Greetings! We’re Elizabeth Cook, Makedah Johnson, and Jennifer Manlove, researchers at Child Trends, a non-profit research organization in Bethesda, MD. We are evaluating an innovative web-based mobile app designed to prevent teen pregnancy. Since this intervention takes place exclusively online and by text message, we rarely have direct contact with our study participants, so it is essential to maintain integrity in our enrollment processes. As is the case with other tech-based evaluations that provide study incentives, we anticipated scammers, so we developed an approach to identify and remove suspicious participants.
We know from similar studies that identifying suspicious accounts can be a difficult, time-consuming process—but also a necessary one. Since we use social media ads to recruit participants, we need to make sure we only enroll people who meet our eligibility criteria, not just those who claim they do.
We have encountered two types of suspicious screener attempts:
- Scammers: ineligible on first screener attempt but eventually meet criteria after repeated tries
- Duplicates: eligible on first screener attempt and tries to enroll again
Below is a hypothetical example of a scammer who did not meet our age eligibility requirements for the study (ages 18-20) until their third screener attempt (ID 13). This user can be identified by the repeated IP address, and was too young (ID 10), then too old (ID 12); they were finally enrolled after claiming they were 18.
We encourage the study teams of similar online interventions to consider the following tips when developing study procedures.
Design the screener so that it’s difficult to figure out the eligibility criteria.
Structure screener questions to make it difficult to guess the right answer to meet the eligibility criteria. For example, instead of asking for age, we ask for date of birth; we also include a non-relevant question about the respondent’s current state of residence so that ineligible participants might think their ineligibility was related to location. These design elements made the screener more challenging to scam.
Develop a protocol to identify and remove suspicious activity.
We review enrollment data three times a week to identify users with the same or similar key identifiers (e.g., IP address, name, email). Once identified as scammers or duplicates, we deactivate their app accounts and notify them that they are being removed from the study. Although this process is time-consuming, it is necessary to ensure the removal of suspicious accounts.
Remember that some suspicious activity isn’t malicious.
Some users may have encountered issues with logging in to the app and decided to restart at the screener, thus creating a duplicate account. Other participants may forget that they previously participated in the study and then re-enroll months later. To address these duplicates, we allow the first attempt of any duplicate user to remain in the study and remove their subsequent accounts.
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I thought this was a great post on the difference between a scammer and a duplicate. Even though they may seem similar, they are both different in terms of suspicious activity. The example you provided with the photo above clearly shows what scammers do to infiltrate a study or etc. The tips you provided were also very informative and straight to the point.
Well put! In the age of social media, scammers are everywhere unfortunately, even in public health applications. The tips you provided are a great way to identify and prevent scammers from being included in spaces they shouldn’t.
Great post, in addressing how complicated evaluations of public health interventions can become in light of new technologies. It shows to need for today’s evaluation professional to have strong technical skills too!
Thanks, Allie! I’m glad you appreciated the piece.