In 2023, during my postdoctoral fellowship, I was awarded the Bridging the Gap Research Award. This timely pilot award supported formative research related to the influence of social drivers of health on health-related quality of life among adolescent and young adult cancer survivors (AYAs) using online recruitment methods.
In this work, I used online methods for recruitment (e.g., social media) and data collection, which are cost-effective and allow for flexibility, convenience, and increased accessibility to hard-to-reach populations.1 However, early in the study, I encountered an escalating issue: fraudulent participants (also known as "imposters" or "bots")2,3 seeking financial compensation. I describe my experience with fraudulent activity and outline the strategies I implemented to identify and address fraudulent participants, ensuring data authenticity.
In February 2024, we launched a national online survey (target N=200, via REDcap)4,5 that included an option to complete a qualitative interview (target n=20) via Zoom or phone. Participants first completed an online pre-screener, and if eligible, they proceeded to the full survey. Respondents received a $25 e-gift for completing the survey and an additional $25 e-gift card for the interview. Recruitment was conducted through direct mailings, targeted paid social media advertisements, flyers, institutional shared resource, local health fairs, and emails to AYAs-focused organizations. Participants could access our recruitment webpage and online pre-screener.
Within two months of launching the survey, we received a large number of responses (~487). Early quality checks identified unusual activity, including duplicate surveys completed in a short time, inconsistent verifiable data (e.g., age at diagnosis, phone number), suspicious referral sources (e.g., friend), patterns of duplicate email addresses from the same email provider, short survey completion time (e.g., minutes), and repeated information across multiple entries.6–8 We flagged 100% as likely fraudulent. After consulting with mentors and reviewing the literature,7,8 we developed a protocol to detect patterns suggesting fraudulent participants to minimize their activity and increase quality of data capture.
We modified our approach based on previous studies6-12 and strategies to mitigate these attacks, ensuring data integrity, and maintaining credibility of our findings. We removed eligibility criteria from the study advertisement, thus creating a barrier by not fostering misrepresentation to meet the criteria. We made follow-up phone calls to validate contact information and confirm survey completion. Additionally, we cross-checked pre-screener data with survey responses, including age, cancer type, and email address. We also included duplicate open-ended questions throughout the survey for verification. Regular data checks were conducted to review survey responses for inconsistencies, rapid completion times, and nonsensical responses. Furthermore, we included a clause in our consent form, stating: “Participants will be removed from the study without remuneration in cases of fraud and will not receive additional remuneration for completing the study more than once.”11 After implementing revised strategies to mitigate fraud during the recruitment phase of our study, 142 individuals completed the online survey within 5 months, with 33% identified as likely fraudulent.
The Bridging the Gap Research Award has been instrumental in providing invaluable insights into both my strengths and areas for growth as an early-stage investigator. Addressing recruitment challenges has improved our study outcomes and taught me valuable lessons about the importance of implementing rigorous validity checks when using online recruitment methods.