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

Health information systems (HISs) are essential for strengthening health systems in underserved areas. However, many HISs in Africa are still in the early stages of implementation, and existing systems often suffer from imbalances in data availability. Their optimization is faced with various challenges, including limited resources, which restricts their scalability.

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Pilot studies (ehealth)

Parents of autistic children frequently experience elevated stress levels, depressive symptoms, and reduced well-being. Positive psychology interventions (PPIs) can strengthen resilience, and chatbots offer a scalable channel through which such skills can be delivered. However, evidence on the evaluation of large language model–guided PPI-based chatbots for this population is limited.

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Formative Evaluation of Digital Health Interventions

Health care apps are widely used to support weight loss and lifestyle modification. Many of these apps offer tailored feedback on dietary intake and nutritional behavior. However, most lack personalized features that promote physical activity (PA), which is important for weight management, metabolic health, and chronic disease prevention. To develop future personalized PA promotion functions, it is essential to understand users’ perceptions of PA.

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Development and Evaluation of Research Methods, Instruments and Tools

Large language models offer new possibilities for transforming unstructured clinical text into structured datasets. However, their performance in specialized and complex documentation environments, such as neurosurgery, remains insufficiently characterized. GPT-4o is a large language model with enhanced natural language capabilities, but its accuracy in extracting structured data from neurosurgical reports has not been systematically assessed.

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Formative Evaluation of Digital Health Interventions

Mobile health (mHealth) interventions can expand access to and engagement in lifesaving treatment for pregnant and postpartum people with a substance use disorder. Yet, many people with lived experience and substance use providers alike are often excluded from mHealth intervention development, limiting opportunities to provide feedback on critical design components such as usability, cultural relevance, and compatibility with real-world practice.

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Formative Evaluation of Digital Health Interventions

Artificial intelligence (AI) is increasingly influencing medical student education, with AI-driven chatbots, such as ChatGPT, emerging as powerful study tools. While these technologies offer numerous benefits, they also pose challenges that warrant the adaptation of medical school curricula.

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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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Preprints Open for Peer Review

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