JMIR Formative Research

Process evaluations, early results, and feasibility/pilot studies of digital and non-digital interventions

Editor-in-Chief:

Amaryllis Mavragani, PhDc, Scientific Editor at JMIR Publications, Canada


Impact Factor 2.0 CiteScore 2.7

JMIR Formative Research (JFR, ISSN 2561-326X, Journal Impact Factor™ 2.0 (Journal Citation Reports™ from Clarivate, 2023)) 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 (Clarivate).

Recent Articles

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Formative Evaluation of Digital Health Interventions

Cervical cancer disparities persist among minoritized women due to infrequent screening and poor follow-up. Structural and psychosocial barriers to following up with colposcopy are problematic for minoritized women. Evidence-based interventions using patient navigation and tailored telephone counseling, including the Tailored Communication for Cervical Cancer Risk (TC3), have modestly improved colposcopy attendance. However, the efficacious TC3 intervention is human resource-intense and could have greater reach if adapted for mobile health, which increases convenience and access to health information.

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Formative Evaluation of Digital Health Interventions

Patient-reported outcome (PRO) measures comprise an emerging field in healthcare. In the Central Denmark Region, epilepsy outpatients can participate in remote PRO-based follow-up by completing a questionnaire at home instead of attending a traditional outpatient appointment. This approach aims to encourage patient engagement and is used in approximately half of all epilepsy outpatient consultations. However, dropout in this type of follow-up can be a challenge.

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Formative Evaluation of Non-Ehealth Innovations

Despite increasing fatal stimulant poisoning in the US, little is understood about the mechanism of death. The psychological autopsy (PA) has long been used to distinguish accidental and suicidal deaths, including opioid overdose, but has not been used to study stimulant mortality.

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Formative Evaluation of Digital Health Interventions

Singapore’s large aging population poses significant challenges for the health care system in managing cognitive decline, underscoring the importance of identifying and implementing effective interventions. Cognitive training delivered remotely as a digital therapeutic (DTx) may serve as a scalable and accessible approach to overcoming these challenges. While previous studies indicate the potential of cognitive training as a promising solution for managing cognitive decline, understanding the attitudes and experiences of older adults toward using such DTx platforms remains relatively unexplored.

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Formative Evaluation of Digital Health Interventions

Public health programs and policies can positively influence food environments. In 2016, a voluntary National Healthy Food and Drink Policy was released in New Zealand to improve the healthiness of food and drinks for hospital staff and visitors. However, no resources were developed to support policy implementation.

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Formative Evaluation of Digital Health Interventions

The prevalence of hearing loss in infants in India varies between 4 and 5 per 1000. Objective-based otoacoustic emissions and auditory brainstem response have been used in high-income countries for establishing early hearing screening and intervention programs. Nevertheless, the use of objective screening tests in low- and middle-income countries (LMICs) such as India is not feasible. Mobile health (mHealth) solutions have been demonstrated to be a viable option for hearing screening in LMICs.

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Formative Evaluation of Non-Ehealth Innovations

Ventricular fibrillation (VF) is a vicious arrhythmia usually generated after removal of the aortic cross-clamp (ACC) in patients undergoing open heart surgery, which could damage cardiomyocytes, especially in patients with left ventricular hypertrophy (LVH). Amiodarone has the prominent properties of converting VF and restoring sinus rhythm. However, few studies concentrated on the effect of amiodarone before ACC release on reducing VF in patients with LVH.

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Formative Evaluation of Digital Health Interventions

Breastfeeding is vital for the health and well-being of both mothers and infants, and it is crucial to create supportive environments that promote and sustain breastfeeding practices.

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Development and Evaluation of Research Methods, Instruments and Tools

Verbal Autopsy (VA) has been a crucial tool in ascertaining population-level cause of death (COD) estimates specifically in countries where medical certification of cause of death is relatively low. World Health Organization (WHO) has released an updated instrument, i.e. Verbal Autopsy Instrument 2022 that supports electronic data collection methods along with analytical software for assigning cause of death. This questionnaire encompasses the primary signs and symptoms associated with prevalent diseases across all age demographics. Traditional methods have primarily involved paper-based questionnaires and physician-coded approaches for cause of death assignment which is time-consuming and resource-intensive. While computer-coded algorithms have advanced the COD assignment process, data collection in densely populated countries like India remains a logistical challenge.

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Formative Evaluation of Digital Health Interventions

Origami is a popular activity among preschool children and can be utilized by therapists as an evaluation tool to assess children’s development in clinical settings. It is easy to implement, appealing to children, and time-efficient, requiring only simple materials—pieces of paper. Furthermore, the products of origami may reflect children’s ages and their visual-motor integration (VMI) development. However, therapists typically evaluate children’s origami creations based primarily on their personal background knowledge and clinical experience, leading to subjective and descriptive feedback. Consequently, the effectiveness of using origami products to determine children’s age and VMI development lacks empirical support.

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Development and Evaluation of Research Methods, Instruments and Tools

Social communication is a crucial factor influencing human social life. Quantifying the degree of difficulty faced in social communication is necessary for understanding developmental and neurological disorders and for creating systems used in automatic symptom screening and assistive methods such as social skills training. Social skills training by human trainer is well-established method. Previous social skills training used a modified roleplay test to evaluate human social communication skills. However, there are no widely accepted evaluation criteria or social behavioral markers to quantify social performance during social skills training.

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Pilot studies (non-ehealth)

Insulin resistance and the G allele of rs738409 interact to create a greater risk of Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD). One promising way to reduce insulin resistance is by following a very low-carbohydrate (VLC) dietary pattern.

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Preprints Open for Peer-Review

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