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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Early Results in Infodemiology and Infoveillance

Vitiligo is a chronic skin disease with a global prevalence of approximately 1% to 2%, characterized by depigmented macules. Little is known about the public interest and medical needs of patients with vitiligo in Germany. However, understanding this is critical for a patient-centered holistic therapeutic management of the disease.

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Pilot studies (ehealth)

Mental health disorders are a growing public health concern among university students globally and in India, exacerbated by stigma and limited access to care. Mobile health (mHealth) apps offer a potential solution, but user engagement and cultural relevance remain key challenges. This pilot study evaluated Here for You, a mental health screening app co-designed with Indian university students to provide accessible, nonstigmatizing support.

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Development and Evaluation of Research Methods, Instruments and Tools

Anemia is a widespread global health issue. Hemoglobin (Hb) concentration measurement remains the most common method for anemia screening and diagnosis. In recent years, there has been growing interest in the development of noninvasive point-of-care technologies that eliminate the need for blood sampling.

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Formative Evaluation of Digital Health Interventions

Individuals with tic disorders (TDs) have access to a small but growing number of digital tools (such as apps and websites) for tic management and support. While prior work has shown promise for these tools, they have traditionally been designed by researchers first and evaluated by members of the TD community after tool development is complete. A human-centered design process targeting this domain has the potential to reveal new insights relevant to the development of future tools. We seek to establish a preliminary understanding of how the TD community uses and perceives current resources for tic management and support as well as their overall concerns and needs in this area.

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Formative Evaluation of Digital Health Interventions

Autonomous motivation, grounded in self-determination theory, is important for sustaining diabetes self-care behaviors. Although mobile health interventions, gamification, and peer support are increasingly used to enhance motivation in diabetes care, evidence on how motivation evolves over time remains limited. Specifically, it is unclear whether motivational change follows a linear pattern or a nonlinear trajectory, such as an initial increase followed by a subsequent decline. Clarifying these temporal patterns is critical for informing the design of adaptive diabetes self-care interventions.

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Formative Evaluation of Non-Ehealth Innovations

Investigation of community awareness of HIV functional cure has often been restricted to people living with HIV. An understanding of the attitudes of men who have sex with men (MSM) without HIV is important, as it contributes to the supportiveness of curative treatment in the community.

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Formative Evaluation of Digital Health Interventions

Diabetes is a chronic disease with a high global prevalence, increasing from 200 million people in 1990 to 830 million in 2022, with a higher burden in low- and middle-income regions and high mortality in Mexico and Veracruz. These inequalities limit access to treatment and nutritional education, requiring technological solutions such as interactive kiosks based on artificial intelligence (AI) that contribute to the nutritional management of people with diabetes in marginalized communities.

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Formative Evaluation of Digital Health Interventions

Methamphetamine use disorder is a growing public health crisis with limited access to effective treatment. Contingency management (CM) has demonstrated efficacy for stimulant use disorders, but is typically delivered in person. Smartphone-based CM may overcome barriers such as limited access, but its effectiveness and real-world application remain understudied. This study explores patient and clinician experiences with a fully remote, smartphone-based CM intervention for methamphetamine use.

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Development and Evaluation of Research Methods, Instruments and Tools

Multiple-choice examinations (MCQs) are widely used in medical education to ensure standardized and objective assessment. Developing high-quality items requires both subject expertise and methodological rigor. Large language models (LLMs) offer new opportunities for automated item generation. However, most evaluations rely on general-purpose prompting, and psychometric comparisons with faculty-written items remain scarce.

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Pilot studies (non-ehealth)

Sensor-based footwear is increasingly discussed as a promising tool for mobility monitoring and fall-risk assessment, yet its applicability in long-term care remains largely unexamined. In particular, little is known about whether such systems and the study procedures needed to evaluate them can be feasibly integrated into dementia care settings. This feasibility study provides practice-based evidence of using a sensor-equipped insole system with cognitively impaired residents.

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Pilot studies (non-ehealth)

The Michigan Oncology Quality Consortium developed a rapid patient-reported outcome measure (RapidPRO) focused on oral anticancer agents (OAAs). We piloted this measure in 6 oncology practices to determine its usefulness in representing the symptom experience and medication adherence among individuals taking OAAs. It is common in oncology for cancer-specific approaches to be used. We sought to use 1 instrument for all OAAs as a means to simplify future implementation in practice.

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Formative Evaluation of Digital Health Interventions

Allogeneic hematopoietic stem cell transplant (HCT) is a complex but essential treatment for malignant and nonmalignant conditions, requiring strict posttransplant adherence to immunosuppressant medications to prevent complications such as graft-versus-host disease. Adolescents and young adults undergoing HCT face unique challenges, including balancing growing independence with ongoing reliance on care partners, often parents. Medication adherence in this group is often suboptimal, and few interventions address adolescent and young adult–care partner dyads. To address this gap, we aim to develop a mobile health (mHealth) app that engages both the patients and care partner to improve adherence.

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