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

Software solutions for wearable-based stress monitoring offer significant potential in healthcare, particularly for vulnerable populations such as individuals with dementia or persistent physical symptoms. Despite technological advances, designing user-centered, ethically grounded, and contextually relevant software remains challenging. Vulnerable populations often have specific cognitive, physical, and emotional needs that require customization, yet these are rarely prioritized in mainstream development. Our so-called Sensors2Care project addressed these challenges by co-developing stress-monitoring prototypes in collaboration with stakeholders from healthcare, law, and technology within a transdisciplinary setting.

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Formative Evaluation of Digital Health Interventions

Cardiac arrest (CA), characterized by an extremely high mortality rate, remains one of the most pressing global public health challenges. It not only causes a substantial strain on health care systems but also severely impacts individual health outcomes. Clinical evidence demonstrates that early identification of CA significantly reduced the mortality rate. However, the developed CA prediction models exhibit limitations such as low sensitivity and high false alarm rates. Moreover, issues with model generalization remain insufficiently addressed.

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Formative Evaluation of Non-Ehealth Innovations

Access to care that affirms their entire self is essential, especially for gender-diverse individuals. Gender-affirming care includes medical, social, and non-medical supports to affirm gender identity.

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Development and Evaluation of Research Methods, Instruments and Tools

A growing volume of mental health research is conducted with participants recruited and responding online. However, to date, few psychometric scales have been specifically validated for online research.

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Formative Evaluation of Digital Health Interventions

Digital wound monitoring has become increasingly feasible with the widespread use of smartphones and mobile messaging platforms. Although most previous studies have focused on chronic wounds and demonstrated the clinical benefits of remote monitoring, little is known about how patients with acute wounds perceive and report wound-related changes after discharge; these factors may affect the accuracy and reliability of patient-facing digital health systems.

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Formative Evaluation of Digital Health Interventions

Adolescent obesity remains a pressing public health challenge, particularly among socioeconomically disadvantaged populations. Artificial intelligence (AI) holds the promise for supporting students in managing daily health behaviors, but few existing studies employed AI-based interventions in naturalistic settings such as schools.

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Formative Evaluation of Digital Health Interventions

Complimentary subscriptions to UpToDate, a decision support tool, were provided to community health workers (CHWs) in rural and remote primary care sites as part of a government-funded health system research program. A feasibility evaluation conducted after the first year of implementation showed that UpToDate was acceptable among CHWs despite infrastructural barriers.

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Development and Evaluation of Research Methods, Instruments and Tools

Bipolar disorder requires immediate and frequent daily symptom monitoring due to its extreme mood fluctuations. Ecological momentary assessment (EMA) technology uses high-frequency data collection to achieve ecologically valid capture of patient symptoms. Investigating EMA compliance among Chinese patients with bipolar disorder and its influencing factors is essential for developing more feasible daily symptom monitoring protocols.

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Early Results from COVID-19 Studies

Digital vaccination campaigns are increasingly used to address declining vaccine confidence, yet evidence from large-scale, real-world interventions in middle-income countries is limited. Meta’s Brand Lift Studies (BLS), which use randomized test–control exposure, provide Bayesian esti-mates of attitudinal shifts resulting from digital content. Mexico, with over 88.6 million active internet users, provides a setting to evaluate the impact of targeted campaigns on vaccine atti-tudes.

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Formative Evaluation of Digital Health Interventions

Biomedical research studies are increasingly using digital to enroll, recruit and collect data from participants. However, variability in digital literacy and technological acceptance can be challenging for recruitment from groups traditionally underrepresented in research, including those served by Federally Qualified Health Centers.

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Pilot studies (non-ehealth)

Although sexual exploration is normative during adolescence, sexual activities that are unprotected and occur under the influence of substances can pose significant risks to young people. Youth exposed to adversity are among the groups most vulnerable to sexual risk-taking in adolescence. Selective interventions that consider lived experiences and the local context may help reduce sexual risk-taking among this population.

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Research Letter

This study demonstrates that GPT-4o outperforms traditional natural language processing methods in accurately analyzing patient sentiment toward atopic dermatitis treatments on Reddit, enabling more nuanced and reliable extraction of real-world patient perspectives from large-scale social media data.

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Preprints Open for Peer-Review

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