JMIR Formative Research

Process evaluations, early results, and feasibility/pilot studies of digital and non-digital interventions

Editor-in-Chief:

Amaryllis Mavragani, PhDc, Scientific Editor at JMIR Publications, Canada


Impact Factor 2.0 CiteScore 2.7

JMIR Formative Research (JFR, ISSN 2561-326X, Journal Impact Factor™ 2.0 (Clarivate, 2024)) 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).

Recent Articles

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Formative Evaluation of Digital Health Interventions

With the increasing popularity of Web 2.0 applications, social media has made it possible for individuals to post messages on antibiotic ineffectiveness. In such online conversations, patients discuss their quality of life. Social media have become key tools for finding and disseminating medical information

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Formative Evaluation of Digital Health Interventions

Children have busy daily schedules, making school an ideal setting for promoting health-enhancing exercise behavior. However, children with mobility disabilities have limited exercise options to improve their cardiorespiratory fitness and cardiometabolic health.

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Pilot studies (ehealth)

Lifestyle modification programs play a critical role in preventing and managing cardiovascular disease. A key aim of many programs is improving patients’ self-efficacy. In-person lifestyle modification programs can improve self-efficacy for managing cardiovascular disease risk, otherwise known as cardiac self-efficacy. However, such programs are typically staffing and resource intensive. Digital lifestyle modification programs may offer a scalable and accessible way to improve cardiac self-efficacy, but this has not been shown in prior research.

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Pilot studies (ehealth)

Poor medication adherence among older adults with multiple chronic conditions (MCC) and polypharmacy is a public health concern stemming from distinct challenges. Prior interventions have largely utilized a “one size fits all” approach, or resource intensive approaches inappropriate for busy primary care clinics.

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Research Letter

The study introduces MedCheckLLM, a Large Language Model-driven framework that enhances medical record evaluation through a guideline-in-the-loop approach by integrating evidence-based guidelines.

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Formative Evaluation of Non-Ehealth Innovations

The Covid-19 pandemic has profoundly affected the movement of people across borders in Eastern and Southern Africa. The implementation of border closures and restrictive measures has disrupted the region's economic and social dynamics. In areas where national authorities lack full control over official and unofficial land crossings, enforcing public health protocols to mitigate health risks may prove challenging.

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Formative Evaluation of Digital Health Interventions

Adolescents with asthma are vulnerable to poor asthma outcomes due to inadequate self-management skills and non-adherence to medications. Mobile health (mHealth) applications have shown promise in improving asthma control, medication adherence, and self-efficacy. However, existing mHealth asthma applications lack personalization and real-time feedback, and are not tailored for at-risk adolescents.

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Development and Evaluation of Research Methods, Instruments and Tools

Parents often juggle multiple conflicting responsibilities, including work, childcare, and the household, making them a particularly burdened group. However, the impact of daily routines and associated (poor) well-being among parents has received relatively little attention. Ecological Momentary Assessment (EMA) is increasingly being used to capture real-time data and can help address this research gap.

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Formative Evaluation of Digital Health Interventions

Mobile health apps have high potential to address the widespread deficit in physical activity (PA); however, they have demonstrated greater impact on short-term PA compared to long-term PA. The multi-process action control (M-PAC) framework promotes sustained PA behavior by combining reflective (eg, attitudes) and regulatory (eg, planning and emotion regulation) constructs with reflexive (eg, habits and identity) constructs. Usability testing is important to determine the integrity of a mobile health app’s intrinsic properties and suggestions for improvement before feasibility and efficacy testing.

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Development and Evaluation of Research Methods, Instruments and Tools

This paper illustrates the development of a simple online application, which demonstrates the relationship between serum anti-SARS-CoV-2 S1/RBD IgG and anti-SARS-CoV-2 neutralizing antibody (nAb) IC50 titers in a US adult vaccinated population and compares them to prior data on neutralizing antibody titers at different time points after vaccination.

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Formative Evaluation of Digital Health Interventions

Visits to medical subspecialists are common, with follow-up timing often based on heuristics rather than evidence. Unnecessary visits contribute to long wait times for new patients. Specialists could enhance visit timing and reduce frequency by systematically monitoring patients’ symptoms between visits, especially for symptom-driven conditions like rheumatoid arthritis (RA). We previously designed an intervention using a mobile health application to collect patient-reported outcomes (PRO). One of several aims of the app was to assist rheumatologists in determining visit timing for patients with RA. The intervention did not reduce visit frequency.

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Preprints Open for Peer-Review

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