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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Research Letter

This formative research explored health science researchers’ perspectives on the development of an artificial intelligence–based virtual study assistant and identified 8 potential features and their priorities.

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Research Letter

This study uses the 2011-2017 National Health Interview Survey (NHIS) data to demonstrate that sociodemographic factors are associated with transportation delays among individuals with knee osteoarthritis.

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Pilot studies (ehealth)

The Swedish National Board of Health and Welfare recently updated the national guidelines for at-risk consumption of alcohol. Nearly 30% of the Swedish population now falls under the at-risk category and should be provided with support.

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Development and Evaluation of Research Methods, Instruments and Tools

In contrast to all previous generations, life today is lived both in-person and online. This creates both opportunities and risks to mental health and well-being. Social interaction is no longer geographically constrained, yet the anonymity and impersonality of social media create new problems. To quote Mike Tyson (July 2020), “Social media have made y’all way too comfortable with disrespecting people and not getting punched in the face for it.”

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Early Results from COVID-19 Studies

The COVID-19 vaccine was introduced as a crucial tool to combat the pandemic. However, concerns about its effectiveness, side effects, and misinformation spread remain. Prior research largely relied on survey-based approaches with limited populations. To address these limitations, social media offers a broader, more naturalistic lens into public discourse on COVID-19 vaccination. Accordingly, our study leverages social media data to identify factors shaping vaccine-related information needs, perceptions, and communication dynamics.

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Formative Evaluation of Digital Health Interventions

Alcohol-related liver disease (ALD) is a global health concern, and harmful alcohol use negatively affects clinical outcomes and health-related quality of life (HRQOL). Previous studies have demonstrated impaired HRQOL in chronic liver disease, including ALD; however, evidence remains limited regarding whether hepatologist-delivered abstinence support in outpatient practice can improve HRQOL. Digital interventions such as smartphone journaling apps may support behavior change, but their effectiveness in hepatology-led care settings has not been well established.

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Formative Evaluation of Digital Health Interventions

Acquiring relevant knowledge and support is essential for informal caregivers of persons with early-stage dementia, including awareness, access, and use of comprehensive resources for both persons with dementia and caregiver support. With appropriate strategies and early-stage support, informal caregivers can play a vital role in enhancing the well-being of persons with dementia and potentially slowing their progression. While large language models (LLMs) can provide easy access to caregiving knowledge, the risks, perceived challenges, and ways to improve LLM-generated responses in practice remain underexplored.

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Formative Evaluation of Digital Health Interventions

Chronic back pain is a severe health condition with underlying biopsychosocial factors that make diagnosis difficult, and pain chronicity has been shown to be an important variable for studying patient outcomes. Due to the absence of standardized criteria, pain chronicity needs to be manually annotated by clinicians in electronic health records (EHRs), which is not only time consuming but also has the potential to introduce variability in analysis and interpretation among practitioners.

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Formative Evaluation of Digital Health Interventions

It is considered advantageous to adopt an interdisciplinary approach when creating serious games in the sphere of health practice. However, different fields have reported that interdisciplinary work is challenging. Yet, the literature is scarce regarding how participants within health research have experienced collaborative research. In 2019 and 2020, total 3 teams collaborated to produce a serious game for children undergoing radiotherapy.

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Formative Evaluation of Digital Health Interventions

Modern workplaces create increasing demands on employees, often leading to stress, burnout, and reduced functional capacity. These challenges contribute to significant functionality losses, with absenteeism and presenteeism posing economic burdens. Mindfulness-based workplace interventions have been shown to improve mental health, yet their effects on specific work-related performance outcomes such as concentration difficulties, mistakes, and procrastination over time are less explored.

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Formative Evaluation of Digital Health Interventions

Aspiration causes or aggravates a variety of respiratory diseases. Subjective bedside evaluations of aspiration are limited by poor interrater and intrarater reliability, while gold standard diagnostic tests for aspiration, such as video fluoroscopic swallow study and fiberoptic endoscopic evaluation of swallowing, are cumbersome or invasive and health care resource-intensive.

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Formative Evaluation of Digital Health Interventions

Mental health disorders are common among adolescents worldwide; yet, access to preventive and early intervention services remains limited. Digital mental health platforms may help bridge this gap, but little is known about how these platforms are perceived, implemented, and adopted by school and community stakeholders during early stages of rollout in real-world youth-serving settings.

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Preprints Open for Peer Review

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