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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Pilot studies (ehealth)

Despite widespread use of symptom rating scales in psychiatry, these tools are limited by reliance on self-report, infrequent administration, and lack of predictive power. This constrains clinicians’ ability to monitor illness trajectories or anticipate adverse outcomes like relapse. Actigraphy, a passive wearable-based method for measuring sleep and physical activity, offers objective, high-resolution behavioral data that may better reflect symptom fluctuations. Prior research has shown associations between actigraphy features and mood or psychosis symptoms, but most studies have focused on narrow diagnostic groups or fixed time windows, limiting clinical translation.

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Formative Evaluation of Digital Health Interventions

Chronic obstructive pulmonary disease (COPD) is a leading cause of mortality, and exercise has been shown to reduce both. Health conditions, environmental factors, and logistical challenges are often barriers for participation in pulmonary rehabilitation (PR). Given the barriers many individuals with COPD face when attending health care centers for PR, virtual home-based cycling exercise could be an option.

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Early Results in Infodemiology and Infoveillance

Oral nicotine pouches (ONPs) have become a popular alternative nicotine product in recent years, especially among youth. This is concerning given the substantial health risks associated with nicotine use at an early age. Social media channels that are popular among youth (eg, TikTok) are being used to promote ONPs. Understanding the ways that individuals communicate about ONPs on popular social media, like TikTok, is critical for informing public health efforts aimed at protecting youth from the harms of nicotine.

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Formative Evaluation of Digital Health Interventions

Telemedicine, particularly teleconsultation, has emerged as a viable alternative to in-person consultation, especially following the COVID-19 pandemic. Preanesthetic consultations are mandatory before surgery to assess perioperative risk. However, little data exists regarding the combined economic and ecological impacts of replacing in-person consultation with teleconsultation in this context.

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Formative Evaluation of Digital Health Interventions

Early detection and awareness are critical in reducing the burden of cancer. However, a significant proportion of university students in Bangladesh remain inadequately informed about cancer risks and preventive measures.

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Formative Evaluation of Digital Health Interventions

Literature on the development of mHealth tools for public health interventions is scarce. This scarcity creates a knowledge gap, and new tools may repeat the mistakes of past implementations.

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Case Report

Trauma exposure, including sexual harm, is prevalent in adolescents. A key resulting symptom relates to re-experiencing mental images of trauma, such as intrusive memories and flashbacks. Established treatments are used to address flashback memories but are hard to access, often leave remaining symptoms, and require extensive exposure to traumatic materials. An emerging approach with adult populations suggests intrusive imagery symptoms can be precisely targeted with simple cognitive tasks.

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Formative Evaluation of Digital Health Interventions

Diabetes mellitus requires continuous self-management to prevent complications. Patients frequently rely on online resources and mobile apps for diabetes-related information; however, these often lead to information overload, limited personalization, and difficulty in navigation. Generative artificial intelligence (AI) chatbots may address these challenges by providing accessible, personalized, and responsive guidance.

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Early Results in Infodemiology and Infoveillance

The prevalence of food and drug allergies has been steadily increasing in Germany. These conditions not only impair the quality of life of those affected but also place an additional burden on the healthcare system. At the same time, an increasing number of people are using the internet and other digital sources to seek health-related information.

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Formative Evaluation of Digital Health Interventions

Large language models (LLMs) such as ChatGPT offer significant opportunities for medical education. However, empirical data on actual usage patterns, perceived benefits, and limitations among medical students remain limited.

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Formative Evaluation of Digital Health Interventions

The use of smartphones and interest in mobile health (mHealth) has grown in recent years with physical activity apps demonstrating potential to facilitate behaviour change. However, there remains limited understanding of what specifically motivates children to engage meaningfully with these tools.

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Formative Evaluation of Digital Health Interventions

Although rates of tobacco use in California have declined overall, adults in the San Joaquin Valley (SJV), particularly Hispanic/Latinos (“Latinos”), have disproportionately high rates of tobacco use, tobacco-related illness, and mortality. Residents of the SJV also have limited access to cessation support services, and need accessible, non-clinical alternatives. Given high smartphone use rates among Latinos and residents of rural communities, digital health tools may present an accessible approach to expand cessation support.

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Preprints Open for Peer-Review

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Open Peer Review Period:

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