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

Rapid digital transformation is reshaping health care, but many digital initiatives struggle to deliver sustained organizational value when they are introduced as stand-alone technologies rather than as part of an institutional strategy. In Saudi Arabia, Vision 2030 has intensified pressure on academic medical centers to strengthen digital capability, localize innovation, and reduce dependence on externally driven solutions.

Using publicly available 2024 VISUCHIR (Visualisation de la Chirurgie) benchmarking indicators, we performed a descriptive ecological comparison of national private-sector values and 4 early-adopter French private departments implementing the Betty Coaching perioperative digital pathway; early-adopter departments showed a directionally favorable, unadjusted profile for same-day discharge, mean length of stay, and VISUCHIR-reported readmission-evolution indicators, without causal inference.

The postpartum period represents a critical window for maternal health, yet many individuals lack sustained support and timely identification of physical and mental health risks. Digital health interventions offer a scalable approach to extend care beyond clinical settings. Yet, key elements, including real-world challenges, usability, and effectiveness of such platforms, are insufficiently characterized in this literature.

Smartphone-based digital phenotyping has emerged as a promising approach for monitoring mental health using passive behavioral data. Prior studies have linked smartphone-derived features to depression and anxiety severity; however, knowledge regarding whether short-term changes in symptoms can be captured using passive smartphone data in general population samples remains limited, as does the understanding of how such findings should be interpreted vis-à-vis behavioral patterns and demographic variability.

Medical and welfare facilities in the Noto region of Japan were severely affected by the 2024 Noto Peninsula earthquake and subsequent torrential rains. Staff working in these facilities were disaster survivors and frontline caregivers with limited psychological support. Nonverbal social robots may provide companionship and emotional comfort; however, their effects on the health-related quality of life (QoL) and well-being of care staff in disaster-affected settings remain unclear.

Psychological distress is common among patients with cancer, and it negatively impacts treatment adherence and quality of life. Radiotherapy, with its unique procedures, such as daily sessions and physical immobilization, may induce distress distinct from general cancer anxiety. However, existing screening tools cannot differentiate these distress sources. This study leverages online patient narratives and natural language processing to distinguish radiotherapy-specific distress from general cancer distress.

Patients with facial paralysis require detailed clinical assessment and long-term follow-up to monitor facial function. The current standard of care for evaluating facial symmetry and movement uses validated clinician scoring tools such as the House-Brackmann facial paralysis score or the Electronic Clinician-Graded Facial Function Scale (eFACE). Existing tools are difficult to use in normal clinic workflows and do not provide real-time facial movement tracking, representing an unmet need. Therefore, we developed FaceADE, a novel iOS app leveraging native 3D image acquisition capabilities on the iPhone to rapidly quantify facial movement in patients with facial paralysis.

Serious games are increasingly used in professional health education and maternal health promotion. However, most pregnancy-related digital interventions target specific behaviors and do not provide a comprehensive, longitudinal simulation of the pregnancy journey that incorporates psychosocial and administrative aspects.

mWorks is a co-designed, web-based self-management intervention developed to empower persons with common mental disorders who are on sick leave during the return-to-work process. However, limited knowledge of how mWorks is delivered and engaged with in real-world settings constrains further development and implementation. In line with the Medical Research Council framework for complex intervention evaluation, such an approach is required to examine (1) contextual factors influencing implementation, (2) fidelity and variation in delivery, and (3) how service users and professionals experience and respond to the intervention.

Remote measurement technology (RMT) is increasingly used in health research to collect real-world data relevant to clinical states (eg, sleep, activity, and stress). Concerns exist about the impact of remote tracking via personal devices and wearables on individuals with or at risk of eating disorders (EDs) by promoting a focus on exercise, diet, and appearance. There is a lack of research applying RMT to EDs.








