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 from COVID-19 Studies

During the COVID-19 pandemic, anti-Asian hate incidents (AAHIs) increased conspicuously. Literature reports discrepancies in how crimes are reported differently in media and law enforcement data, emphasizing potential biases and inconsistencies in AAHI reporting. Understanding the discrepancies in AAHI reporting between the two sources is crucial for improving documentation procedures and addressing systemic issues in reporting mechanisms.

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Formative Evaluation of Digital Health Interventions

Adults with Alzheimer disease (AD) or Alzheimer disease and related dementias (ADRD) who require a wheelchair to accommodate disease-associated decline in mobility are at elevated risk for pressure injuries. More than half of residents in long-term care (LTC) facilities in the United States experience AD or ADRD. In LTC facilities, bed-based technologies exist to facilitate pressure injury prevention efforts, but similar technologies have not yet been widely evaluated to address sitting-related pressure injuries.

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Pilot studies (ehealth)

Patient-provider discussions and shared decision-making (SDM) are essential for tailoring lung cancer screening (LCS) decisions to individual patients. However, implementation of SDM in primary care settings is challenging. Innovative approaches are needed to reach patients eligible for LCS and help them prepare for LCS discussions in primary care settings and to increase the uptake of LCS.

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Pilot studies (non-ehealth)

Generative Artificial Intelligence (GAI) is expected to enhance the productivity of public social and health care sector while maintaining, at minimum, current standards of quality and user experience. However, empirical evidence on GAI impacts in practical, real-life settings remains limited.

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Formative Evaluation of Digital Health Interventions

Lifestyle behaviors strongly predict cardiovascular morbidity and mortality, emphasizing the need for strategies that support sustained lifestyle changes in patients with cardiac disease. Digital health solutions, including wearables, mobile apps, and chatbots, enable self-monitoring of lifestyle behaviors but often face challenges with engagement and usability. While self-monitoring systems can increase awareness and accountability, maintaining user engagement remains crucial for their effectiveness in promoting behavior change and long-term improvements.

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Early Results in Infodemiology and Infoveillance

Transarterial chemoembolization (TACE) is a widely used treatment for advanced, unresectable hepatocellular carcinoma, often requiring multiple sessions for optimal efficacy. TikTok and Bilibili have gained widespread popularity as easily accessible sources of health information.

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Formative Evaluation of Digital Health Interventions

Upon arriving in host countries, forcibly displaced people face psychological, cultural, as well as sociostructural challenges. Access to mental health and psychosocial support (MHPSS) remains limited, affecting both refugees and host country structures. Digital services offer promise in addressing these challenges, given their potential for scalability and accessibility. Despite the increasing use of digital MHPSS, cultural and contextual adaptation remains insufficiently documented, requiring systematic documentation.

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Formative Evaluation of Digital Health Interventions

Disproportionately adverse heart health outcomes in Black women, characterized by high metabolic syndrome prevalence, underscore the need for innovative, accessible interventions. Digital health strategies, particularly web-based yoga videos, show promise for engaging this high-risk group in health-promoting behaviors.

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Development and Evaluation of Research Methods, Instruments and Tools

Digital health measurement offers opportunities to address several primary health care challenges, but health care professionals encounter significant implementation barriers. Therefore, resources need to be developed to facilitate the integration of digital health measurement into daily practice.

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Formative Evaluation of Digital Health Interventions

Digital technologies for health promotion have proliferated over the past decade, with uptake increasing steadily among young people, including those in low- and middle-income countries (LMICs). Youth increasingly rely on digital tools for health information, and the early influence of this digital technology can have an impact throughout the lifespan. While there is a growing body of literature on the opportunities and challenges of digital health promotion (DHP) for young people, a gap remains in research that closely examines the characteristics of digital health strategies developed specifically for youth in LMICs.

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Formative Evaluation of Digital Health Interventions

Transgender people often experience distress due to a mismatch between their gender and the way their voice is perceived (eg, transgender women with low pitch), which significantly reduces their mental health and quality of life. This is especially a problem for transfeminine people and can be reduced with gender-affirming voice training (GAVT), but such training is often inaccessible due to factors such as price and geographical constraints.

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Formative Evaluation of Non-Ehealth Innovations

The National Health Service faces increasing strain. Concurrently, demand for health information, consumer empowerment and health awareness continue to grow. These trends, coupled with the ubiquity of smartphones and internet access, are positioning online symptom checkers (OSCs) as promising tools for preliminary diagnosis and triage. While there is increasing data on the demographics, motivations and perspectives of current and potential users of OSCs globally, no study has yet quantified or ranked the various factors associated with the use of OSCs in the United Kingdom (UK).

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Preprints Open for Peer-Review

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