JMIR Formative Research

Process evaluations, early results, and feasibility/pilot studies of digital and non-digital interventions

Editor-in-Chief:

Amaryllis Mavragani, PhDc, Scientific Editor at JMIR Publications, Canada


Impact Factor 2.0 CiteScore 2.7

JMIR Formative Research (JFR, ISSN 2561-326X, Journal Impact Factor™ 2.0 (Clarivate, 2024)) 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).

Recent Articles

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Formative Evaluation of Digital Health Interventions

Vaccine preventable infections result in significant morbidity, mortality and costs in pediatric transplant recipients. Despite intensive care in the pre-transplant period, less than 20% of children are up to date for age-appropriate vaccines at the time of transplant. Mobile health apps have the potential to improve pre-transplant vaccine rates.

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Development and Evaluation of Research Methods, Instruments and Tools

Emerging digital health research poses roadblocks to the inclusion of historically marginalized populations in research. Exclusion of underresourced communities in digital health research is a result of multiple factors (eg, limited technology access, decreased digital literacy, language barriers, and historical mistrust of research and research institutions). Alternative methods of access and engagement may aid in achieving long-term sustainability of diversified participation in digital health research, ensuring that developed technologies and research outcomes are effective and equitable.

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Formative Evaluation of Digital Health Interventions

Approximately 20% of US adults identify as having a mental illness. Structural and other barriers prevent many people from receiving mental health services. Digital mental health apps that provide 24-hour, real-time access to human support may improve access to mental health services. However, information is needed regarding how and why people engage with licensed counselors through a digital, real-time, text-based mental health support app in nonexperimental settings.

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Formative Evaluation of Digital Health Interventions

Harboring dysfunctional depressogenic cognitions contributes to the development and maintenance of depression. A central goal of cognitive behavioral therapy (CBT) for depression is to invalidate such cognitions via cognitive reappraisal (CR). However, relatively low remission rates and high dropout rates in CBT demonstrate the need for further improvement. Potentially, the effects of CBT could be enhanced by addressing not only dysfunctional depressogenic cognitions but also body states associated with depression. This may be done, for example, by systematically pairing the invalidation of depressogenic cognitions with the performance of antidepressive kinesthesia.

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Formative Evaluation of Digital Health Interventions

Serious pulmonary pathologies of infectious, viral or bacterial origin are accompanied by an inflammatory syndrome and an increase in the level of oxidative stress (OS). In these situations, biological measurements of oxidative stress are technically difficult to obtain and their results are difficult to interpret. OS assays without complex preanalytical methods and an interpretation of the results improved by a machine learning method would be greatly useful tool aids for medical and care teams.

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Formative Evaluation of Digital Health Interventions

Evidence-based guidelines support the use of structured exercise to facilitate concussion recovery. However, despite the growing number of mobile health (mHealth) applications aimed at managing concussion, few focus on delivering exercise rehabilitation protocols. Thus, a mobile application (app) was developed to provide personalized rehabilitation programs based on evidence-based exercise principles designed to cater to individuals recovering from concussions.

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Formative Evaluation of Digital Health Interventions

Allogeneic hematopoietic stem cell transplantation (allo-SCT) is an effective treatment for various hematologic cancers, though it often results in severe side effects and psychological distress, which can negatively impact health outcomes. Integrative therapies like mindfulness-based stress reduction (MBSR), mindfulness meditation (MM), and music therapy (MT) yield promising results in enhancing both psychosocial outcomes (e.g., reducing anxiety and depression) and physiological adaptation (e.g., decreasing inflammation) in cancer patients.

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Formative Evaluation of Digital Health Interventions

Dependent older people or those losing their autonomy are at risk of emergency hospitalization. Digital systems that monitor health remotely could be useful in reducing these visits by detecting worsening health conditions earlier. However, few studies have assessed the medico-economic impact of these systems, particularly for older people.

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Formative Evaluation of Digital Health Interventions

Gait speed indicates of onset or decline of physical performance in sarcopenia. However, real-time measurements of other gait parameters, such as step length, stride length, step width, and support time, are limited. The advent of wearable technology has facilitated the measurement of these parameters, necessitating further investigation into their potential applications.

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Formative Evaluation of Digital Health Interventions

Machine learning models with time-series data, unlike one-snap data collection that only identifies high-risk patients, can predict the adverse event to aid cancer therapy's race against time.

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Formative Evaluation of Digital Health Interventions

Telehealth has been effective in managing cardiovascular diseases like stroke and heart failure and has shown promising results in managing patients with peripheral arterial disease (PAD). However, more work is needed to fully understand the effect of telehealth based predictive modelling on the physical fitness of PAD patients.

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Formative Evaluation of Digital Health Interventions

Cognitive training is increasingly being considered and proposed as a solution for several pathologies, particularly those associated with aging. However, trainees need to be willing to invest enough mental effort to succeed and make progress.

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