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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 2.1 More information about Impact Factor CiteScore 3.5 More information about CiteScore

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

In the context of COVID-19, infection spread through human contact networks remains a major public health challenge. Beyond cumulative infections and deaths, it is necessary to understand which contacts matter most, and which population segments contribute most to transmission under different social conditions. In multilayer urban networks with community structure, routine contacts coexist with incidental encounters, and it remains unclear whether incidental encounters can alter epidemic burden and the main contributors to transmission when per-layer contact caps and routine-contact minima are unchanged (for the nonrandom layers).

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Formative Evaluation of Digital Health Interventions

Care home placements offer important opportunities for student nurses to develop relational and person-centered approaches to dementia care. Digital reminiscence platforms are increasingly used to support the well-being of people living with dementia; however, little is known about how such platforms may shape student learning within practice settings. There is limited qualitative evidence examining how digital reminiscence is experienced by students and how it influences their understanding of personhood, relationships, and care practices.

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Formative Evaluation of Digital Health Interventions

Cognitive decline in aging populations underscores the need for early interventions in mild cognitive impairment (MCI), where pharmacological treatments show limited benefit. Eye-movement metrics serve as sensitive markers of cognitive deficits in MCI, and digital programs integrating these tasks offer scalable, data-driven training approaches.

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Formative Evaluation of Non-Ehealth Innovations

The COVID-19 pandemic was marked by rapidly evolving and inconsistent public health messaging, contributing to confusion regarding recommended preventive behaviors. Knowledge, attitudes, and practices (KAP) and perceived risk frameworks offer a structured approach to examine how education, personal beliefs, and contextual factors influence health behaviors during public health emergencies. Vulnerable populations, such as patients with multiple sclerosis (MS), experience heightened risk perception compared with the general population, which may further shape behavioral responses.

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Formative Evaluation of Digital Health Interventions

Osteoporosis poses a significant global health burden and is responsible for over 8.9 million fragility fractures annually. Despite evidence-based guidelines and treatment, a substantial care gap persists, with only a low percentage of fracture patients receiving guideline-concordant care. Primary care physicians (PCPs) are pivotal in community-based fracture prevention but face challenges in translating knowledge into practice. While hospital-based fracture liaison services are effective, their reach is limited, necessitating scalable alternatives. Virtual communities of practice and web-based learning tools offer promising avenues for PCP professional education; however, their application in osteoporosis management remains underexplored. The Community Fracture Capture (CFC) Learning Hub was developed as an interactive, case-based platform to address these gaps by enhancing PCPs’ knowledge, confidence, and engagement in osteoporosis care.

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Formative Evaluation of Digital Health Interventions

Clinical decision-making training in operative dentistry commonly relies on real or standardized patients to develop undergraduate students’ ability to deliver safe, effective, and patient-centered care. However, training with real or standardized patients can be limited in scalability, cost-effectiveness, and accessibility. Large language models, with their human-like language capabilities, may have the potential to simulate patients in clinical encounters and help overcome some limitations associated with traditional training approaches.

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Development and Evaluation of Research Methods, Instruments and Tools

Growing evidence suggests that disruptions in rest-activity rhythms may serve as relevant markers of posttraumatic stress disorder (PTSD). Despite the emergence of machine learning methods applied to actigraphy and self-report data, few studies have used these approaches to identify individuals with clinically diagnosed PTSD. Prior work has focused on predicting probable PTSD based on self-report measures, yet discrepancies exist between clinical diagnoses and probable PTSD derived from self-reports.

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Formative Evaluation of Digital Health Interventions

Pediatric emergency departments see a high volume of patients. Given that children often cannot describe their condition and there is a shortage of nursing staff, it is essential to identify the early warning signs of adverse conditions among children as quickly as possible. Current targeted care needs to be improved.

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Formative Evaluation of Digital Health Interventions

In recent years, digital patient portals have become an increasingly common feature of care in various medical fields. Despite growing scientific evidence of their effectiveness and the benefits they offer to patients and caregivers, their implementation, especially in hospital mental health settings, lags behind expectations.

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Pilot studies (ehealth)

Traditional anatomy teaching relies on cadaveric dissection and 2D resources, which often require in-person attendance and may limit spatial understanding. Virtual reality (VR) provides an immersive, remote alternative that supports 3D visualization from home. Recent evidence suggests that while VR may yield comparable factual knowledge gains to 2D methods, its primary value lies in enhancing learner engagement, motivation, and perceived educational value.

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Development and Evaluation of Research Methods, Instruments and Tools

People who are incarcerated face significantly higher health risks than the general population, yet deaths in custody remain underreported and poorly monitored by public health systems. Although the federal Death in Custody Reporting Act requires reporting of all deaths in correctional facilities to the US Department of Justice, reporting has been inconsistent, delayed, and often publicly inaccessible. Consequently, researchers have turned to press releases issued by correctional agencies as one of the few timely sources of information on deaths in custody. However, these press releases vary widely in content and structure, making standardized data extraction difficult. Crowdsourcing platforms such as Amazon Mechanical Turk (MTurk) may offer a faster, low-cost method for gathering data, but their utility in this setting remains untested.

Preprints Open for Peer Review

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