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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 MEDLINEPubMed, PubMed CentralDOAJ, 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

Doctor shows medical training app on phone with expert/novice options
Formative Evaluation of Digital Health Interventions

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.

First aid training: Practicing CPR with a dummy and AED
Pilot studies (non-ehealth)

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.

Sick man in bed having a telehealth doctor's appointment on his laptop
Formative Evaluation of Digital Health Interventions

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.

Doctor's hand points to tablet displaying medical data during a procedure.
Research Letter

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.

Medical professionals in a meeting discussing patient care
Formative Evaluation of Digital Health Interventions

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.

Woman looking at laptop with flags of different countries above it
Formative Evaluation of Non-Ehealth Innovations

Breast augmentation is one of the most performed aesthetic surgical procedures worldwide. Given its elective character and potential complications, clear and comprehensible informed consent is essential.

Asian healthcare professional in blue scrubs touches a glowing medical icon.
Research Letter

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.

Professional woman in glasses uses tablet with digital network overlay
Formative Evaluation of Digital Health Interventions

AI is increasingly being explored as a tool to enhance efficiency, access, and diagnostic accuracy in mental health care. However, the perspectives of clinicians, who are central to the delivery and oversight of care, on the use of AI remain underexamined.

Digital shield with padlock and health icons protecting data, symbolizing cybersecurity in healthcare.
Research Letter

A multilayered fraud-mitigation approach is essential to ensure data integrity in medical survey research; basic measures alone (eg, CAPTCHA) would permit widespread fraud.

Phone displaying e-Sveikata app with health record options
Formative Evaluation of Digital Health Interventions

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.

Young woman in headphones relaxes on a couch listening to music on her phone.
Pilot studies (ehealth)

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.

Students studying in a library with laptops, tablets, and books.
Formative Evaluation of Digital Health Interventions

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.

Preprints Open for Peer Review

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