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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 MEDLINEPubMed, PubMed CentralDOAJ, 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

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Development and Evaluation of Research Methods, Instruments and Tools

Smartphone-based ecological momentary assessment (EMA) is increasingly used in digital health research to capture behaviors, symptoms, and psychological states in real time and in natural environments, offering advantages over traditional retrospective measures in terms of ecological validity and reduced recall bias. Despite the potential of EMA for advancing mobile health and digital phenotyping apps, accessible technical solutions that enable researchers without software engineering expertise to design and deploy EMA studies remain limited.

Young man with curly hair using a smartphone outdoors
Formative Evaluation of Digital Health Interventions

Continued cannabis use among young people with first-episode psychosis (FEP) has been linked to poorer clinical and functional outcomes (eg, increased symptom severity and higher relapse rates). Digital harm-reduction interventions may represent a promising, person-centered approach to reduce at-risk cannabis use behaviors in this population. However, evidence remains limited regarding which subgroups are more likely to engage with these interventions and whether specific levels of engagement are required to achieve more favorable cannabis-related outcomes.

Woman in headphones working on laptop with analytics graph, taking notes
Formative Evaluation of Digital Health Interventions

Chronic pain is a growing global public health challenge and the leading cause of years lived with disability. It significantly impacts various aspects of daily life, including participation in working life, resulting in increased sick leave and substantial burdens at both the personal and societal levels. Person-centered care (PCC) is a practiced ethic that recognizes the patient as a partner in care. Partnership is established through incorporating the person’s narrative, shared decision-making, and documentation of jointly agreed goals. Remotely delivered PCC interventions have been shown in other studies to improve self-efficacy and facilitate return to work among persons on sick leave. However, little is known about how self-efficacy and sick leave are affected when a PCC intervention is delivered remotely to persons with chronic pain.

Smiling senior Black woman with gray hair using a laptop in a room filled with plants.
Early Results from COVID-19 Studies

The COVID-19 pandemic disrupted older adults’ daily lives, particularly concerning social interaction, physical activity, and sleep quality. Older African Americans were disproportionately affected yet remain underrepresented in research documenting the impact of the COVID-19 pandemic.

Healthcare team discusses digital transformation on screen
Formative Evaluation of Digital Health Interventions

Specialized outpatient palliative care (SOPC) provides home-based care for terminally ill patients and is associated with improved quality of life and prolonged survival. Due to its decentralized structure and growing demand, SOPC is a key target for digital transformation. Telehealth, mobile health, and AI offer considerable potential benefits but also present challenges, particularly with regard to user acceptance. Although both children and adults receive SOPC under the German statutory health insurance system, services differ in terms of patient characteristics, duration of care, and geographic coverage. Moreover, there is limited knowledge regarding the extent to which digital health applications are transferable across different areas of palliative care.

Soldier in camouflage looks at a tattered American flag in front of a destroyed building.
Formative Evaluation of Digital Health Interventions

US Navy sailors experience a range of personal and interpersonal stressors due to challenging operational tempos that can contribute to psychological distress and increased suicide risk. Digital mental fitness tools offer scalable, stigma-reducing solutions to support psychological readiness. However, many existing digital mental health interventions use top-down designs that lack input from the target population and focus on treating psychological symptoms rather than improving overall mental fitness.

Woman typing on laptop with coffee and phone on wooden desk
Formative Evaluation of Digital Health Interventions

Conversational agents for women’s health often fail to meet user needs, offering either clinically sterile advice or unreliable peer anecdotes. This limitation creates a tension between the need for factual safety and emotional resonance in sensitive health contexts.

Woman holding her stomach in pain outdoors
Formative Evaluation of Digital Health Interventions

Chronic opioid use, a key predictor of opioid overdose, is common among adolescents and young adults (AYA) with inflammatory bowel diseases (IBD), underscoring a need for tailored interventions to monitor risk for opioid-related harm. Prior research highlights the need to engage both AYA patients with IBD and IBD-focused clinicians in the development of pain management and opioid safety interventions. Human-centered design offers a promising approach to address this gap by directly engaging patients and clinicians in cocreating solutions.

University Blood Bank nurse on video call with donor
Formative Evaluation of Digital Health Interventions

Conventional mail-based follow-up for blood donors with abnormal postdonation results provides no delivery confirmation and precludes 2-way communication, creating an accountability gap in donor safety.

Computer screen displaying a cooking game with task lists and character avatars
Development and Evaluation of Research Methods, Instruments and Tools

Peer effects influence workplace safety and productivity as employees observe and compare themselves to coworkers. However, prior simulation research has focused mainly on productivity in immersive settings, with limited attention to safety and little evidence on whether nonimmersive environments can capture peer effects across both domains. This study developed a nonimmersive virtual simulation to model peer effects on safety and productivity behavior.

Preprints Open for Peer Review

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