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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 reviewing patient's medical questionnaire on tablet with pen
Formative Evaluation of Digital Health Interventions

Social desirability bias, the tendency to respond in ways that present the respondent favorably, is well documented in human self-report and has recently been observed in large language models (LLMs) completing personality inventories. Whether it also affects LLM responses to validated health screening instruments, where LLMs are increasingly proposed as simulated patients or synthetic respondents, has not been examined.

Two women embracing outdoors against a blue sky
Formative Evaluation of Digital Health Interventions

Adolescent mental health needs remain largely unmet, particularly among youth in geographically underserved communities. Digital peer support is a promising approach to expanding access to mental health support, yet real-world evidence on engagement patterns and clinical outcomes remains limited.

Nurse analyzing medical data visualization on computer in clinic
Development and Evaluation of Research Methods, Instruments and Tools

The use of generative AI in research and clinical practice is rapidly expanding, offering unprecedented capabilities in pattern extraction and data analysis. However, its application raises critical concerns regarding the accuracy and reliability of the information provided.

Woman with eyes closed and hand on forehead, appearing stressed
Formative Evaluation of Digital Health Interventions

AI technologies have considerable potential to support mental health practitioners in identifying depression symptoms. However, existing tools are often developed with limited practitioner involvement and evaluated primarily on technical performance, leaving questions of clinical relevance, ethical design, and practitioner trust insufficiently addressed.

Therapist and client in office discussing mental health on laptop
Formative Evaluation of Digital Health Interventions

Body dysmorphic disorder (BDD) is a chronic, impairing condition for which cognitive behavioral therapy, including exposure and response prevention (ERP), is the first-line treatment, but few clinicians are trained in BDD-specific ERP. Constructing personalized exposure hierarchies is time-intensive and requires clinical expertise, particularly for patients with absent insight who may hold appearance beliefs with delusional conviction. Generative AI (GenAI)–powered chatbots, such as ChatGPT, have shown utility for clinical content, but their capacity to produce safe, appropriate ERP hierarchies for BDD has not been examined.

Therapist smiling at child building with colorful blocks in a bright room
Pilot studies (ehealth)

Long wait times and specialist shortages delay autism spectrum disorder (ASD) diagnosis, often beyond the period when early intervention is most effective. Digital diagnostic tools may help increase diagnostic capacity by supporting clinicians in delivering timely autism evaluations within routine outpatient care.

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.

Preprints Open for Peer Review

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