher, Dr. Carr has built strong relationships with Indigenous communities in the province, including the Métis Nation—Saskatchewan (MN-S) and First Nation communities across Saskatchewan. These relationships strengthened her commitment to work towards cultural humility and decolonization in research and healthcare institutions. She is passionate about improving patient experiences of healthcare at the provincial level and beyond, which has led her to use realist synthesis and evaluation to answer questions such as what works, for whom, in which circumstances, and why in healthcare settings.

On a personal note, Dr. Carr enjoys golf, gardening, cats, and coffee.

Education

2013 Doctor of Philosophy, University of Saskatchewan
2002 Master of Science, non-Thesis, University of Alberta
1997 Master of Arts, Thesis, University of Saskatchewan
1989 Bachelor of Arts, Honours, University of Saskatchewan

Research Grants

Principal Applicant
2023/4 – 2028/3 - Integrated Care Clinical Pathway Implementation using a Patient-Oriented Learning Health System Approach: A Realist Process Evaluation of the Saskatchewan Long COVID Pathway
Funding Source: Canadian Institutes of Health Research (CIHR) - THINC Implementation Science Team Grants
Total Funding – 1,961,649

Nominated Principal Applicant
2023/3 - 2024/2 - A Developmental Evaluation of Patient-Centered Measurement in a Learning Health System: Policy Implications for Saskatchewan
Funding Source: Canadian Institutes of Health Research, Catalyst Grant: Policy Research for Health System Transformation
Total Funding - 148,238

Co-applicant/ Co-investigator
2022/10 - 2023/10 - Métis Cultural Continuity and Cancer Prevention: A Scoping Review
Funding Source: Canadian Cancer Society CCS Accelerator Grants – Fast-tracking changes that matter for people affected by cancer (ACC-22)
Total Funding - 48,604

2022/9 - 2023/8 - Exploring Priorities for Breast Cancer Patients and Survivors in Saskatchewan
Funding Source: Saskatchewan Health Research Foundation (The) (SHRF), Align Grant Program
Total Funding - 9,896

2018/5 - 2023/1 - Sâkipakâwin – Assessing the Support Needs for Saskatchewan Indigenous Cancer
Patients and their Families: A Multi-method Study.
Funding Source: Saskatchewan Health Research Foundation (SHRF), SPROUT
Total Funding - 159,864

2022/1 - 2023/1 - Preventing Cancer Through Métis Cultural Revitalization: A Framework for Saskatchewan
Funding Source: Canadian Cancer Society CCS/CIHR Action Grant
Total Funding - 175,060

2020/2-2024/12 - Intervening in Workplace Harassment with Participatory Theatre: A Critical Realist
Evaluation
Funding Sources - Social Sciences and Humanities Research Council of Canada (SSHRC) Insight
Total Funding - 299,635

Supervision

Master’s Thesis:
2022/1 Co-Supervisor Maria Diaz Vega, University of Saskatchewan
Thesis Title: Cultural continuity as a pathway for health promotion and cancer prevention among Metis people: A scoping review and semi-structured interviews

Bachelor’s degree:
2016/9 - 2017/4 - Principal Supervisor - Mikaela Vancoughnett, University of Saskatchewan
Thesis Title: Breast Reconstruction after Mastectomy: Impacts and Supports

Selected Publications

Ali, A., Groot, G., April, M., MacPhee, M., Witham, S., Alimezelli, H., & Carr, T. (2023). Understanding the
impact of a residential housing program for people living with HIV/AIDS: Results from a realist evaluation.
BMJ Open. NA: NA. Submitted.

Carr, T., Witham, S., Ali, A., Lashta, E., Clark, T., Montgrand, L., Morin, M., Pierre, RS., Evans, M/. Groot, G. (2023). COVID-19 Containment in Indigenous Communities in North-West Saskatchewan: Community and Multi-Sectoral Stakeholder Perspectives. International Journal of Indigenous Health. 18: 1-12. In press.

Irvine K, Alarcon M, Dyck H, Martin B, Carr T, Groot G (2022). Virtual surgical consultation during the COVID-19 pandemic: a patient-oriented, cross-sectional study using telephone interviews. CMAJ Open. 10(4):E1008–16. DOI: 10.9778/cmajo.20210159

Asamoah GD, Khakpour M, Carr T, Groot G. (2022). Exploring Indigenous Traditional Healing programs in Canada, Australia, and New Zealand: A scoping review. EXPLORE. 19(1):14–25. DOI: 10.1016/j.explore.2022.06.004

Witham, S. Carr, T., Badea, A., Ryan, M., Stringer, L., Barreno, L., Groot, G. (2022). Sâkipakâwin: Assessing Indigenous Cancer Supports in Saskatchewan Using a Strength-Based Approach. Current Oncology. 29:132-143. DOI: 10.3390/curroncol29010012

Groot, G., Witham, S., Badea, A., Baer, S., Dalidowicz, M., Reeder, B., Froh, J., Carr, T. (2022). Evaluating a Learning Health System initiative: Lessons learned during COVID-19 in Saskatchewan, Canada. Learning
Health Systems. e10350: 1-9. DOI: 10.1002/lrh2.10350

Khaketla M, Carr T, Dubuka N, Quinn B, Reeder B, Sarker K, et al. (2022). Community and Public Health Responses to a COVID-19 Outbreak in North-west Saskatchewan: Challenges, Successes, and Lessons Learned. Int J Indig Health. 17(1). https://jps.library.utoronto.ca/index.php/ijih/article/view/36703

Vanstone JR, Azizian AR, Berry W, Carr T, Falastein P, Mise T-R, et al. (2022). Identifying Barriers and Enablers to Vaccine uptake from Immunizers and Individuals Receiving a COVID-19 Vaccine in Saskatchewan. Open Public Health J. 15(1):e187494452208012. DOI: 10.2174/18749445-v15-e2208012

Groot G, Ollegasagrem S, Khakpour M, Panahi A, Goodridge D, Lloyd J, Carr T. (2022) Facilitators and Barriers to Clinical Pathway Uptake and Utilization Among Primary Care Providers in Saskatchewan - A Qualitative Study. Clin Invest Med. 45(2):E1-9. DOI: 10.25011/cim.v45i2.38450

Fletcher-Hildebrand, S., Alimezelli, H., Carr, T., Lawson, K., Ali, A., Groot, G. (2021). Understanding the
impact of a residential housing program for people living with HIV/AIDS: A realist evaluation protocol. BMJ
Open. 11: 1-9. DOI: 10.1136/bmjopen-2020-044522

Brock, T., Chowdhury, MA., Carr, T., Panahi, A., Friesen, M., Groot G. (2021). Métis peoples and cancer: a
scoping review of literature, programs, policies, and educational material in Canada. Current Oncology.
28(6): 5101-5123. DOI: 10.3390/curroncol28060429

Madani Larijani, M., Azizian, A., Carr, T., Adams, SJ., Groot, G. (2021). Combined lumbar spine MRI and CT appropriateness checklist: A quality improvement study in Saskatchewan, Canada. International Journal for Quality in Health Care. 28: 1-8. DOI: 10.1093/intqhc/mzab120

Groot, G., Baer, S., Badea, A., Dalidowicz, M., Yasinian, M., Ali, A., Carr, T., Reeder, B. (2021). Developing a rapid evidence response to COVID-19: The collaborative approach of Saskatchewan, Canada. Learning
Health Systems. 6: 1-9. DOI: 10.1002/lrh2.10280

Sedgewick, JR., Ali, A., Badea, A., Carr, T., Groot, G. (2021). Service providers’ perceptions of support needs for Indigenous cancer patients in Saskatchewan: A needs assessment. BMC Health Services Research. 21: 1-12. DOI: 10.1186/s12913-021-06821-6

Azizian AR, Carr T, Muhajarine N, Verrall T, Hartness C, Vanstone J, et al. (2021) Developing a patient-oriented realist evaluation for COVID-19 vaccine implementation in Saskatchewan: a methodologic framework. CMAJ Open. 9(4):E1034–9. DOI: 10.9778/cmajo.20210041

Zibrowski E, Carr T, McDonald S, Thiessen H, van Dusen R, Goodridge D, et al. (2021) A rapid realist review of patient engagement in patient-oriented research and health care system impacts: part one. Res Involv Engagem. 7(1):72. DOI: 10.1186/s40900-021-00299-6

Larijani, M., Azizian, A., Carr, T., Badea, A., Groot, G. (2020). Reducing inappropriate imaging orders for
lower back pain using MRI And CT checklists: A quality improvement study in Saskatchewan, Canada.
Quality in Primary Care. 28: 24-31. https://www.primescholars.com/articles/reducing-inappropriate-imaging-orders-for-lower-back-pain-using-mri-and-ct-checklists-a-quality-improvement-study-in-sas-100507.html

Zibrowski, E., McDonald, S., Thiessen, H., vanDusen, R., Boden, C., Carr, T., Goodridge, D., Haver, C.,
Marciniuk, D., Stobart, C., Verrall, T. & Groot, G. (2020). Developing a program theory of patient-oriented
research and health care system impacts: Protocol for a patient-oriented, rapid realist review. CMAJ Open.
8: E530-E534. DOI: 10.9778/cmajo.20190181

Waldron T, Carr T, McMullen L, Westhorp G, Duncan V, Neufeld S-M, et al. (2020) Development of a program theory for shared decision-making: a realist synthesis. BMC Health Serv Res. 20(1):59. DOI: 10.1186/s12913-019-4649-1

Roberts R, Groot G, Carr T. (2020) Decisions on cancer care by Indigenous peoples in Alberta and Saskatchewan: a narrative analysis. Rural Remote Health. N/A:N/A. DOI: 10.22605/RRH5610.

Carr T, Arcand L, Roberts R, Sedgewick J, Ali A, Groot G. (2020) The experiences of Indigenous people with cancer in Saskatchewan: a patient-oriented qualitative study using a sharing circle. CMAJ Open. 8(4):E852–9. DOI: 10.9778/cmajo.20200012

Groot, G., Waldron, T., Barreno, L., Cochran, D., Carr, T. (2019). Trust and world view in shared decision making with Indigenous patients: A realist synthesis. Journal of Evaluation in Clinical Practice. 26: 503-514. DOI: 10.1111/jep.13307

Carr TL, Groot G, Cochran D, Vancoughnett M, Holtslander L. (2019). Exploring Women’s Support Needs After Breast Reconstruction Surgery: A Qualitative Study. Cancer Nurs . 42(2):E1–9. DOI: 10.1097/NCC.0000000000000600

Quinlan, E., Robertson, S., Carr, T., Gerrard, A. (2019). Workplace harassment interventions and labour
process theory: A critical realist synthesis of the literature. Sociological Research Online. 25(1): 3-22. DOI: 10.1177/1360780419846507

Carr TL, Groot G, Cochran D, Holtslander L. (2019) Patient Information Needs and Breast Reconstruction After Mastectomy: A Qualitative Meta-Synthesis. Cancer Nurs. 42(3):229–41. DOI: 10.1097/NCC.0000000000000599.

Thera R, Carr T, Groot G, Baba N, Jana K (2018) Understanding Medical Decision-making in Prostate Cancer Care. Am J Mens Health. 12(5):1635–47. DOI: 10.1177/1557988318780851

Carr T, Chartier B, Dadgostari T. (2017) “I’m not really healed … I’m just bandaged up”: Perceptions of healing among former students of Indian residential schools. Int J Indig Health. 12(1):39–56. DOI:10.18357/ijih121201716901

Carr T, Quinlan E, Robertson S, Gerrard A. (2017) Adapting realist synthesis methodology: The case of workplace harassment interventions. Res Synth Methods. 8(4):496–505. DOI:10.1002/jrsm.1261

Groot, G; Waldron, T; Carr, T; McMullen, L; Bandura, LA; Neufeld, SM Duncan, V. (2017). Development of
a program theory for shared decision making: A realist review protocol. Systematic Reviews. 6: 1-8. DOI: 10.1186/s13643-017-0508-5

Carr, T; Teucher, U; Casson, AG. (2017). Waiting for scheduled surgery: A complex patient experience.
Journal of Health Psychology. 22(3): 290-301. DOI: 10.1177/1359105315603464

Carr, T; Quinlan, E; Robertson, R; Duggleby, W; Thomas, R; & Holtslander, L. (2016). Yoga as palliation in women with advanced cancer: A pilot study. International Journal of Palliative Nursing. 22: 111-117. DOI:10.12968/ijpn.2016.22.3.111

Book Chapters

Carr T, Chartier B. (2020). Healing from Residential School Experiences: Support Workers and Elders on Healing and the Role of Mental Health Professionals. Craft A, Regan P. Perceptions on Truth and Reconciliation. Published, University of Manitoba Press and the National Centre for Truth and Reconciliation, Canada. https://uofmpress.ca/books/detail/pathways-of-reconciliation

Carr T, Sedgewick JR, Roberts R, Groot G. (2020). The Sharing Circle Method: Understanding Indigenous Cancer Stories. SAGE Publications Ltd. SAGE Research Methods Cases. Published, SAGE Publications Ltd., United Kingdom. DOI: https://doi.org/10.4135/9781529711264

Carr T, Westhorp G, Groot G. (2019). A Realist Approach to Qualitative Data Analysis: Interviews with Indigenous Patients With Cancer. SAGE Publications Ltd. SAGE Research Methods Datasets Part 2. Published, SAGE Publications Ltd., United Kingdom. DOI: https://doi.org/10.4135/9781526484888

Carr T, Teucher U. (2018). Understanding Patients' Wait time for Surgery Using Interpretative Phenomenological Analysis. SAGE Publications Ltd. SAGE Research Methods Cases. Published, SAGE Publications Ltd., United Kingdom. DOI: https://doi.org/10.4135/9781526427328

Reports

Groot G, Carr T. Community Leader and Stakeholder Perspectives on COVID-19 Containment Initiatives in North-West Saskatchewan. 2022. Available from: https://static1.squarespace.com/static/5b22e5239d5abb6a167c048c/t/62eac25c50a2304191554b88/1659552352067/SKNorthernOutbreak-ResearchReport_FINAL.pdf

Groot G, Carr T. A Journey with you: Indigenous Patient Navigation in Saskatchewan Cancer Care. 2023.

Presentations

Groot G., April M., Carr, T., Ali, A., MacPhee,M. (2023) Championing lived experience in community realist research: An example from Saskatchewan, Canada. https://www.youtube.com/watch?v=pfEWuSILjvw