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

Although rates of tobacco use in California have declined overall, adults in the San Joaquin Valley (SJV), particularly Hispanic/Latinos (“Latinos”), have disproportionately high rates of tobacco use, tobacco-related illness, and mortality. Residents of the SJV also have limited access to cessation support services, and need accessible, non-clinical alternatives. Given high smartphone use rates among Latinos and residents of rural communities, digital health tools may present an accessible approach to expand cessation support.

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Formative Evaluation of Digital Health Interventions

Maintaining mobility is important for older adults to retain independence and reduce fall risk. Wearable technology like fitness trackers and smartwatches can track physical activity. Unfortunately, gait recognition algorithms are often calibrated using younger adults and are not accurate for older adults, especially when using mobility aids.

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Research Letter

This study explores how the specific nature of regulating healthcare AI influences managing its deployment. FDA and EC regulations focus on pre-market approval yet fail to address monitoring of AI post-marketing. Better regulations for “adaptive” AI systems are needed. These are considered with precaution as “high-risk” and prohibited from fully autonomous diagnosis. As AI models are exposed to new data in clinical settings, their performance may degrade or alter over time, necessitating ongoing oversight. This often means that healthcare providers must step into the regulatory ambiguity zone to develop local protocols for quality assurance during early adoption phases.

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Development and Evaluation of Research Methods, Instruments and Tools

The significance of parenting practices for children’s development and health has gained increased attention, aligning with life course perspectives on health. Adverse childhood experiences are widespread and linked to impaired parenting in adulthood. Understanding how expectant parents reflect on their childhoods, and how such reflections can be fostered as part of antenatal care, is essential for supporting healthier caregiving and helping to break cycles of intergenerational adversity.

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Formative Evaluation of Non-Ehealth Innovations

The Break Method is a structured, behavior-based emotional reconditioning program designed to help individuals gain insight into patterns of emotional dysregulation and reprogram behavioral responses rooted in past experiences. Although it has been widely adopted in private and small-group settings, empirical evidence supporting its effectiveness remains limited. With increasing interest in accessible, scalable, and personalized mental health interventions, evaluating the outcomes of such programs is essential for informing future implementation and research.

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Formative Evaluation of Digital Health Interventions

Older adults undergoing surgery face increased risks of postoperative neurocognitive disorders which impair cognitive functions. Analog neurocognitive tests are commonly used, but digital tests offer faster, more accessible assessments.

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Formative Evaluation of Digital Health Interventions

Osteoporosis-related fractures significantly impact older adults, often leading to disability and even premature death. While pharmacological and non-pharmacological interventions are widely recommended for managing osteoporosis, adherence to these interventions remains low. To address this challenge, we developed the Healthy Bone digital platform (desktop, mobile application, and smart TV internet-based) for use in clinical settings to improve disease management and treatment adherence. It integrates a multimedia health-related behavioral change program with a patient monitoring and management system.

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Formative Evaluation of Digital Health Interventions

Physical activity and sleep prescriptions are indicated for the treatment of psychiatric disorders among youth. However, there is limited clinical adoption of these practices. Exergaming (ie, games that require physical activity) is a feasible intervention to promote physical activity and sleep hygiene and is appealing to youth given their interest in video gaming. Integrating exergaming prescriptions into clinical mental health practices may offer an opportunity to expand access to these interventions, yet pragmatic considerations for adopting these programs are poorly understood.

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Formative Evaluation of Digital Health Interventions

The social media trend #fitspiration aims to positively impact on its users’ health, but studies have shown detrimental effects as it mainly involves stereotypical and barely achievable body images and health behaviors. During puberty, adolescents form their identity and body image, making it essential to examine social media’s influence on their health.

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Formative Evaluation of Digital Health Interventions

Maintaining and motivating physical functioning among older adults has substantial health-related benefits, such as reducing the risk of falls and increasing the opportunities for independent living. Supporting preventive actions among older adults also has socioeconomic relevance. Previous studies have shown that digital tools involving video feedback can facilitate reflection and learning by encouraging active engagement.

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Early Results in Infodemiology and Infoveillance

Over the past two decades, use of social media has grown among US adults. Common social media platforms include Facebook, YouTube, Instagram, X (formerly known as Twitter), LinkedIn, and Tiktok. People proactively use social media for a variety of purposes including searching for health information, peer-to-peer social support, and health-related information sharing. As social media platforms often serve as sources of health information, understanding how, if at all, people use these platforms may inform future behavioral interventions delivered via social media. Additionally, a better understanding of social engagement may have implications for public health messaging and patient-centered communication.

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Early Results in Infodemiology and Infoveillance

Cardiopulmonary resuscitation (CPR) is vital for improving patient outcomes in medical emergencies. Both laypersons and healthcare professionals often seek guidance on performing CPR. In today's digital age, many turn to easily accessible platforms like YouTube for practical skills.

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Preprints Open for Peer-Review

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