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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

Hand holding smartphone with social media and business icons, representing digital networking.
Early Results in Infodemiology and Infoveillance

Medical students experience sustained academic, clinical, and psychosocial pressures. Online forums provide an informal space where students seek information, express concerns, and exchange peer support. However, few studies have analyzed these interactions longitudinally based on real-world data from online social platforms.

Woman using smartphone in a park with glowing digital lines
Formative Evaluation of Digital Health Interventions

Digital phenotyping—the use of continuous data streams from digital devices such as smartphones to assess behavioral, psychological, and physiological states—holds transformative potential for health monitoring and personalized care. However, real-time analysis of large multimodal data often exceeds mobile devices’ computational resources, leading most platforms to rely on sequential processing and cloud-based computation.

Doctor uses tablet to show 3D heart model, explaining arteries and blood flow.
Formative Evaluation of Digital Health Interventions

Lack of diversity in clinical trials reduces the generalizability of treatment efficacy across different demographic groups, thereby diminishing the relevance, quality, and equity of research findings.

Woman smiling, holding a heart monitor device with ECG reading
Research Letter

Continuous ambulatory HF-HRV (high-frequency heart rate variability) monitoring using a chest-worn ECG (electrocardiogram) device met a priori feasibility benchmarks (≥75% compliance and data quality) in adolescents at high risk for suicide over approximately two to three weeks, including during school days and sleep.

Teacher leads discussion with students around a table, discussing online safety icons.
Pilot studies (non-ehealth)

Digital media literacy (DML) may help adolescents to handle online risks, misinformation, digital violence, and problematic media use more reflectively. However, structured interventions for adolescents in child and adolescent psychiatry (CAP), particularly in inpatient and day-treatment settings, remain scarce.

Elderly woman in hospital gown using a tablet computer
Development and Evaluation of Research Methods, Instruments and Tools

Systematic collection of social determinants of health (SDoH) data remains inconsistent across health care settings, despite its critical impact on patient outcomes. Large language model–powered chatbots offer promise for scalable SDoH data collection, but rigorous, feasible evaluation methods for patient-facing applications are lacking.

Medical team in a meeting, discussing data on a large screen.
Development and Evaluation of Research Methods, Instruments and Tools

The development of robust medical AI for knowledge discovery and decision support commonly necessitates large-scale datasets from multiple institutions. However, such data aggregation is severely constrained by privacy regulations and the inherent risk of sensitive information leakage, making it difficult to navigate the utility-privacy trade-off.

Young woman with eyes closed in deep breathing exercise outdoors
Formative Evaluation of Digital Health Interventions

Sighing has been proposed as a primary respiratory reset mechanism that is often linked to emotional regulation. However, evidence linking sighing to anxiety relies heavily on laboratory studies, which lack ecological validity. It remains unclear whether ambulatory sighing dynamics in free-living settings reflect momentary (state) symptom fluctuations or enduring (trait) pathology. Evidence from daily-life monitoring is needed to evaluate sighing dynamics as a candidate digital biomarker for anxiety disorders (ADs).

Person placing a bet on a tablet showing live sports odds
Formative Evaluation of Digital Health Interventions

Gambling consumers show low uptake and engagement with tools designed to support safer gambling practices and reduce the risk of experiencing gambling-related harms. We used co-design principles to design and develop a digital tool for safer gambling (BetWell) to overcome known barriers to tool uptake, including a focus on gambling problems. BetWell aims to increase awareness of personal gambling expenditure and knowledge of how gambling products function to support informed decision-making about gambling. It was designed based on behavioral change theories and presents a personalized amalgamation of gambling expenditure relative to alternative spend options, and psychoeducational information via a quiz.

Diverse colleagues collaborating on a laptop, discussing business strategy.
Formative Evaluation of Digital Health Interventions

Measurement-based care (MBC) and shared decision-making can improve clinical outcomes for patients with major depressive disorder (MDD) in primary care. However, primary care providers often have limited time to administer patient-reported outcome measures recommended for MBC. Digital health tools like the Pathway Platform can help facilitate MBC and patient-provider engagement, aiding enhanced shared decision-making.

Plus-size woman taking a selfie during an outdoor workout with water bottle and resistance bands
Formative Evaluation of Non-Ehealth Innovations

Obesity is a chronic disease requiring long-term treatment, yet current treatment models do not align with the chronicity of obesity. Current guidelines provide limited direction on how to adapt treatment to support weight loss maintenance as adolescents transition into emerging adulthood, a distinct developmental period from the late teens to the mid-to-late twenties.

Preprints Open for Peer Review

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