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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Development and Evaluation of Research Methods, Instruments and Tools

Canada’s legalization of recreational cannabis use (CU) has further highlighted the need for innovative interventions that promote lower-risk CU. Young adults aged 18-25 years represent the age group with the highest prevalence of CU. Protective behavioral strategies (PBSs) have been shown to help manage CU and reduce its negative consequences. To date, only a few interventions have focused on PBSs. To address this gap, a mobile app prototype using PBSs to influence CU was developed with and for young adults.

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Pilot studies (ehealth)

There is a growing interest in eHealth solutions to enhance access to and use of pulmonary rehabilitation for people with chronic obstructive pulmonary disease (COPD).

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Formative Evaluation of Digital Health Interventions

Numerous reviews have explored specific aspects of violence prevention apps, but given the rapid development of new apps, increased violence during COVID-19, and gaps in understanding functionalities and geographical distribution, an updated review is needed.

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Pilot studies (ehealth)

Rhinitis is the most common sinonasal condition and poses a significant cost burden. Rhinitis symptom control is associated with exposure to environmental triggers (eg, aeroallergens, pollutants, and irritants). While people spend much of their time at home, studies examining the association of rhinitis symptoms with home environmental exposures, especially in low-income, urban, and racial or ethnic minorities, are limited. Frequently, 3 types of surveys are used in ecological momentary assessment (EMA): a survey conducted at a predetermined rate, an event-triggered survey, and a follow-up survey to gauge behavioral changes in response to the event.

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Early Results in Infodemiology and Infoveillance

Urinary incontinence (UI) is a series of clinical episodes featuring involuntary urine leakage. Affecting people with their physical, emotional, and cognitive functioning, the negative perceptions and negative impact on patients are yet to be revealed from the public aspect. The genuine demand for urinary incontinence and related issues from patients may thus yet be revealed.

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Formative Evaluation of Digital Health Interventions

Digital phenotyping (DP), the process of using data from digital devices, like smartphones and wearable technology to understand and monitor people's behaviour, health, and daily activities, has shown significant promise in mental health care within high-income countries (HICs). However, its application in lower and middle-income countries (LMICs) is limited, particularly among impoverished populations such as slum residents.

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Development and Evaluation of Research Methods, Instruments and Tools

Digital phenotyping – the use of digital data to measure and understand behaviour and internal states – shows promise for advancing predictive analytics in mental health, particularly when combined with other data sources. However, linking digital phenotyping data with sources of highly sensitive clinical and/or genetic data remains rare, primarily due to technical, ethical, and procedural challenges. Understanding the feasibility of collecting and linking these data types is a critical first step toward developing novel multimodal datasets.

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Formative Evaluation of Digital Health Interventions

Since Singapore’s first migration to Epic in 2022, we have been conducting an advanced Epic personalisation course twice a year for healthcare professionals with at least 3 months of experience using Epic. Electronic Medical Records education is an under-recognised pillar in reducing Health Information Technology-related stress and burnout.

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Pilot studies (ehealth)

Anxiety disorders affect approximately 27% of the global population, posing a major mental health challenge. Limited access to treatment due to resource constraints highlights the need for scalable solutions. Web-based self-help programs provide low-threshold access to evidence-based strategies. When guided by peers, these programs enhance engagement and acceptability by merging autonomy with support. Peer-guided self-help apps offer a cost-effective alternative to traditional care, reaching those who might otherwise remain untreated.

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Research Letter

The development of confident and assertive physicians is essential to effective patient care. Although limited, existing literature examining assertiveness in medical students has found that increased assertiveness is associated with decreased stress and anxiety levels. This study aims to contribute to the existing body of literature. An anonymous, online survey study was conducted at a single California allopathic medical program. Survey measures included the General Anxiety Disorder Assessment (GAD-7) and the Simple Rathus Assertiveness Scale-Short Form. Participants included first and second-year, preclinical medical students (n = 30). Findings showed a strong negative correlation between participant anxiety and assertiveness scores (r(30) = -0.624, p < .001). Faculty and administrators can implement proactive strategies and training to support students' interpersonal and professional development. Future, longitudinal research across multiple sites is needed to better understand the relationship between assertiveness and anxiety in medical students.

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Formative Evaluation of Digital Health Interventions

Mental health challenges are escalating globally, with increasing numbers of individuals accessing crisis helplines through various modalities. Despite this growing demand, there is limited understanding of how crisis helplines benefit help-seekers over the course of a conversation. Affective computing has the potential to transform this area of research, yet it remains relatively unexplored, partly due to the scarcity of available helpline data.

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Formative Evaluation of Digital Health Interventions

Smoking and physical inactivity compromise health, especially in combination. Interventions to promote smoking cessation and increased physical activity (PA) often lack impact, especially in the long term. Digital future-self interventions (FSIs), which prompt individuals to imagine who they do and do not want to become (ie, their desired and undesired future selves), show promise in encouraging sustainable changes in both behaviors. However, knowledge of user experiences with digital FSIs is limited. A deeper understanding of these experiences could help optimize FSIs, enhancing their efficacy in supporting smoking cessation and increased PA sustainably.

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Preprints Open for Peer-Review

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