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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Formative Evaluation of Digital Health Interventions

Social media platforms have become salient channels for healthcare professionals’ continuous education and professional development. Among them, X (formerly Twitter) is used by physiotherapists for engaging in evidence-based discussions and accessing emerging research. In Saudi Arabia, a country with a high social media penetration rate, the platform offers unique opportunities and challenges for physiotherapy-related knowledge acquisition and networking.

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Formative Evaluation of Digital Health Interventions

Cervical cancer is a leading cause of cancer deaths among women in Nigeria, yet awareness is low. Historically, art has served as a medium for processing emotions and sharing experiences, which can be effective in promoting health and behavior change.

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Formative Evaluation of Digital Health Interventions

Technology-enabled mental health platforms that incorporate user-driven patient-provider matching may offer a novel way to personalize and optimize outcomes. We conducted this study because little is known about the engagement and clinical symptom changes of these newer types of mental health platforms and whether patient-driven selection of their provider’s characteristics is associated with either engagement or clinical outcomes.

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Formative Evaluation of Digital Health Interventions

Home-based respiratory pathogen testing services (HRPTS), an emerging internet-based healthcare model, enable rapid pathogen identification within hours through digital platforms and e-commerce logistics. This decentralized approach overcomes conventional testing delays to accelerate diagnosis. However, public awareness, adoption, and influencing factors remain largely unknown.

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Formative Evaluation of Digital Health Interventions

Caregivers’ self-perceived preparedness for caregiving influences care recipients’ and caregivers’ emotional health, and care recipients’ aging in place. Dementia’s unique, long, and progressive nature compared to other age-related illnesses, along with associated behavioral symptoms and personality changes, may cause caregivers’ preparedness to vary significantly from that of those caring for patients with other chronic conditions.

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Case Report

Antimicrobial resistance (AMR) poses a significant global health threat, requiring effective antimicrobial susceptibility testing (AST) and surveillance systems. At the University Teaching Hospital of Butare (CHUB) in Rwanda, a baseline Laboratory Assessment of Antibiotic Resistance Testing Capacity (LAARC) identified critical gaps in the Laboratory Information System (LIS), including low capture rates for culture observation (60%) and AST data (25%), no standardization of AST panels (0%), and limited cumulative antibiogram generation (17%). Existing AMR surveillance platforms such as the Information System for Monitoring Antimicrobial Resistance by World Health Organization (WHO) Collaborating Center for Surveillance of Resistance to Antimicrobial Agents (WHONET),[1] and DHIS2 operate as standalone systems separate from clinical workflows, limiting real-time clinical utility.[2–5]

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Pilot studies (ehealth)

Smartphone-based ecological momentary assessment (EMA) methods highlight the impact of minority stress and socialization (eg, discrimination, social support) on smoking behaviors in LGBTQ+ adults, however studies among LGBTQ+ adolescents are limited. The Puff Break EMA protocol was developed to address this gap.

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Formative Evaluation of Digital Health Interventions

The lack of osteoporosis treatment initiation following fragility fractures is a recognized gap, particularly in primary care. Primary care physicians (PCPs) barriers to treatment, such as uncertainties in investigation, initiation, and concerns about drug side effects, remain challenging. It is also unclear whether knowledge gaps and barriers vary by region, or if active learning platforms are more effective than passive methods in improving treatment rates, and how PCP demographics influence learning outcomes. With time constraints, PCPs are increasingly using online platforms for continuing professional development (CPD), and the interactive online Community Fracture Capture (CFC) tool has emerged as a promising alternative to traditional methods. Our CFC pilot study tested this program's design and content, revealing its potential effectiveness.

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Pilot studies (ehealth)

The demand for palliative care is rising due to population aging and increased chronic illness. However, access to timely palliative care remains limited, particularly for patients receiving home-based hospice care in rural areas. Digital health technologies present an opportunity to enhance care delivery and communication at home.

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Formative Evaluation of Digital Health Interventions

Mobile health (mHealth) interventions are prevalent, but people from marginalized communities are less likely to use digital health technology to support self-management behaviors. Community engagement can inform healthcare design to enhance a hypertension self-management mHealth intervention.

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Pilot studies (ehealth)

The broad spectrum of issues that survivors face after critical illness and the contextual factors that help or hinder remain underexplored, as do their perspectives on what is important during recovery. Photovoice methods offer a means to convey experiences through participant-generated photographs and related narratives that can extend existing notions of illness and wellness.

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Preprints Open for Peer Review

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