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 More information about Impact Factor CiteScore 3.5 More information about CiteScore
Recent Articles

Personal digital health technologies (DHTs) enable real-time monitoring of physiological metrics and behavioral data, including heart rate variability (HRV), supporting analysis of pregnancy-related conditions and personalized care throughout the perinatal period. While recent studies demonstrate the utility of personal DHTs in tracking pregnancy-related symptoms, they often rely on aggregate statistical methods that overlook individual variability.

Bystander intervention is one of the most commonly used methods to curb the sexual violence crisis on college campuses. Most universities conduct training among their student bodies to ensure students are familiar with the procedure. However, it is necessary to remind and repeat messages to audiences to underscore their importance and solidify that knowledge among populations.

Digital self-control tools (DSCTs) have emerged as technological interventions to address excessive smartphone usage and promote digital well-being. However, these tools face persistent challenges with user attrition and sustained engagement, compromising their long-term effectiveness. Current literature lacks an understanding of how observable behavioral indicators, as opposed to self-reported measures, are associated with user engagement and readiness to change in DSCTs.

In October 2022, the Nutrition Now (NN) e-learning resource was implemented within Maternal and Child Healthcare centers and Early Childhood Education and Care centers of a southern Norwegian municipality. The e-learning resource targets expectant parents, parents of children aged 0‐2 years, and Early Childhood Education and Care staff, aiming to promote healthy dietary behaviors during the first 1000 days of life.

Approximately 1 in 3 pregnancies in the United States are complicated by one or more adverse pregnancy outcomes. This high prevalence contributes to the elevated rates of maternal and infant mortality in the United States. Modifiable prepregnancy or preconception lifestyle factors have been associated with adverse pregnancy outcomes in observational studies, which underscores the importance of preconception care.

Depression affects more than 300 million people worldwide and is a leading contributor to the global disease burden. Traditional diagnostic methods, such as structured clinical interviews, are reliable but impractical for frequent or large-scale screening. Self-report tools like the Patient Health Questionnaire-8 (PHQ-8) require disclosure and clinician oversight, limiting accessibility. Recent artificial intelligence–based approaches leverage multimodal behavioral cues (linguistic, acoustic, and visual) for automated depression detection but remain constrained by limited adaptability, scarce annotated data, weak emotional expression in real-world settings, and the high computational cost of deployment of socially assistive robots (SARs).

Multimodal large language models (MLLMs) capable of integrating visual and textual information represent a promising advancement for clinical applications requiring image interpretation. Wound care assessment, which demands simultaneous analysis of wound photographs and clinical data, provides an ideal domain to evaluate multimodal vs unimodal artificial intelligence capabilities against human expertise.


Risk of bias (RoB) assessment of randomized clinical trials (RCTs) is vital to answering systematic review questions accurately. Manual RoB assessment for hundreds of RCTs is a cognitively demanding and lengthy process. Automation has the potential to assist reviewers in rapidly identifying text descriptions in RCTs that indicate potential risks of bias. However, no RoB text span annotated corpus could be used to fine-tune or evaluate large language models (LLMs), and there are no established guidelines for annotating the RoB spans in RCTs.

The Sustainable Development Goals (SDGs) aim to eradicate poverty and inequality while ensuring that all individuals enjoy good health. Among these, target 3.1 seeks to reduce the global maternal mortality ratio to less than 70 per 100,000 live births. However, progress toward this target has been limited, particularly in low- and middle-income countries (LMICs), where health care delivery remains constrained by limited resources. While digital innovations have increasingly been adopted to improve health care access and service delivery, a significant proportion of populations in LMICs continues to experience inadequate access to essential maternal health services. This gap underscores the need for affordable, sustainable, and contextually appropriate strategies that are cost-effective in improving maternal health outcomes in underserved communities.

Poor sleep is closely linked to mental health challenges and workplace burnout. Mental health and workplace stressors can impair sleep, while good sleep quality supports cognitive and emotional resources to cope with daily challenges. Despite positive outcomes of maintaining good sleep, many people struggle to get enough restorative sleep at night. Given the bidirectional relationship between sleep and mental health, evidence-based digital mental health solutions may offer an accessible and scalable approach to improving sleep quality.

In light of the growing use of artificial intelligence (AI) in health care, individuals’ access to and use of health information are transforming. ChatGPT, an AI chatbot, provides immediate responses to health queries, with the potential to influence health-related attitudes, thereby raising concerns related to privacy, reliability, and security.
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