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JMIR Formative Research (JFR) (a sister journal of J Med Internet Res (JMIR) and JMIR mHealth & uHealth, the leading eHealth and mHealth journals by impact factor) publishes peer-reviewed, openly accessible papers containing results from process evaluations, feasibility/pilot studies and other kinds of formative research. While the original focus was on the design of medical and health-related research and technology innovations, JFR 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
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 programs or adapting programs, and should be used while the program is on-going to help refine and improve program activities. Thus, formative evaluation can and should also occur in form of a process evaluation alongside a summative evaluation such as a RCT.
This journal fills an important gap in the STEM journals landscape, as it publshes sound and peer-reviewed formative research that is criticial for investigators to apply for further funding, but that is usually not published in outcomes-focussed medical journals.
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Background: Childhood obesity is a serious public health issue among minority youth in the United States. Technology-enhanced approaches can be effective for promoting healthy behavior change. Objecti...
Background: Childhood obesity is a serious public health issue among minority youth in the United States. Technology-enhanced approaches can be effective for promoting healthy behavior change. Objective: The purpose of this study was to test the usability of prototypes of a web-based interactive tool promoting healthy dietary behaviors to reduce childhood obesity risk in urban minority youth. Methods: African-American (AA)/Black and Latino children ages 9 to 13 were recruited to participate in two rounds of usability testing. A modified think-aloud method was utilized. Self-reported surveys and field notes were collected. Sessions were audio recorded and systematically reviewed to identify usability issues and areas for improvement. Results: Twelve children, with a mean age of 10.92 ±1.16 years (33.3% female; 66.7% AA/Black) participated. Testing highlighted overall positive experiences with the web-based interactive tool, especially related to storyline, sound effects, and color schemes. Specific usability issues were classified into six themes: appearance, content, special effects, storyline, terminology and navigation. Changes to the web-based tool after Round 1 included adding a navigation guide, making clickable icons more visible, improving graphic designs and fixing programming errors. In Round 2 of testing, the specific usability issues related to the modifications decreased. Conclusions: Preliminary findings of prototypes suggest that the use of this web-based tool could be an engaging approach to promote healthy eating behaviors among minority youth. Results of testing will inform further development and finalization of the tool, which will be tested using a two-group pilot randomized study, with the goal of reducing childhood obesity risk in minority, low-income youth.
Background: Background: Optimal immunosuppressive medication adherence is essential to graft survival. Transplant-TAVIE is a web-based tailored intervention developed to promote this adherence. Object...
Background: Background: Optimal immunosuppressive medication adherence is essential to graft survival. Transplant-TAVIE is a web-based tailored intervention developed to promote this adherence. Objective: Objective: To evaluate the intervention’s acceptability, feasibility and preliminary efficacy. Methods: Methods: In a pilot parallel-group randomized controlled trial, a convenience sample of 70 kidney transplant patients on immunosuppressive medication was randomly assigned either to an experimental group (Transplant-TAVIE) or to a control group (existing websites). Kidney transplant recipients had to be older than 18 years, be taking immunosuppressant medication and have access to the Internet to participate in this study. Transplant-TAVIE was composed of three interactive web-based sessions hosted by a virtual nurse. User appreciation of and exposure to intervention were documented. Medication adherence, medication self-efficacy, intake-related skills, and medication side-effects were assessed at baseline and 3 and 6 months later. ANOVAs were used to assess inter-group differences over time. Results: Results: After baseline questionnaire completion, participants were randomly assigned either to Transplant-TAVIE (n = 35) or to the websites (n = 35). Participants were transplanted, on average, since 6.8 years. Among the experimental group, users found the intervention to be acceptable (33.3% were extremely satisfied, 28.9% very satisfied, and 27.8% satisfied) and 54.3% completed the sessions of Transplant-TAVIE. At baseline and over time, both groups reported high medication adherence, high medication self-efficacy, and frequent use of skills related to medication intake. No inter-group differences emerged over time. Conclusions: Conclusions: Results support the feasibility and acceptability of Transplant-TAVIE. It could constitute an accessible adjunct in support of existing specialized services.