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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Early Results in Infodemiology and Infoveillance

Since 2019, firearm violence has remained the leading cause of death for U.S. children and adolescents ages 1–19. This crisis has spurred action from policymakers, health professionals, and advocates. However, political polarization has contributed to divergent views on the causes and appropriate responses to firearm violence. Communication by elected officials, especially on social media, plays a critical role in shaping public opinion and policy agendas. Understanding how state policymakers discuss firearm violence, including the use of causal blame, calls to action, and health-related narratives, can inform more effective public health strategies.

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Formative Evaluation of Digital Health Interventions

Physical activity is a simple, low-risk intervention that could be integrated into daily life to improve glycemic control in individuals with prediabetes and early-stage type 2 diabetes mellitus (T2DM). However, maintaining physical activity remains challenging, even when its benefits are well understood. Although digital peer support has the potential to promote and maintain physical activity, its effectiveness has not yet been sufficiently established.

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Formative Evaluation of Digital Health Interventions

High staff turnover is a widespread issue across nearly all hospital departments, often exceeding 20% annually. This constant flux disrupts continuity of care and creates a recurring challenge: how to rapidly integrate new employees into complex clinical environments, both physically and functionally. Traditional onboarding methods struggle to meet this demand, particularly in services operating 24/7 such as emergency departments (EDs).

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Formative Evaluation of Digital Health Interventions

Youth and young adult mental health concerns are rising globally, with digital mental health platforms offering a promising solution for accessible support. Among the various features these platforms provide, goal setting and achievement have been shown to positively influence behavior change and mental health outcomes. However, there is limited understanding of how user-set goals compare to those set collaboratively with a practitioner regarding their impact on user engagement and mental health outcomes in digital mental health platforms.

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Viewpoint

Artificial Intelligence (AI) has the capacity to transform healthcare by improving clinical decision-making, optimizing workflows, and enhancing patient outcomes. However, this potential remains limited by a complex set of technological, human, and ethical barriers that constrain safe and equitable implementation. This paper argues for a holistic, systems-based approach to AI integration that addresses these challenges as interconnected rather than isolated. It identifies key technological barriers including limited explainability, algorithmic bias, integration and interoperability issues, lack of generalizability, and difficulties in validation. Human factors such as resistance to change, insufficient stakeholder engagement, and education and resource constraints further impede adoption, while ethical and legal challenges related to liability, privacy, informed consent, and inequity compound these obstacles. Addressing these issues requires transparent model design, diverse datasets, participatory development, and adaptive governance. Recommendations emerging from this synthesis are: (1) establish standardized international regulatory and governance frameworks; (2) promote multidisciplinary co-design involving clinicians, developers, and patients; (3) invest in clinician education, AI literacy, and continuous training; (4) ensure equitable resource allocation through dedicated funding and public–private partnerships; (5) prioritize multimodal, explainable, and ethically aligned AI development; and (6) focus on long-term evaluation of AI in real-world settings to ensure adaptive, transparent, and inclusive deployment. Adopting these measures can align innovation with accountability, enabling healthcare systems to harness AI’s transformative potential responsibly and sustainably to advance patient care and health equity.

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Formative Evaluation of Digital Health Interventions

South Korea has the highest suicide rate among the OECD nations, with particularly elevated figures among persons with disabilities (PWD). Research has shown a strong correlation between suicidal ideation and suicide attempts.

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Development and Evaluation of Research Methods, Instruments and Tools

Experience sampling methodology (ESM) is an assessment method utilised in psychosis research. Symptom severity and gender may be associated with ESM engagement. Exploring qualitative experiences of using ESM amongst people with psychosis should aid developing more relevant, accessible digital assessments.

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Development and Evaluation of Research Methods, Instruments and Tools

Information provided by health professionals can be complex and is often not well understood by healthcare consumers, leading to adverse outcomes. Clinician-led communication approaches such as ‘teach-back’ can improve consumer understanding, yet are infrequently used by clinicians. A possible solution is to build consumers’ skills to proactively check their understanding rather than waiting for the clinician to do so; however, there are few educational resources to support consumers to build these skills.

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Formative Evaluation of Digital Health Interventions

Tobacco use remains the leading cause of preventable mortality in the United States; yet, evidence-based cessation services remain underused due to staffing constraints, limited access to counseling, and competing clinical priorities. Generative artificial intelligence (GenAI) chatbots may address these barriers by delivering personalized, guideline-aligned counseling through naturalistic dialogue. However, little is known about how GenAI chatbots support smoking cessation at both outcome and communication process levels.

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Development and Evaluation of Research Methods, Instruments and Tools

For decades, the measurement of sleep and wake has relied upon watch-based Actigraphy as an alternative to expensive, obtrusive, clinical monitoring. To date, we have relied upon a handful of algorithms to score actigraphy data as sleep or wake. However, these algorithms have largely been tested and validated with only small samples of young healthy individuals.

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Formative Evaluation of Digital Health Interventions

Early identification of the etiology of spontaneous intracerebral hemorrhage (ICH) could significantly contribute to planning a suitable treatment strategy. A notable radiomics-based artificial intelligence (AI) model for classifying causes of spontaneous ICH from brain computed tomography (CT) scans has been previously proposed.

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Development and Evaluation of Research Methods, Instruments and Tools

The application of large language models (LLMs) in medicine is rapidly advancing. However, evaluating LLM capabilities in specialized domains such as traditional Chinese medicine (TCM), which possesses a unique theoretical system and cognitive framework, remains a sizable challenge.

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