JMIR Formative Research

Process evaluations, early results, and feasibility/pilot studies of digital and non-digital interventions

Editor-in-Chief:

Amaryllis Mavragani, PhD, Scientific Editor at JMIR Publications, Canada


Impact Factor 2.1 CiteScore 3.5

JMIR Formative Research (JFR, ISSN 2561-326X) publishes peer-reviewed, openly accessible papers containing results from process evaluations, feasibility/pilot studies and other kinds of formative research and preliminary results. While the original focus was on the design of medical- and health-related research and technology innovations, JMIR Formative Research publishes studies from all areas of medical and health research.

Formative research is research that occurs before a program is designed and implemented, or while a program is being conducted. Formative research can help

  • define and understand populations in need of an intervention or public health program
  • create programs that are specific to the needs of those populations
  • ensure programs are acceptable and feasible to users before launching
  • improve the relationship between users and agencies/research groups
  • demonstrate the feasibility, use, satisfaction with, or problems with a program before large-scale summative evaluation (looking at health outcomes)

Many funding agencies will expect some sort of pilot/feasibility/process evaluation before funding a larger study such as a Randomized Controlled Trial (RCT).

Formative research should be an integral part of developing or adapting programs and should be used while the program is ongoing to help refine and improve program activities. Thus, formative evaluation can and should also occur in the form of a process evaluation alongside a summative evaluation such as an RCT.

JMIR Formative Research fills an important gap in the academic journals landscape, as it publishes sound and peer-reviewed formative research that is critical for investigators to apply for further funding, but that is usually not published in outcomes-focused medical journals aiming for impact and generalizability.

Summative evaluations of programs and apps/software that have undergone a thorough formative evaluation before launch have a better chance to be published in high-impact flagship journals; thus, we encourage authors to submit - as a first step - their formative evaluations in JMIR Formative Research (and their evaluation protocols to JMIR Research Protocols). 

JMIR Formative Research is indexed in MEDLINEPubMed, PubMed CentralDOAJ, Scopus, Sherpa/Romeo, EBSCO/EBSCO Essentials, and the Emerging Sources Citation Index (ESCI).

JMIR Formative Research received a Journal Impact Factor of 2.1 according to the latest release of the Journal Citation Reports from Clarivate, 2025.

With a CiteScore of 3.5 (2024) JMIR Formative Research is a Q2 journal in the field of Medicine (miscellaneous), according to Scopus data.

Recent Articles

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Formative Evaluation of Digital Health Interventions

The rapid acceleration of large language models (LLMs) creates opportunities to expand the accessibility of mental health support; however, general artificial intelligence (AI) tools lack safety guardrails, evidence-based practices, and medical regulation compliance, which may result in misinformation and failing to escalate care in crises. In contrast, Ebb, Headspace’s conversational AI tool (CAI tool), was purpose-built by clinical psychologists and research experts using motivational interviewing techniques for subclinical guidance, incorporating clinically backed safety mechanisms.

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Development and Evaluation of Research Methods, Instruments and Tools

The development of efficient, scalable, and precise tools to assess knowledge of evidence-based parenting strategies is critical, particularly as increased parenting knowledge is a core target of many intervention programs.

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Formative Evaluation of Non-Ehealth Innovations

Healthcare providers (HCPs) in public health facilities in low- and middle-income countries (LMICs), including Nepal, often lack adequate training to manage mental health problems effectively.

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Formative Evaluation of Digital Health Interventions

Annotated bibliographies summarize literature, but training, experience, and time are needed to create concise yet accurate annotations. Summaries generated by artificial intelligence (AI) can save human resources, but AI-generated content can also contain serious errors.

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Formative Evaluation of Digital Health Interventions

Sleep disorders are common among older adults undergoing surgery and contribute significantly to postoperative complications, delayed recovery, and higher health care costs. The combined effects of age-related physiological changes and surgical stress further disrupt sleep in this vulnerable group. However, current tools for predicting surgical risk rarely account for the specific physiological, clinical, and psychological factors that affect older patients. While wearable devices are used to monitor sleep, most prediction models focus on general sleep quality in nonsurgical populations, leaving a gap in forecasting preoperative sleep disorders in older surgical candidates. Therefore, we developed and validated a tailored risk prediction model that integrates objective sleep data from wearable devices with comprehensive clinical and psychosocial evaluations for older adults preparing for surgery.

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Formative Evaluation of Digital Health Interventions

Digital health interventions (DHIs) have the potential to extend the reach of disease prevention interventions; however, few are evidence-based, theoretically grounded, or developed for high-risk youth and families. Co-design approaches engage the end user in the design and development of the DHI by applying an equity lens that can lead to increased accessibility and engagement.

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Formative Evaluation of Digital Health Interventions

Lately, big data studies have shown promise in using patient characteristics to rank the likelihood of retention of antiseizure medications (ASMs), a measure indicating tolerability as well as effect. How such results can be integrated into clinical practice has yet to be studied. We developed EPstat, a non-commercial tool that provides physicians with real-world treatment retention data from 33,998 epilepsy patients.

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Development and Evaluation of Research Methods, Instruments and Tools

Physicians’ perceived compensation satisfaction enhances work enthusiasm, ensures health care system stability, and inspires health care quality. However, few studies have investigated the combined effect of multiple influencing factors on this perception.

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Formative Evaluation of Digital Health Interventions

Loneliness is a form of psychological distress associated with increased risk of depression, anxiety, and adverse health outcomes across the life span. This study evaluates an online gaming‑based community intervention that combines professionally facilitated groups, commercial video games, and skills‑focused workshops for adults who play video games.

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Formative Evaluation of Digital Health Interventions

Despite a 40-year prevalence of the human immunodeficiency virus (HIV) the acquired im-munodeficiency syndrome (AIDS) epidemic prevails. Effective AIDS treatment requires spe-cialist care and high adherence often hindered by structural issues in care access. Innovative eHealth solutions like a treatment-supportive mobile applications, can help address these is-sues. Successful implementation depends on user acceptance. Acceptance can be opera-tionalized as behavioral intention and measured through the Unified Theory of Acceptance and Use of Technology (UTAUT).

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Formative Evaluation of Digital Health Interventions

Effective diabetes management requires individualized treatment strategies tailored to patients’ clinical characteristics. With recent advances in artificial intelligence, large language models (LLMs) offer new opportunities to enhance clinical decision support, particularly in generating personalized recommendations.

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Research Letter

This cross-sectional study examined presence of food stores and availability of fruits/vegetables in food stores with weight among urban public housing residents; while there was no association between average number of fruits/vegetables in food stores and weight, there were positive associations between number of convenience stores and weight and between number of general merchandise stores and weight.

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