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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 3.9 More information about Impact Factor CiteScore 5.6 More information about CiteScore

JMIR Human Factors 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.

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 2025 Impact Factor of 3.9, ranking Q1 in Health Care Sciences & Services (46/194).

JMIR Human Factors received a Scopus CiteScore of 5.6 (2025), placing it in the 69th percentile (15/48) as a second quartile (Q2) journal in the field of Human Factors and Ergonomics, and in the 66th percentile (56/168) as a second quartile (Q2) journal in the field of Health Informatics.


Recent Articles

Worker using tablet for CARE QI 5.0 checklist in a factory
Tools and Questionnaires in Human Factors Evaluation

Despite increasing recognition of human factors in technologically advanced manufacturing, psychological resilience remains an underexplored dimension. Existing studies often rely on generic instruments that fail to capture the specific adaptive challenges faced by workers in high-tech environments. There is a growing need for context-sensitive tools capable of assessing resilience in line with the human-centric vision of Industry 5.0.

Doctor in white coat reviewing medical data on a tablet.
Viewpoints and Opinions on Human Factors

Patient safety classification systems are fundamental to surveillance, organizational learning, research, and governance because they enable adverse events and near misses to be organized into standardized categories for comparison and analysis. However, the increasing complexity of health information technology (HIT)–related patient safety incidents challenges the assumptions underpinning conventional classification approaches, as these incidents often emerge from dynamic, distributed, and evolving sociotechnical interactions rather than discrete, time-bounded events. In this Viewpoint, I argue that many of the challenges associated with classifying HIT-related patient safety incidents arise not simply from limitations of individual classification systems but from the inherent representational logic of classification itself. By viewing classification as a knowledge practice rather than merely a technical tool for organizing incident data, I contend that abstraction, boundary-setting, and standardization inevitably simplify complex sociotechnical processes and constrain how safety problems are represented, interpreted, and acted upon. I discuss 4 recurring representational limitations that characterize the application of patient safety classification systems to HIT-related incidents: fragmentation of sociotechnical interactions, loss of temporality and evolving processes, inadequate representation of scale and propagation across systems, and normalization of “use error” through simplified attribution of responsibility. These limitations can contribute to incomplete organizational learning, misaligned safety interventions, and challenges in interpreting and comparing classified patient safety data across health care settings. Rather than arguing against the continued use of patient safety classification systems, I propose that their strengths and limitations should be recognized simultaneously. Classification remains indispensable for surveillance, learning, and governance, but it should be interpreted as one component of a broader sociotechnical understanding of patient safety. Recognizing the representational limits of classification can support more reflexive interpretation of classification-based evidence and encourage complementary approaches that better capture the complexity of HIT-related patient safety.

Doctor checks patient's smartwatch heart rate data on phone.
Design and Usability of Consumer Health Tech and Home Monitoring Devices

Digital health technology enables collection of continuous physiological and behavioral data from participants in clinical trials. This supports hybrid trial designs, potentially reducing clinic visits and participant burden for patient monitoring. Interstitial lung disease (ILD) is characterized by an unpredictable clinical course, creating a need for new treatments and more sensitive approaches to assessing treatment effectiveness, disease progression, and clinically meaningful trial end points.

Elderly man using a tablet with a search bar overlay.
User-Centered Design Case Studies

Older adults with cognitive impairment often face significant challenges in memoir writing, including memory fragmentation, emotional loneliness, and speech and language disorders. Although AI-generated content (AIGC) technologies such as GPT-3.5 show potential in creative tasks, they often lack the personalization and adaptability required for users with dementia. Generic AIGC tools often fail to address the heterogeneous cognitive and emotional needs of this population.

Elderly woman with short blonde hair wearing glasses and a yellow shirt, using a tablet.
User Needs and Competencies

With Türkiye’s aging population and widespread internet usage, the excessive seeking of health information through online platforms, formally identified as cyberchondria, has emerged as a concern affecting older individuals’ health perception and psychological well-being.

Doctor points to skeleton diagram on laptop screen explaining anatomy to patient
Methods in Human Factors Research

In the early stage of human-centered design (HCD), qualitative and generative methods are commonly used to explore patients’ contexts and needs, emphasizing active patient involvement to ensure that design insights accurately reflect real experiences and enhance both design effectiveness and patient empowerment. However, certain challenges arise in the early stage of the HCD process, including (1) high vulnerability of patient participants, (2) less diverse and representative patient groups due to recruitment challenges, and (3) insufficient problem framing across diverse patient experiences.

Woman in workout clothes checks her phone in a park
Attitudes, Beliefs, and Health Behaviours in Human Factors Research

In mobile health care, text messages play an important role in improving physical activity. Recent studies have developed message banks based on theories, including the behavior change technique (BCT) taxonomy. However, little evidence is available for individual differences (ie, who responds to which BCTs presented in messages), which is crucial for optimizing message delivery.

Elderly woman with white hair using a smartphone, hand on chest.
User-Centered Design Case Studies

Health-related technology use among nondigitally native adults is becoming widespread. Nevertheless, digital health interventions are typically not designed with the unique usability needs and preferences of this population in mind. Furthermore, most of these middle-aged and older adults are managing multiple medical conditions, which can also impact their preferences related to digital health interventions. A prime opportunity to address multimorbidity in nondigital natives using a digital health intervention is the intersection between mental health and chronic pain.

Young woman looking stressed while working on a laptop at home
User-Centered Design Case Studies

Removal platforms for nonconsensual intimate images (NCIIs) are essential, as they have become the recourse for victims of such abuse; yet their interfaces are not designed around the cognitive and emotional realities of trauma. Safety by Design directs platforms to protect vulnerable users but not how; trauma-informed care defines what that protection requires, while usability heuristics keep interfaces usable but are not themselves trauma-sensitive. However, no framework integrates them into design guidance that is both usable and protective for NCII removal platforms.

Radiologist reviews MRI brain scan on computer, patient in scanner in background.
Theme Issue: AI and Human Factors—Towards Successful Application of AI in Health Care

AI tools have the potential to enhance personalized clinical care, particularly in radiology. However, their integration into clinical workflows remains complex, especially in pediatric oncology, where early cancer detection is critical. Children with Li-Fraumeni syndrome (LFS), a rare cancer predisposition disorder, undergo regular surveillance whole-body magnetic resonance imaging (wbMRI), which presents an opportunity for AI-assisted tumor detection.

MINDSET login screen on a tablet with a yellow mug nearby
User-Centered Design Case Studies

Epilepsy is a serious chronic neurological condition with no permanent cure. Continual self-management is important to mitigate seizure frequency and optimize quality of life in people with epilepsy who have greater disparities in accessing epilepsy care. The Management Information & Decision Support Epilepsy Tool (MINDSET [UTHealth, University of Arizona, and Radiant Digital]) was developed to enhance accessibility to epilepsy self-management (ESM) assessment and treatment. The purpose of this formative usability pilot study was to assess the user experience and functionality of MINDSET 2.0, an enhanced cross-platform online version of MINDSET, among a sample of patients with epilepsy prior to feasibility testing within neurology clinic settings.

Teenager uses phone with text about mental health support for youth
User Needs and Competencies

Young people increasingly experience mental health challenges and often turn to the internet for support. Self-guided digital mental health promotion services have become widely used resources for youth seeking help and guidance. These platforms offer accessible, anonymous support, yet little is known about the concerns young people articulate when engaging with them.

Preprints Open for Peer Review

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