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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

Pregnant Asian woman relaxing on couch, using tablet
Formative Evaluation of Digital Health Interventions

Modifiable health risks in pregnancy are common and contribute to adverse maternal and infant outcomes, yet preventive care addressing these risks can be difficult to deliver within time-limited antenatal appointments. Hybrid models combining in-person care with digital platforms offer a promising solution; however, there is limited evidence regarding consumer and health care professional perspectives on the preferred content and functionality of such platforms to inform their design.

AI and data analysis in healthcare: digital brain, medical records, and patient data.
Development and Evaluation of Research Methods, Instruments and Tools

Systematic literature reviews (SLRs) are essential for evidence synthesis in health research but remain labor-intensive, especially at the screening stage. Manual review of titles and abstracts requires substantial human effort, while existing automation tools still have limited adoption in health technology assessment. The EQ-5D questionnaire, a widely used patient-reported outcome measure for health-related quality of life, provides data that frequently underpin reimbursement and policy decisions.

Elderly woman in glasses using a smartphone, looking at screen
Formative Evaluation of Digital Health Interventions

Behavioral and psychological symptoms of dementia (BPSD) are among the most challenging aspects of dementia care and contribute substantially to care partner burden. Family care partners, who provide most community-based dementia care, often lack access to evidence-based, nonpharmacological interventions for managing BPSD, particularly in underserved communities. Mobile health (mHealth) apps offer a promising avenue to expand care partners’ access to caregiving support. However, existing dementia caregiving apps frequently provide generalized information rather than personalized guidance based on care partners’ priorities.

CPR training: Man practices chest compressions on a dummy during a class.
Pilot studies (ehealth)

The SimZones model is an organizational framework for simulation-based education that structures learning across 5 progressive zones, from self-directed preparatory activities (zone 0) to team-based clinical scenarios (zones 1‐4). However, empirical evidence on the impact of zone 0 regarding procedural skill acquisition and retention remains limited.

Medical team collaborating on laptops during a meeting
Pilot studies (ehealth)

Generative AI can reduce the academic-writing burden on clinical health care professionals, but unsupervised use introduces citation hallucination (the confident fabrication or misattribution of references), which threatens research integrity. When a machine invents a source, it is termed “hallucination,” and when a person does it, it is termed “fabrication,” yet both are equally unacceptable. Existing health professions education writing workshops have rarely translated this concern into a concrete, reproducible source-verification procedure.

Woman using tablet showing heart health icons, AI chatbot, and medical data.
Formative Evaluation of Digital Health Interventions

Large language models (LLMs) are increasingly used to support digital health communication, yet their reliability in patient-facing cardiovascular imaging education remains uncertain. Cardiovascular imaging involves complex terminology and procedural details that many patients struggle to understand, creating a need for accurate, clear, and reassuring explanations. While prior evaluations of conversational AI have focused primarily on diagnostic reasoning or clinician-oriented tasks, few studies have systematically compared contemporary LLMs in their ability to communicate effectively with patients.

Woman using an inhaler during a telehealth appointment with a doctor.
Formative Evaluation of Digital Health Interventions

Home spirometry has been widely adopted in the delivery of cystic fibrosis (CF) care. While existing literature largely supports its feasibility and positive outcomes, behavior around home disease monitoring remains poorly understood. Inaccurate assumptions about home spirometry behavior may affect resource prioritization and influence clinical decisions and follow-up.

Man with beard and fade haircut looks at smartphone, with two women in background.
Development and Evaluation of Research Methods, Instruments and Tools

Young Black and Latino men who have sex with men and transgender women who have sex with men (YBLMT) experience disproportionate HIV-related health disparities in the United States. Digital health interventions offer scalable HIV prevention and support services for these populations. However, recruitment strategies may influence both sample demographics and participant retention, which is critical for intervention effectiveness.

Doctor and therapist hand documents to smiling senior woman in cozy room.
Formative Evaluation of Digital Health Interventions

Rural communities continue to experience behavioral health disparities associated with workforce shortages, digital exclusion, and fragmented coordination between trusted community-based supports and formal behavioral health systems. Although telehealth has expanded opportunities for care, less is known about how key implementation factors interact within hybrid behavioral health systems—coordinated systems that integrate trusted community-based support with formal digital behavioral health services—or how these interactions influence implementation and engagement across community and formal care settings.

Preprints Open for Peer Review

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