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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 typing on laptop displaying medical history form
Formative Evaluation of Digital Health Interventions

The integration of eHealth solutions into routine health care remains challenging despite their potential to improve care quality and efficiency. Living labs (LLs) have emerged as an approach to addressing these challenges by enabling co-design and iterative testing of eHealth tools. LLs promote collaboration among patients, health care professionals, developers, and policy makers. However, systematic insights into their practical implementation remain limited.

Doctor uses facial recognition technology on patient in clinic
Pilot studies (ehealth)

As Taiwan enters a super-aged society, the prevalence of dementia continues to rise, highlighting the need for scalable, noninvasive approaches to identify behavioral alterations associated with cognitive decline. AI-based analysis of spontaneous affective facial responses has emerged as a potential digital phenotyping tool, but its feasibility for assessing cognitive performance remains underexplored.

Doctor in hijab shows patient health app on smartphone during consultation
Pilot studies (ehealth)

Hypertension is a common chronic condition associated with substantial morbidity globally. In Jordan, many patients struggle with sustained medication adherence and self-management, highlighting a need for accessible care strategies. Low-cost platforms such as WhatsApp may support telehealth education and remote follow-up, although formative pilot data are needed to assess feasibility in this context.

Doctor interacts with holographic human lungs and medical data on a futuristic tablet.
Formative Evaluation of Digital Health Interventions

Traditional brick-and-mortar pulmonary rehabilitation (PR) programs remain substantially underused, with only 2.7% of Medicare beneficiaries completing PR within 12 months following hospitalization for a COPD exacerbation. Given the critical role of PR in improving exercise tolerance, quality of life, and reducing readmissions, innovative delivery models are needed to address this massive utilization gap. Virtual PR platforms have emerged as a potential solution, offering scalable, and home-based rehabilitation.

Young doctor in blue scrubs studying medical charts on laptop
Formative Evaluation of Digital Health Interventions

There is evidence of rapid adoption of large language models (LLMs) in undergraduate medical education, with medical students using them to support their learning. This raises concerns about the accuracy of LLM-generated information that students are learning from. Retrieval-augmented generation (RAG), which grounds an LLM in curated materials, may be a strategy to improve the accuracy of this information.

Woman in business attire working on a laptop in a cafe
Formative Evaluation of Digital Health Interventions

Millions of people now use general-purpose large language models (LLMs) for mental health support, yet how these models respond to emotional disclosures and whether their responses functionally resemble established therapeutic practices remain uncharacterized.

Young people using smartphones and tablets outdoors
Pilot studies (ehealth)

Little is known about the composition and function of the social networks of adolescent and young adult survivors of cancer, despite the importance of social health for adolescent and young adult development. For adolescent and young adult survivors of cancer, social networks may be particularly important sources of support and coping. Understanding this group’s social health through understanding their social networks can inform intervention development to improve various facets of health and life productivity.

Woman in yoga pose smiling at phone in bright room
Formative Evaluation of Digital Health Interventions

We recently completed the efficacy testing of an instructor-led yoga program for patients with thoracic cancer undergoing radiotherapy and their family caregivers. Translating an instructor-led intervention to a mobile app–based delivery model may facilitate the implementation of this yoga program in routine oncological clinical care.

Blue notebook, pen, dumbbells, and jump rope for fitness planning
Development and Evaluation of Research Methods, Instruments and Tools

Childhood obesity remains a public health concern in the United States, disproportionately affecting Hispanic/Latino and rural populations. Despite this disparity, there is a lack of culturally relevant programs specifically designed to reach this population. To address this gap, our team culturally adapted a technology-based childhood obesity intervention, Hispanic Family Connections (HFC), targeting Hispanic/Latino families living in rural areas. The intervention comprises 2 main components: interactive voice response (IVR) calls and a workbook with at-home activities to promote family engagement.

Doctor discusses patient care with an elderly couple, the man using a walker.
Formative Evaluation of Digital Health Interventions

Discharge mobility after osteoporotic vertebral fractures is heterogeneous and difficult to predict at admission. Machine learning offers structured approaches for multiclass functional outcome prediction, but existing models predominantly address binary end points and report global performance metrics without explicit analysis of the error structure.

Two people joyfully jumping in the air in front of a dark ribbed wall
Case Report

Online platforms are increasingly used to deliver training and implementation resources for large-scale, school-based physical activity initiatives, and understanding behavioral engagement with these platforms is important because it provides an early indicator of initiative uptake; yet, few studies have examined engagement during real-world scale-up.

Man viewing climate and health dashboard with map data
Formative Evaluation of Digital Health Interventions

Climate-related disasters increasingly affect community health, health care access, and disaster preparedness, particularly in disaster-prone Gulf Coast communities. Although climate dashboards have expanded access to environmental data, many function primarily as static repositories with limited integration of health data or operational decision support capabilities.

Preprints Open for Peer Review

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