JMIR Human Factors

(Re-)designing health care and making health care interventions and technologies usable, safe, and effective.

Editor-in-Chief:

Andre Kushniruk, BA, MSc, PhD, FACMI, School of Health Information Science, University of Victoria, Canada


Impact Factor 3.0 CiteScore 4.8

JMIR Human Factors (JHF, ISSN 2292-9495) is a multidisciplinary journal with contributions from design experts, medical researchers, engineers, and social scientists.

JMIR Human Factors focuses on understanding how the behaviour and thinking of humans can influence and shape the design of health care interventions and technologies, and how the design can be evaluated and improved to make health care interventions and technologies usable, safe, and effective. This includes usability studies and heuristic evaluations, studies concerning ergonomics and error prevention, design studies for medical devices and healthcare systems/workflows, enhancing teamwork through Human Factors based teamwork training, measuring non-technical skills in staff like leadership, communication, situational awareness and teamwork, and healthcare policies and procedures to reduce errors and increase safety.

JMIR Human Factors focuses aspires to lead health care towards a culture of "usability by design", as well as to a culture of testing, error-prevention and safety, by promoting and publishing reports rigorously evaluating the usability and human factors aspects in health care, as well as encouraging the development and debate on new methods in this emerging field. Possible contributions include usability studies and heuristic evaluations, studies concerning ergonomics and error prevention, design studies for medical devices and healthcare systems/workflows, enhancing teamwork through human factors-based teamwork training, measuring non-technical skills in staff like leadership, communication, situational awareness and teamwork, and healthcare policies and procedures to reduce errors and increase safety. Reviews, viewpoint papers and tutorials are as welcome as original research.

All articles are professionally copyedited and typeset.

JMIR Human Factors is indexed in National Library of Medicine (NLM)/MEDLINE, PubMed, PubMed Central, DOAJ, Scopus, Sherpa Romeo, PsycINFO, and the Web of Science (WoS)/ESCI.

JMIR Human Factors received a Journal Impact Factor of 3.0 according to the latest release of the Journal Citation Reports from Clarivate, 2025.

With a Citescore of 4.8 (2024), JMIR Human Factors is a Q2 journal in the field of Human Factors and Ergonomics, according to Scopus data.


Recent Articles

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Methods in Human Factors Research

Human factors (HF) or ergonomics, which explores the interaction between humans and systems, has been used to support design in safety critical industries such as aviation, transportation, nuclear power and manufacturing. HF methods have the potential to support the safe design of health information technology (HIT) however the evaluation of HF methods to determine their effectiveness and feasibility in this context has been limited.

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Design and Usability of Websites for Special User Groups

Irritable bowel syndrome (IBS) is a common chronic gastrointestinal disorder that impairs bowel functions and patients’ overall quality of life. IBS-focused digital health technologies (DHTs), including online health resources and mobile health (mHealth) apps, have recently proliferated for patient use. However, research exploring patients’ experiences with navigating, adopting, or using commercial or publicly available DHTs for IBS self-management is limited.

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Psychological, Behavioral, Social, and/or Cultural Experiments and Interventions

Refugees and asylum-seekers commonly experience numerous adverse and traumatic events and are therefore at increased risk of mental health problems. Despite the high need for mental health interventions, services tend to be underused by refugees and asylum-seekers, and various barriers compromise access. Digital, efficient screening, adapted for these groups, could facilitate initial assessment and increase accessibility to mental health services. We developed an internet-based tiered screening procedure (i-TAP) aiming to identify clinically relevant symptoms of major depressive disorder (MDD), anxiety disorder, posttraumatic stress disorder, and insomnia disorder among individuals with a refugee background. The i-TAP is an adaptive procedure with 3 tiers aiming to identify general mental distress in Tier 1, differentiate between symptoms in Tier 2, and assess the severity of symptoms in Tier 3. Each tier additionally functions as a gateway to further assessment, as a negative outcome terminates the procedure.

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Design and Usability of Clinical Software and EHRs

Despite growing evidence demonstrating the connection between oral and systemic health, medical and dental care remain institutionally divided. A significant consequence of this division is the lack of information sharing, which is particularly problematic in dental care, where knowing patients’ medical information is crucial for providing safe and effective treatments. This separation poses additional challenges in Swedish regions with limited resources, such as Dalarna, where dental care practices would benefit from improved access to relevant medical information in their Electronic Dental Record systems.

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Validity, Reliability, and Bias

Over the years, the nursing home regulatory landscape has undergone considerable transformation. The Five-Star Quality Rating System for Nursing Homes plays a central role in evaluating Quality of Care (QoC), though it carries both strengths and limitations. This system relies heavily on the Minimum Data Set (MDS) and derives several Quality Measures (QMs) from it. In this study, we validated the effectiveness of the Five-Star Nursing Homes Quality Rating System and its underlying quality measures in estimating nursing home quality of care. We constructed a panel dataset from three major sources: 1) COVID-19 nursing home data, 2) Payroll-Based Journal (PBJ) data, and 3) nursing home quality measure snapshots. The outcome variables included resident and staff cases, as well as death counts during the period May 2020–June 2023. The predictor variables were the Five-Star Quality Rating System for Nursing Home and its underlying QMs classified as either Structure, Process, or Outcome (SPO) QMs. The dataset included all nursing homes that completed at least one week of COVID-19 reporting at the facility level (N = 15,416) during the study period.

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Attitudes, Beliefs, and Health Behaviours in Human Factors Research

To better understand the effects of media use on children, it is essential to examine the various factors influencing the media use of digital native children. In the situational context, parental media usage, parents’ attitudes toward media, and parenting styles have all been identified as significant factors influencing children’s media use. This study focuses on the key factors and examines these relationships in greater depth, drawing on existing research to understand their impact on the media usage patterns of digital native children.

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Evidence-Based Practice and Medicine

In recent years, the global prevalence of myopia among children has continued to rise. The preschool years represent a critical period for visual development, and the widespread adoption of electronic screens among young children has brought increasing attention to pediatric visual health. However, the association between visual environmental exposures related to screen use—such as screen brightness and ambient illuminance—and the risk of myopia in preschool children has not been thoroughly investigated.

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User-Centered Design Case Studies

Emergency departments are often chaotic environments where delays can significantly impact patient care. Key items are stored in supply carts in or near patient rooms to promote efficiency and enable nurses to spend more time assisting patients. However, disorganization, lack of standardization, and lack of stocking can cause significant delays and negatively impact quality of care.

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Design and Usability of Consumer Health Tech and Home Monitoring Devices

Mobile health (mHealth) applications (apps) have become more commonly used in orthopaedics. However, for these apps to be efficient, patients should be willing to use them, making it essential to understand patients’ perspective of mHealth interventions.

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Focus Groups and Qualitative Research for Human Factors Research

Mobile health (mHealth) is increasingly used in teledentistry for telediagnosis and other services; yet, the perceptions of frontline clinicians and end-line users regarding these technologies remain unexplored.

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Focus Groups and Qualitative Research for Human Factors Research

Delivering therapy through video consultations can increase the reach and impact of mental health care services. However, adoption varies, and there is a lack of professional consensus about the usefulness of video consultations in therapy settings.

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Focus Groups and Qualitative Research for Human Factors Research

Telemedicine has rapidly expanded worldwide due to its convenience and accessibility. In China, an increasing number of hospitals have begun offering telemedicine services; however, patient utilization remains relatively low. Limited research has examined patients' behaviors during the process of adopting telemedicine.

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Preprints Open for Peer Review

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Open Peer Review Period:

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Open Peer Review Period:

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