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

Adolescents require comprehensive sexual and reproductive health (SRH) education to successfully transition from puberty into adulthood. However, they often experience barriers and challenges while trying to promote their SRH or access SRH services. Such challenges are amplified among youth from migrant backgrounds, who may further be constrained by societal stigmas and cultural taboos regarding SRH. Mobile health interventions have the potential to provide culturally relevant, accessible, and evidence-based SRH educational resources; however, few SRH mobile apps in Canada are co-designed with immigrant youth or meaningfully integrate their voices and lived experiences.

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Formative Evaluation of Digital Health Interventions

The Leeds regional adult and pediatric cystic fibrosis (CF) services introduced a modified primary care electronic health care record (EHR) in 2007. This resulted in a dramatic improvement in efficiency while providing the benefits of primary care developments, including full Patient Access to their records.

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Case Report

Virtual reality (VR) can supplement exercise therapy for poststroke upper-arm hemiparesis, but treatments have been largely limited by specialized or costly equipment, hindering replicability and generalizability.

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Formative Evaluation of Digital Health Interventions

The clinical and cost-related consequences of internet-based depression screening, in combination with automated feedback, have been rarely investigated. We aimed to conduct a cost-effectiveness analysis (CEA) of DISCOVER, a three-armed, observer-masked, randomized controlled trial that focused on two versions of automated feedback interventions after internet-based depression screening.

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Formative Evaluation of Digital Health Interventions

The fast rate of technology advances in the healthcare sector remain pressing a need for effective solutions that address the unique healthcare needs of sexual and gender minorities. If these innovative solutions are considered, societal challenges such as stigma, discrimination, and a lack of tailored healthcare resources experienced by the lesbian, gay, bisexual, transgender, queer, intersex, asexual, and more (LGBTQIA+) individuals could be addressed at lesser cost.

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Pilot studies (non-ehealth)

Access to rehabilitation services is a critical yet under-studied dimension of health equity. Among the 6 domains of access, health care provider availability, defined as the presence of sufficient health care providers to meet population needs, is particularly underexplored in rehabilitation professions such as physical and occupational therapy. Current data reporting often lacks the geographic granularity required for effective workforce planning.

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Formative Evaluation of Non-Ehealth Innovations

Burn injuries are a major global health problem, particularly in low- and middle-income countries, accounting for most burn-related deaths and disabilities. In Saudi Arabia, burns remain a frequent cause of morbidity, often resulting from domestic accidents involving hot liquids, open flames, or electricity. The Jazan region, with its dense population and reliance on traditional cooking methods, is considered at higher risk. Understanding public knowledge, attitudes, and practices regarding burns and first aid is essential for guiding preventive strategies and health education efforts.

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Formative Evaluation of Digital Health Interventions

Digital short cognitive tests administered by medical assistants (MAs) in general practitioners’ (GPs) practices have great potential for the timely identification of patients with dementia, because they can lead to targeted specialist referrals or to immediate reassurance of patients regarding their perceived concerns. However, integration of this testing approach into clinical practice requires good usability for the test itself, especially for cognitively impaired older adults.

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Development and Evaluation of Research Methods, Instruments and Tools

Health Recommender Systems (HRSs) are digital platforms designed to deliver personalized health information, resources, and interventions tailored to users’ specific needs. However, existing evaluations of HRSs largely focus on algorithmic performance, with limited scientific evidence supporting user-centered assessment approaches and insufficiently defined evaluation metrics. Moreover, no unified or scientifically validated framework currently exists for evaluating these systems, resulting in limited cross-study comparability and constraining regulatory and implementation decision-making.

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Formative Evaluation of Digital Health Interventions

Multiple-choice questions (MCQs) are essential in medical education for assessing knowledge and clinical reasoning. Traditional MCQ development involves expert reviews and revisions, which can be time-consuming and subject to bias. With the advent of artificial intelligence (AI), large language models (LLMs) have emerged as potential tools for evaluating multiple-choice-question accuracy and efficiency. However, direct comparisons of these AI models in orthopedic MCQ assessments are limited.

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Formative Evaluation of Digital Health Interventions

Mindfulness-based interventions (MBIs) have been shown to improve university students’ well-being. However, previous studies have not systematically explored factors that can facilitate or hinder engagement in MBIs in Saudi university students, nor how MBIs can be culturally adapted to meet their needs.

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Preprints Open for Peer-Review

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