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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

Smiling mother using smartphone while holding sleeping baby
Pilot studies (ehealth)

Latina pregnant women and mothers of infants in the United States experience elevated risk for perinatal anxiety, stress, and depression alongside persistent barriers to culturally and linguistically responsive care. AI-powered digital health tools offer a potentially scalable approach to address these gaps, yet evidence on their acceptability and effectiveness for this population remains limited.

Digital blood pressure monitor on a desk with a person's arm attached
Pilot studies (ehealth)

Only approximately half of adults with hypertension, a leading cardiovascular risk factor, achieve blood pressure (BP) control, with persistent disparities among low-income and minority populations. Wireless home BP monitoring (HBPM) with remote patient monitoring can improve BP control, but evidence is limited in medically underserved, predominantly Hispanic populations served by federally qualified health centers (FQHCs).

Physical therapist monitors patient on elliptical during knee pain rehabilitation
Development and Evaluation of Research Methods, Instruments and Tools

Despite strong evidence supporting the benefits of regular physical activity (PA) for managing coronary heart disease (CHD), PA advice remains infrequent in general practice. Barriers include the limited familiarity of general practitioners (GPs) with current PA guidelines and their application to CHD patients, their insufficient skills for delivering very brief advice, and time constraints. To our knowledge, no structured, theory-informed training has been reported in Germany to support GPs in delivering very brief PA advice in routine CHD care.

Elderly Black man intensely pushing a sled during a fitness workout
Research Letter

Among 80 wearable members stratified into quartiles of attainment of combined physical-activity and sleep recommendations, higher attainment showed age-adjusted associations with lower resting heart rate and BMI and higher heart rate variability. The lowest-attainment quartile incurred approximately 12-fold higher annual per-member health care spending than the other quartiles.

Two women at a table displaying health education materials, promoting family well-being.
Formative Evaluation of Non-Ehealth Innovations

The growing interest in promoting child health requires minimally invasive biospecimen collection. Particularly during and since the COVID-19 pandemic, there has been increased interest in microsampling technology to democratize participation in research involving biospecimens, particularly for children. These advances mitigate barriers, such as scheduling, transportation, and psychosocial challenges. Tasso is a microsampling biomedical device that has gained popularity in research. It uses a vacuum-assisted capillary system that attaches to the upper arm and is considered minimally invasive, as it requires no venipuncture or phlebotomist. Yet, important gaps remain in understanding Tasso performance, particularly among pediatric populations where its administration is limited.

Veteran analyzing financial charts and US map data on dual monitors
Pilot studies (ehealth)

Veterans experiencing moral injury (ie, having witnessed or done something during military service that conflicts with one’s value system) may encounter challenges that affect engagement and learning in online contexts.

Young women with glowing data streams representing thoughts and learning
Formative Evaluation of Digital Health Interventions

Depression prevalence is rising in adolescents and young adults (ages 10-24 years). Traditional screening methods for depression, such as the Patient Health Questionnaire (PHQ-9), are particularly challenging for adolescents. AI has potential to help with this, but the scarcity of annotated datasets highlights the need for off-the-shelf approaches. In this study, we investigate the feasibility of using state-of-the-art large language models (LLMs) to detect depressive symptoms in adolescent settings (ages 15-17 years).

Doctor adjusting EEG cap on patient while brain scan analysis displays on screen
Development and Evaluation of Research Methods, Instruments and Tools

Delirium is a complex neuropsychiatric syndrome whose severe and lasting consequences in hospitalized patients are largely considered preventable. Prevention primarily relies on the early identification of high-risk patients prior to syndrome onset. However, this remains challenging in clinical practice due to the absence of a diagnostic gold standard and the considerable administrative burden associated with established screening tools such as the 4AT score.

Woman's hand holding phone showing Penny Chatbot virtual health partner
Formative Evaluation of Digital Health Interventions

The prevalence of opioid use disorder (OUD) among women giving birth in US hospitals continues to rise. Increasing fatalities due to perinatal drug overdose have in part been attributed to decreased access to social support and treatment services. In recent years, mobile health (mHealth) technologies have been used to provide care to patients outside of traditional clinical settings. Given that perinatal OUD treatment works best when there is frequent contact between patient and clinician, harnessing mHealth could be valuable for improving patient engagement in perinatal OUD care.

Smiling pharmacist in white coat assists customer in a well-stocked pharmacy
Formative Evaluation of Digital Health Interventions

AI is increasingly integrated into health care systems worldwide, with growing implications for pharmacy practice. Although studies have reported general perceptions of AI, gaps between awareness and practical implementation remain evident, particularly in middle-income settings.

Female doctor in white coat with stethoscope using tablet in clinic
Development and Evaluation of Research Methods, Instruments and Tools

Clinical trial data pipelines must follow Clinical Data Interchange Standards Consortium (CDISC) standards, including the study data tabulation model (SDTM) and analysis data model (ADaM). General-purpose large language models (LLMs) can produce plausible artifacts that omit required variables, misuse terminology, or invent derivation logic. Curated context may reduce these errors, but the value of organizing that context by workflow topology has not been separated from corpus access alone.

Physical therapist guides woman performing knee rehabilitation exercise with resistance band.
Development and Evaluation of Research Methods, Instruments and Tools

In the United Kingdom, first contact practitioners (FCPs) provide direct access to musculoskeletal (MSK) assessment and management in primary care. This means FCPs have to assess patients with no prior medical screening, which assumes reliance on developed skills and experience. The pool of appropriately experienced physiotherapists is limited, and less experienced clinicians have been recruited. A 2026 national evaluation found substantial variation in FCP service delivery, with data collection and governance among its structural causes. The Primary Care Individual Social Norms MSK Data Dashboard (PRISM) dashboard gives FCPs feedback on their clinical activity relative to their peers to support reflection toward improving MSK care.

Preprints Open for Peer Review

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