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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 MEDLINE, PubMed, PubMed Central, DOAJ, 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

Triple-negative breast cancer (TNBC) is an aggressive molecular subtype of breast cancer that needs to be identified accurately from pathology reports to inform decision-making. Large language models (LLMs) have been reported to show great potential in the automatic extraction of important oncology information from unstructured medical text.

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Development and Evaluation of Research Methods, Instruments and Tools

User-centered design (UCD) processes often generate extensive lists of potential software features, necessitating prioritization methods to guide development. The MoSCoW method, categorizing features as “must have,” “should have,” “could have,” or “won’t have,” is widely used in software development for its simplicity and ease of adoption. Despite its popularity, limited evidence exists on its application within health informatics. The Decision Aid Navigator (DEAN) system, a clinical decision support tool, required prioritization of features for its administrative portal to ensure usability and alignment with health information technology (HIT) professionals’ needs.

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Case Report

Older adults living alone are at increased risk during medical emergencies, particularly due to delayed detection, information transmission, and physical access to the home. Digital health and Internet of Things (IoT)-based technologies offer opportunities to strengthen emergency response systems; however, evidence on the real-world implementation and performance of integrated home-based emergency assistance platforms remains limited.

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Research Letter

An exploratory survey of health care–related X (formerly Twitter) users identified perceived challenges in digital professionalism, including exposure to misinformation, collegial disagreements, and unprofessional conduct, while highlighting gaps in institutional guidance and the need for clearer policies and digital-professionalism education.

Two nurses in hijab and masks use a computer displaying the SafiNurse patient safety application.
Research Letter

This research letter describes the development and initial validation of SAFE-Nurse, an artificial intelligence–assisted patient safety incident reporting system for nurses, which demonstrated excellent content and face validity (average scale-level content validity index [S-CVI/Ave] 0.99; average scale-level face validity index [S-FVI/Ave] 1.00) and is ready to progress to usability testing.

Smiling mother using smartphone while holding sleeping baby
Pilot studies (ehealth)

Latina pregnant women and mothers of infants in the United States experience elevated risk for perinatal anxiety, stress, and depression alongside persistent barriers to culturally and linguistically responsive care. AI-powered digital health tools offer a potentially scalable approach to address these gaps, yet evidence on their acceptability and effectiveness for this population remains limited.

Digital blood pressure monitor on a desk with a person's arm attached
Pilot studies (ehealth)

Only approximately half of adults with hypertension, a leading cardiovascular risk factor, achieve blood pressure (BP) control, with persistent disparities among low-income and minority populations. Wireless home BP monitoring (HBPM) with remote patient monitoring can improve BP control, but evidence is limited in medically underserved, predominantly Hispanic populations served by federally qualified health centers (FQHCs).

Physical therapist monitors patient on elliptical during knee pain rehabilitation
Development and Evaluation of Research Methods, Instruments and Tools

Despite strong evidence supporting the benefits of regular physical activity (PA) for managing coronary heart disease (CHD), PA advice remains infrequent in general practice. Barriers include the limited familiarity of general practitioners (GPs) with current PA guidelines and their application to CHD patients, their insufficient skills for delivering very brief advice, and time constraints. To our knowledge, no structured, theory-informed training has been reported in Germany to support GPs in delivering very brief PA advice in routine CHD care.

Elderly Black man intensely pushing a sled during a fitness workout
Research Letter

Among 80 wearable members stratified into quartiles of attainment of combined physical-activity and sleep recommendations, higher attainment showed age-adjusted associations with lower resting heart rate and BMI and higher heart rate variability. The lowest-attainment quartile incurred approximately 12-fold higher annual per-member health care spending than the other quartiles.

Two women at a table displaying health education materials, promoting family well-being.
Formative Evaluation of Non-Ehealth Innovations

The growing interest in promoting child health requires minimally invasive biospecimen collection. Particularly during and since the COVID-19 pandemic, there has been increased interest in microsampling technology to democratize participation in research involving biospecimens, particularly for children. These advances mitigate barriers, such as scheduling, transportation, and psychosocial challenges. Tasso is a microsampling biomedical device that has gained popularity in research. It uses a vacuum-assisted capillary system that attaches to the upper arm and is considered minimally invasive, as it requires no venipuncture or phlebotomist. Yet, important gaps remain in understanding Tasso performance, particularly among pediatric populations where its administration is limited.

Veteran analyzing financial charts and US map data on dual monitors
Pilot studies (ehealth)

Veterans experiencing moral injury (ie, having witnessed or done something during military service that conflicts with one’s value system) may encounter challenges that affect engagement and learning in online contexts.

Young women with glowing data streams representing thoughts and learning
Formative Evaluation of Digital Health Interventions

Depression prevalence is rising in adolescents and young adults (ages 10-24 years). Traditional screening methods for depression, such as the Patient Health Questionnaire (PHQ-9), are particularly challenging for adolescents. AI has potential to help with this, but the scarcity of annotated datasets highlights the need for off-the-shelf approaches. In this study, we investigate the feasibility of using state-of-the-art large language models (LLMs) to detect depressive symptoms in adolescent settings (ages 15-17 years).

Preprints Open for Peer Review

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