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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Formative Evaluation of Digital Health Interventions

Large Language Models (LLMs) have great potential to improve and make the work of clinicians more efficient. Previous studies have mainly focused on web-based services such as ChatGPT, often with simulated cases. For the processing of personalized patient data, web-based services have major data protection concerns. Ensuring compliance with data protection and medical device regulations therefore remains a critical challenge for adopting LLMs in clinical settings.

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Formative Evaluation of Digital Health Interventions

The integration of Electronic Health Records (EHRs) with telehealth platforms represents a transformative approach in healthcare, providing critical accessibility and engagement solutions, especially during the COVID-19 pandemic. In Riyadh's hospitals, the adoption of EHR-integrated telehealth has significantly increased and offers enhanced patient care options. However, there is a need to examine its continued relevance, effectiveness, and challenges in a post-pandemic context.

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Formative Evaluation of Non-Ehealth Innovations

Reducing patient harm and improving patient safety is a central objective in global healthcare. Effective communication and meaningful patient engagement are considered essential strategies to achieve this goal. However, implementation of structured and strategic patient engagement at the organizational level remains limited, particularly in the context of patient safety. Patient and family advisory councils (PFACs) offer a promising model to enhance organizational-level patient engagement, yet guidance on implementation and targeted training for PFAC members is scarce.

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Formative Evaluation of Digital Health Interventions

Novel glucagon-like peptide 1 receptor agonists (GLP1RAs) for obesity treatment have generated much dialogue on digital media platforms. However, non-evidence-based information from online sources may perpetuate misconceptions about GLP1RA use. A promising new digital avenue for patient education is large language models (LLMs), which could potentially be used as an alternative platform to clarify questions about GLP1RA therapy.

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Formative Evaluation of Digital Health Interventions

Breast cancer remains the most common cancer among women globally. Mammography is a key diagnostic modality; however, interpretation is increasingly challenged by rising imaging volumes, a global shortage of breast radiologists, and variability in reader experience. Artificial intelligence (AI) has been proposed as a potential adjunct to address these issues, particularly in settings with high breast density, such as Asian populations. This study aimed to evaluate the impact of AI assistance on mammographic diagnostic performance among resident and consultant radiologists in Singapore.

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Formative Evaluation of Digital Health Interventions

While recent studies showed the potential of conversational agents (CAs) to help alleviate depressive moods, the dynamics of user-chatbot interactions in mental health support remain underexplored.

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Pilot studies (ehealth)

Physical inactivity increases the risk of chronic disease and reduces life expectancy, yet adherence to physical activity (PA) guidelines remains low. SMS text messages are promising for promoting PA, but it is not clear what type of messaging is most effective. Messages with causal information, which explain why a recommendation is being made, may be more persuasive than messages containing only recommendations.

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Formative Evaluation of Digital Health Interventions

The rising burden of disease associated with mental disorders calls for evidence-based psychological interventions that can be swiftly scaled up. Blending smartphone-based mental health apps (MHapps) for delivering ecological momentary interventions (EMIs) with traditional in-person interventions may have the benefits of improving treatment adherence, the application of learned techniques into everyday life and, in turn, enhancing clinical response. However, previous work has shown that most existing MHapps were developed for specific research studies or for profit, thereby making them difficult to adapt, particularly in time-limited and resource-scarce settings.

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Formative Evaluation of Digital Health Interventions

Generative Artificial Intelligence (AI) has shown great potential in various fields, including healthcare. However, its application in developing patient education materials(PEMs), particularly those with coronary heart disease (CHD), remains underexplored. Traditional methods for creating these materials are time-consuming and lack personalization, which limits their effectiveness.

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Development and Evaluation of Research Methods, Instruments and Tools

Older people are particularly vulnerable to loneliness and social isolation due to common age-related changes. The ability to maintain social relationships is considered important for health and well-being and is an essential aspect of healthy aging. The use of information and communication technology has been shown to promote social connectedness and social support among older people; however, many existing solutions require already established contacts and are not developed based on expressed needs among older people experiencing loneliness or social isolation.

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Formative Evaluation of Digital Health Interventions

The integration of artificial intelligence (AI) in medical education is evolving, offering new tools to enhance teaching and assessment. Among these, script concordance tests (SCT) are well suited to evaluate clinical reasoning in contexts of uncertainty. Traditionally, SCTs require expert panels for scoring and feedback, which can be resource intensive. Recent advances in generative AI, particularly large language models (LLM), suggest the possibility of replacing human experts with simulated ones, though this potential remains underexplored.

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Development and Evaluation of Research Methods, Instruments and Tools

Key information pages for informed consent require a concise summary of information to improve participant understanding but have not widely incorporated health literacy best practices.

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Preprints Open for Peer-Review

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