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
Recent Articles

Screening is important for early detection of cervical cancer in low- and middle-income countries. Visual inspection with acetic acid (VIA) is usually the method of choice in these settings. However, interpretation of VIA results is subject to interobserver and intraobserver variability. AI decision support systems (AI-DSSs) could contribute to better decisions by health workers.

Basic life support (BLS) significantly improves survival and neurological outcomes after out-of-hospital cardiac arrest (OHCA). However, bystander cardiopulmonary resuscitation (CPR) rates vary widely worldwide, reaching only 40% in Geneva, Switzerland. The European Resuscitation Council’s “Kids Save Lives” statement advocates for integrating BLS education into mandatory school curricula to improve bystander CPR rates, and thus OHCA outcomes. Training medical students as BLS instructors could help address the shortage of qualified instructors needed to implement school-based BLS programs in primary schools.

Remote patient management (RPM) is a strategy to track daily health data in patients with heart failure (HF) to enable early detection and treatment of decompensation to prevent hospital readmissions. The implementation of RPM alters standard care and redistributes provider responsibilities. Although randomized controlled trials demonstrate positive clinical outcomes, the impact of implementing RPM on patients’ health care usage, as well as the care time and workload of health care providers in a real-world setting, remains unclear.

A digital clinician training module significantly improved attitudes, beliefs, and self-perceived competence in a cohort of medical students (n=87) toward working with transgender and gender diverse (TGD) people with eating disorders. Future clinician training resources can adopt this cost-effective and accessible learning model and build upon existing introductory attitude- and awareness-based programs by focusing on addressing a specific health disparity among TGD people.

Recent advances in AI, particularly large language models, have generated growing interest in their application to medical education and examination preparation. However, the accuracy, reasoning quality, and adherence to clinical guidelines of these tools in postgraduate urology assessments remain unclear.


Despite widespread discussion of opportunities and risks about AI in medicine, few health care professionals routinely used AI during this study period. Physicians and men were more likely to report frequent AI use, and frequent AI users more often reported positive sentiments about AI’s future impacts on pay, enjoyment, and productivity at work. The youngest professionals (≤29 years) were less engaged and more skeptical about AI’s future benefits. These findings highlight a gap between AI’s promise and medical practice, as adoption varies by role, experience, and demographics.


National digital health systems are increasingly recognized as a key tool for strengthening health care systems and improving patient outcomes. Global guidance from the World Health Organization and European Union initiatives emphasizes interoperability, robust data governance, and secure exchange of health information as prerequisites for system-wide benefits. However, translating these principles into operational national digital health infrastructures remains challenging, and empirical evidence on long-term, centralized implementation models is limited. Lithuania is among a small number of European countries that have implemented a fully centralized national digital health platform (DHP), providing a valuable case for examining the development, structure, and performance of such systems.

In the United States and worldwide, chronic pain affects a vast number of people and is one of the leading reasons adults seek medical care. In the United States, 24.3% of adults reported experiencing chronic pain in the prior 3 months in 2023. Chronic pain is defined as pain that lasts ≥3 months, significantly disrupting one’s daily functioning and quality of life. Chronic pain can also be accompanied by other conditions, including anxiety and depression. Health care providers should be aware of several limitations in their current treatment modalities. Although opioid analgesics are used for moderate to severe pain management, they cause many serious adverse effects, including sedation, respiratory depression, constipation, and a high risk of dependence and addiction. Other pain medications, such as nonopioid analgesics, including nonsteroidal anti-inflammatory drugs, adjuvant analgesics, and corticosteroids, also cause a range of side effects and organ toxicity.

AI is increasingly integrated into medical education, offering new ways for students to acquire knowledge and support clinical reasoning. However, the extent, patterns, and implications of AI use among medical students remain incompletely understood. Prior studies have relied on retrospective surveys that are susceptible to recall bias and have not quantified AI use as a proportion of total study time.
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