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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

Young woman on bed video calling with friend wearing headphones
Formative Evaluation of Digital Health Interventions

Preventive interventions to delay substance use disorder (SUD) are ideally delivered during early adolescence, a critical period for exposure to substance use (SU) risk factors. Young teens (aged 12-14 years) engaging in occasional use of alcohol, cannabis, or tobacco use, or with a family history of SUD, are at increased risk for SUD. Although behavioral-ecological family therapy is effective for prevention, many families face access barriers. Single-session interventions (SSIs) may offer an accessible, low-intensity alternative.

Woman's hands pouring green and blue capsules from a bottle into her palm
Development and Evaluation of Research Methods, Instruments and Tools

Off-label drug prescribing is prevalent across medicine, including psychiatry, often due to unmet therapeutic needs and inadequate responses to standard treatments. The PSYHAMM (Psychotropes Hors Autorisation de Mise sur le Marché) project, funded by the French Research Agency, investigates these practices. To support this research, a clinical data warehouse (CDW) with advanced data analysis tools was developed and deployed. This system integrates both structured and unstructured data from electronic health records, facilitating comprehensive data analysis. The goal is to improve understanding, regulation, and safety of off-label drug use in psychiatry by providing insights into prescribing patterns and their impacts, ultimately contributing to better clinical guidelines and patient care.

Nurse in blue scrubs checks phone with stethoscope around neck.
Formative Evaluation of Digital Health Interventions

Although social media is often viewed by residents and could be used to reinforce teaching points, there is little data on methods that improve engagement in learning medical topics while socially perusing this medium.

Doctor drawing blood from elderly woman, older doctor observing
Formative Evaluation of Non-Ehealth Innovations

In Japan, the 2021 revision to the Medical Practitioners Act formally supported students’ participation in supervised clinical practice. However, monitoring day-to-day clinical experiences across community-based clerkship sites remains challenging. Student-reported digital daily logs and reflection sheets provide complementary descriptive information across such sites.

Woman on video call with friend on a tablet
Formative Evaluation of Digital Health Interventions

Depression, anxiety, and stress-related difficulties represent a major global health burden. Online psychological therapy has emerged as a promising approach to increasing access to care, yet evidence from routine, real-world clinical settings, particularly for services delivered without standardized treatment protocols, remains limited.

Nurse checks on elderly patient in hospital bed with IV drip, TV on
Formative Evaluation of Digital Health Interventions

Remote vital sign monitoring of acute hospital at home (aHAH) patients is recommended in policy without clear guidance on implementation. While such monitoring has the potential to improve patient care, there is limited evidence for its feasibility and acceptability.

Man in wheelchair exercises with dumbbells, focusing on arm strength
Formative Evaluation of Digital Health Interventions

Mobile health technologies offer scalable opportunities to support home-based exercise programs. However, most commercially available apps are not tailored to individuals with spinal cord injury (SCI) and have rarely been evaluated for usability and implementation outcomes in this population.

Child using a tablet to learn, with colorful graphs on screen.
Formative Evaluation of Digital Health Interventions

In clinical settings, clinicians’ context-specific trust in AI is associated with individual factors. This is particularly relevant in autism spectrum disorder (ASD) screening, where diagnostic criteria are complex, heterogeneous, and inherently uncertain. Although some AI systems demonstrate high sensitivity, clinicians are not always convinced of their utility. Therefore, examining potential biases in context-specific trust and achieving well-calibrated trust are critical.

Man stretching in gym, smartwatch shows Resting HR Prediction: 67 bpm
Case Report

For endurance athletes, resting heart rate (RHR) is a well-known indicator of training load, physiological status, and readiness for upcoming training. Predicting the following day’s RHR would enable athletes and coaches to optimize training plans and make timely load adjustments.

Woman uses Sympler app on smartphone for palliative care self-referral
Formative Evaluation of Digital Health Interventions

Palliative care improves patients’ health-related quality of life (HRQoL) by delivering specialty-level management for cancer symptoms. Digital symptom monitoring programs (SMPs) improve patients’ HRQoL through early symptom identification during cancer care. Through complementary approaches, SMPs and palliative care align with symptom management theory by linking the patient-reported symptom experience with clinician recommendations for symptom management to improve health outcomes for patients with serious illness. While both SMPs and palliative care reduce health care use and improve survival through detection and treatment of cancer symptoms, few studies have attempted to integrate palliative care into SMPs for cancer symptom management.

Elderly woman with glasses smiling while using a tablet on a couch.
Formative Evaluation of Digital Health Interventions

Health literacy (HL) is a crucial determinant of population health; however, disparities persist in multilingual settings. In South Tyrol, Italy, where German- and Italian-speaking populations coexist within a unified health care system, HL disparities may reflect differences in language, culture, and digital engagement.

Preprints Open for Peer Review

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