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
Recent Articles

Clinical decision support systems (CDSSs) are widely implemented in hospitals, yet their uptake in nursing practice remains inconsistent. While electronic health records continuously capture nursing decision data, these data are rarely used to support structured quality improvement. Decision mining offers a novel approach by reconstructing and visualizing decision logic from clinical decision logs to support retrospective reflection and protocol evaluation rather than real-time alerting. Before such tools can be integrated into quality improvement programs, their acceptance by clinical users must be empirically examined.

As digital technologies become increasingly integrated into psychological practice, the demand for competencies in digital clinical psychology is growing. Although competency frameworks for digital clinical practice exist, validated instruments to assess these competencies remain scarce. In Sweden, psychology master’s students are now being offered digital psychology courses, increasing the need for instruments to measure intended improvements in knowledge and abilities. Using AI to assist with translation procedures can facilitate the adaptation of existing instruments to new national and cultural contexts.

Digital technologies in emergency medical services (EMS) have become crucial for patient outcomes and survival, and the integration of novel technologies drives rapid transformation within EMS. Understanding the acceptance and use of digital technology among EMS health care providers is paramount for implementation and effective use of novel digital tools. Currently, instruments assessing acceptance of technology are lacking within the Swedish EMS context.

Gamification, defined as the application of game design principles in nongame contexts, has garnered increasing attention for its potential to enhance motivation and engagement across various fields, including medical education and training. However, there is a lack of virtual reality (VR)–based simulations on pneumatic reduction of intussusception (PRI) in children in Brunei, thereby limiting practical training opportunities for medical students and surgical trainees.


Commercially available wearable devices, capable of measuring cardiac rhythm, are gaining popularity for convenient heart health monitoring. Accurate measurement of key intervals, specifically RR intervals for rhythm and QT and corrected QT (QTc) intervals for arrhythmia risk, is crucial for assessing potential cardiac morbidity.

Screening is important for early detection of cervical cancer in low- and middle-income countries. Visual inspection with acetic acid (VIA) is usually the method of choice in these settings. However, interpretation of VIA results is subject to interobserver and intraobserver variability. AI decision support systems (AI-DSSs) could contribute to better decisions by health workers.

Basic life support (BLS) significantly improves survival and neurological outcomes after out-of-hospital cardiac arrest (OHCA). However, bystander cardiopulmonary resuscitation (CPR) rates vary widely worldwide, reaching only 40% in Geneva, Switzerland. The European Resuscitation Council’s “Kids Save Lives” statement advocates for integrating BLS education into mandatory school curricula to improve bystander CPR rates, and thus OHCA outcomes. Training medical students as BLS instructors could help address the shortage of qualified instructors needed to implement school-based BLS programs in primary schools.

Remote patient management (RPM) is a strategy to track daily health data in patients with heart failure (HF) to enable early detection and treatment of decompensation to prevent hospital readmissions. The implementation of RPM alters standard care and redistributes provider responsibilities. Although randomized controlled trials demonstrate positive clinical outcomes, the impact of implementing RPM on patients’ health care usage, as well as the care time and workload of health care providers in a real-world setting, remains unclear.

A digital clinician training module significantly improved attitudes, beliefs, and self-perceived competence in a cohort of medical students (n=87) toward working with transgender and gender diverse (TGD) people with eating disorders. Future clinician training resources can adopt this cost-effective and accessible learning model and build upon existing introductory attitude- and awareness-based programs by focusing on addressing a specific health disparity among TGD people.

Recent advances in AI, particularly large language models, have generated growing interest in their application to medical education and examination preparation. However, the accuracy, reasoning quality, and adherence to clinical guidelines of these tools in postgraduate urology assessments remain unclear.
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