Accessibility settings

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

Alternative text does not exist
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.

Alternative text does not exist
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.

Man in black shirt with glasses looking at smartphone
Pilot studies (ehealth)

In Japan, employed men younger than 40 years are not eligible for specific health guidance, and evidence regarding obesity interventions targeting this population is limited. Furthermore, due to the shortage of human resources in occupational health settings, a need has arisen for simple and implementable support methods. Support via SMS text message is expected to be a low-cost and scalable method for health guidance; however, its effectiveness in this target population has not been sufficiently evaluated.

Diverse groups of people in USA, UK, China with health data charts on laptop
Development and Evaluation of Research Methods, Instruments and Tools

A positive difference between biological age (BA) and chronological age indicates accelerated aging. The application of existing BA models is limited by high technical demands, a lack of alignment across diverse populations, and difficulty in updating them to accommodate expanding cohorts.

Two medical professionals reviewing healthcare analytics data on a computer screen.
Formative Evaluation of Digital Health Interventions

Physicians rely on electronic health record (EHR) systems to make informed decisions and deliver high-quality care. Although the introduction of EHR systems has created significant opportunities for improving patient care, it has also introduced challenges related to information overload and increased cognitive demands.

Doctor consults with a sick woman via telehealth video call
Formative Evaluation of Digital Health Interventions

Major depressive disorder is a leading cause of disability, and access to specialist psychiatric follow-up remains limited in many settings. Telepsychiatry may reduce logistical barriers to care, but data on video-based follow-up under routine outpatient conditions in Türkiye are scarce, and comparisons of delivery modalities are frequently limited by baseline imbalance between self-selected groups.

Female doctor with stethoscope reviews patient chart on tablet in exam room.
Research Letter

This cross-sectional study examined AI use among 524 health care professionals in the United States and United Kingdom, focusing on current applications, access, barriers, and factors that could support adoption. AI use was common but varied across professional and national contexts, with findings highlighting the importance of evidence, organizational guidance, training, privacy safeguards, and integration into clinical workflows for responsible adoption.

Hand holding phone displaying "Things to touch" list with examples like handles, buttons, and doorknobs.
Formative Evaluation of Digital Health Interventions

Digital mental health interventions (DMHIs) are increasingly popular for their ability to disseminate evidence-based treatments in a scalable, accessible way. Engagement with digital treatments is critical for effectiveness but remains poorly defined and measured. Most studies rely on subjective self-reports or 1 or 2 objective metrics, overlooking the multidimensional nature of how users interact with DMHIs.

Woman playing a virtual reality fitness game on a large screen
Formative Evaluation of Digital Health Interventions

Physical inactivity and insufficient muscle-strengthening exercise remain important public health concerns among adults with chronic diseases. Active video games may offer an accessible way to support exercise participation, but many may not provide sufficient exercise intensity to produce meaningful physiological responses. Ring Fit Adventure (RFA) is an active video game that combines aerobic and resistance-based exercise. However, little is known about its physiological demands among adults with chronic diseases.

Doctor and nurse show patient medical data visualization on tablet in hospital room.
Development and Evaluation of Research Methods, Instruments and Tools

Existing risk scores for nonvariceal upper gastrointestinal bleeding (NVUGIB) may not adequately represent the heterogeneity of coexisting chronic conditions. Routinely collected hospital discharge records may enable data-driven characterization of clinically meaningful comorbidity profiles.

Bridgedd community resource database on computer screen with staff in background
Development and Evaluation of Research Methods, Instruments and Tools

Health care professionals in safety-net settings often rely on lengthy and inconsistently maintained community health resource lists when connecting patients with services. Bridgedd is a health care staff–facing web application designed to generate geographically and categorically filtered community resources in a unique format that makes information about each resource more accessible.

Preprints Open for Peer Review

We are working in partnership with