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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 2.4 More information about Impact Factor CiteScore 4.2 More information about CiteScore

JMIR Formative Research 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 MEDLINE, PubMed, PubMed Central, DOAJ, Scopus, Sherpa/Romeo, EBSCO/EBSCO Essentials, and the Emerging Sources Citation Index (ESCI).

JMIR Formative Research received a 2025 Impact Factor of 2.4, ranking Q2 in Health Care Sciences & Services (97/194).

JMIR Formative Research received a Scopus CiteScore of 4.2 (2025), placing it in the 68th percentile (149/466) as a second quartile (Q2) journal in the field of Medicine, and in the 52nd percentile (81/168) as a second quartile (Q2) journal in the field of Health Informatics. 


Recent Articles

Doctor consults with a sick woman via telehealth video call
Formative Evaluation of Digital Health Interventions

Major depressive disorder is a leading cause of disability, and access to specialist psychiatric follow-up remains limited in many settings. Telepsychiatry may reduce logistical barriers to care, but data on video-based follow-up under routine outpatient conditions in Türkiye are scarce, and comparisons of delivery modalities are frequently limited by baseline imbalance between self-selected groups.

Female doctor with stethoscope reviews patient chart on tablet in exam room.
Research Letter

This cross-sectional study examined AI use among 524 health care professionals in the United States and United Kingdom, focusing on current applications, access, barriers, and factors that could support adoption. AI use was common but varied across professional and national contexts, with findings highlighting the importance of evidence, organizational guidance, training, privacy safeguards, and integration into clinical workflows for responsible adoption.

Hand holding phone displaying "Things to touch" list with examples like handles, buttons, and doorknobs.
Formative Evaluation of Digital Health Interventions

Digital mental health interventions (DMHIs) are increasingly popular for their ability to disseminate evidence-based treatments in a scalable, accessible way. Engagement with digital treatments is critical for effectiveness but remains poorly defined and measured. Most studies rely on subjective self-reports or 1 or 2 objective metrics, overlooking the multidimensional nature of how users interact with DMHIs.

Woman playing a virtual reality fitness game on a large screen
Formative Evaluation of Digital Health Interventions

Physical inactivity and insufficient muscle-strengthening exercise remain important public health concerns among adults with chronic diseases. Active video games may offer an accessible way to support exercise participation, but many may not provide sufficient exercise intensity to produce meaningful physiological responses. Ring Fit Adventure (RFA) is an active video game that combines aerobic and resistance-based exercise. However, little is known about its physiological demands among adults with chronic diseases.

Doctor and nurse show patient medical data visualization on tablet in hospital room.
Development and Evaluation of Research Methods, Instruments and Tools

Existing risk scores for nonvariceal upper gastrointestinal bleeding (NVUGIB) may not adequately represent the heterogeneity of coexisting chronic conditions. Routinely collected hospital discharge records may enable data-driven characterization of clinically meaningful comorbidity profiles.

Bridgedd community resource database on computer screen with staff in background
Development and Evaluation of Research Methods, Instruments and Tools

Health care professionals in safety-net settings often rely on lengthy and inconsistently maintained community health resource lists when connecting patients with services. Bridgedd is a health care staff–facing web application designed to generate geographically and categorically filtered community resources in a unique format that makes information about each resource more accessible.

Man in denim jacket using a modern smartphone for mobile communication
Research Letter

One in three young adults reported substance-related generative AI use, mainly for seeking information on substances, with higher prevalence among Black and male respondents; findings highlight that generative AI might be shaping the substance-use ecosystem among young adults and further research is needed to understand its public health implications.

Two men working in a rocky quarry, one carrying a sack
Formative Evaluation of Non-Ehealth Innovations

Tuberculosis (TB) remains a major global health challenge, with 10.6 million new cases and 1.3 million deaths reported in 2022. Artisanal miners in sub‑Saharan Africa are particularly vulnerable due to poverty, overcrowded living conditions, and high HIV prevalence. In the Democratic Republic of Congo (DRC), TB prevalence among miners is high, yet determinants remain insufficiently studied.

Microscopic view of inflammatory cells, including neutrophils, in tissue.
Formative Evaluation of Digital Health Interventions

Morphology-based disciplines such as histology, embryology, and cytogenetics require strong visual learning and rely heavily on visual pattern recognition, with more complex integrative processes, that is, higher-order cognitive skills that connect, interpret, and apply knowledge across contexts. These skills may be supported by social media formats. In parallel, medical students increasingly engage with digital and social media platforms, prompting interest in their potential educational value. Instagram (Meta Platforms, Inc), as an image-centered and interactive medium, has emerged as a potential pedagogical tool. The Histo.Embryo Instagram account was launched in 2023 under the auspices of the French National College of Histologists, Embryologists, and Cytogeneticists (CHEC) to complement traditional teaching with bilingual, interactive, image-based posts.

Two women smiling while exercising on treadmills in a gym
Formative Evaluation of Digital Health Interventions

Digital nudging strategies are increasingly implemented to promote physical activity; yet, evidence from real-world fitness settings remains limited. The early membership period in fitness centers is characterized by high dropout rates, emphasizing the need for formative evaluations that clarify behavioral mechanisms underlying exercise engagement.

Man watching TikTok video on smartphone with laptop in background
Pilot studies (ehealth)

TikTok has become a major source of mental health information, yet concerns persist regarding the quality and reliability of psychiatric content disseminated on the platform. While misinformation has been documented for several mental disorders, no study has specifically examined how borderline personality disorder (BPD) is portrayed on TikTok.

Hand holding phone displaying "Islamic faith-based smoking cessation intervention" with Saudi flag and mosque
Formative Evaluation of Digital Health Interventions

Smoking is common in Saudi Arabia, particularly among men. Religion plays a protective role against smoking and serves as a motivator for quitting. Faith-based interventions have shown positive effects in supporting smoking cessation among Muslims who smoke; however, few studies have tested their acceptability when delivered via mobile phone messaging.

Preprints Open for Peer Review

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