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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 MEDLINE, PubMed, PubMed Central, DOAJ, 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

Hands placing green roulette chips on a betting table, casino gambling
Formative Evaluation of Digital Health Interventions

Gambling disorder (GD) carries a disproportionate burden of suicide risk. Clinicians frequently encounter patients with suicidal ideation (SI) at treatment entry, yet no published study has examined whether SI at intake predicts treatment engagement or symptom change in GD care.

Doctor using a tablet for telemedicine, discussing healthcare technology
Formative Evaluation of Digital Health Interventions

The Secondary Care Medicines Data (SCMD) makes detailed data on medicines issued by National Health Service (NHS) hospital trusts in England openly available for the first time. These data provide an opportunity to understand medicine use patterns, highlight variation, and drive improvements in evidence-based practice, prescribing safety, and cost-effectiveness. However, this dataset requires extensive domain and technical knowledge to access, clean, transform, and link to other external sources before it can be used effectively.

Couple reviewing hospital patient care data on a monitor in a modern hospital room with city view
Formative Evaluation of Digital Health Interventions

Health care public reporting (PR) systems are intended to reduce information asymmetry and support informed health care decision-making. However, their adoption remains limited, partly because health care information is complex, difficult to interpret, and may evoke cognitive and emotional responses. Existing research has focused largely on system design and development, with limited attention to how users’ central and peripheral-route information-processing mechanisms shape PR system adoption.

Man in glasses uses smartphone, woman reads book on sofa
Pilot studies (ehealth)

Informal caregivers play a central role in long-term care but experience elevated risks of stress, depressive symptoms, and caregiver burden, alongside barriers to accessing preventive support. Low-threshold digital public health interventions may offer scalable support; however, evidence on their feasibility, usability, and contextual fit remains limited, particularly for heterogeneous caregiver populations.

Woman checking Moodmetric score on smartphone with wearable ring
Formative Evaluation of Digital Health Interventions

Wearable physiological sensing and mobile self-report methods offer new opportunities for monitoring occupational well-being in real-world settings. However, interpreting continuous physiological signals in relation to psychological states such as job burnout and work engagement remains challenging, particularly when using deployable systems that rely on proprietary signal processing.

Hands using a white mouse on a teal ergonomic mouse pad next to a laptop
Formative Evaluation of Digital Health Interventions

Abnormal reward processing is considered a core feature of severe mental illness (SMI). Deficits in this domain can have severe implications for daily functioning. The Online Positive Valence Study aimed to assess reward processing in bipolar disorder and schizophrenia using the National Institute of Mental Health (NIMH) Research Domain Criteria (RDoC) Positive Valence Systems (PVS) framework in an online task-based study. Recruitment and study adherence fell short of expectations.

Child holding a white smartphone, focusing on the screen.
Formative Evaluation of Digital Health Interventions

Caring Contacts is a low-cost and low-resource suicide prevention intervention that involves sending a series of nondemanding messages that convey care and support. While Caring Contacts is well studied among veteran and adult populations, intervention implementation preferences remain underexplored for adolescents and young adults, especially regarding its delivery in primary care settings. As primary care clinicians are often constrained in their capacity to respond to the time-sensitive needs of these patients while they wait to be connected to specialty care, identifying whether current technologies that can help alleviate these time barriers are acceptable to adolescents and young adult patients is an important next step.

Woman in white shirt using a smartphone
Pilot studies (ehealth)

The integration of patient-reported outcomes (PROs) into routine clinical practice remains limited despite their well-documented benefits in facilitating clinical communication and research. Systematic digital PRO collection can enable real-time symptom monitoring, timely clinical interventions, and greater patient empowerment. The Health Outcomes Observatory (H2O) initiative was developed to enable systematic digital patient-reported outcome measures (PROMs) collection and integration with clinical data to support value-based, patient-centered care across health care systems.

User holds smartphone displaying HAPPY App with news and login sections.
Pilot studies (ehealth)

Physical and psychological distress symptoms can adversely affect daily functioning and quality of life, highlighting the need for accessible self-management support. Although mobile health (mHealth) interventions show promise in supporting physical symptom management, evidence regarding their feasibility and potential effects on psychological distress remains limited.

ICU-FamilyCoach and ICU-RecoveryPointer apps interface displayed on a phone screen.
Formative Evaluation of Digital Health Interventions

Despite promising developments in eHealth, a critical gap remains in understanding how to design and implement digital self-management interventions that effectively align with users’ needs and the complex context of recovery after treatment in the intensive care unit (ICU).

Computer screen showing symptoms of Sinus, Cluster, Tension, and Migraine headaches.
Formative Evaluation of Digital Health Interventions

Hard flaccid syndrome (HFS) is a rare and poorly described andrological condition characterized by a persistent semirigid penis in the flaccid state and frequently accompanied by erectile dysfunction, sensory disturbances, urinary symptoms, and psychosocial distress. Due to the absence of standardized diagnostic and therapeutic guidelines, patients increasingly seek health information from AI-based tools such as ChatGPT. However, the reliability of such tools in rare diseases remains uncertain.

Preprints Open for Peer Review

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