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Accepted for/Published in: Journal of Medical Internet Research

Date Submitted: Jun 4, 2025
Date Accepted: Sep 11, 2025

The final, peer-reviewed published version of this preprint can be found here:

Flagged for Fraud: Lessons From 3 Case Studies on Detecting Inauthentic Participants in Online Research

Hill JR, Hoel S, Caldwell C, Zuraw M, Elliott C, Pickett AC, Fields BE, Werner NE

Flagged for Fraud: Lessons From 3 Case Studies on Detecting Inauthentic Participants in Online Research

J Med Internet Res 2025;27:e78554

DOI: 10.2196/78554

PMID: 41071586

PMCID: 12552812

Flagged for Fraud: Lessons from Three Case Studies on Detecting Inauthentic Participants in Online Research

  • Jordan R. Hill; 
  • Sydney Hoel; 
  • Clover Caldwell; 
  • Matthew Zuraw; 
  • Christian Elliott; 
  • Andrew C. Pickett; 
  • Beth E. Fields; 
  • Nicole E. Werner

ABSTRACT

As digital and remote research methods become more prevalent, the risk of fraudulent participants—individuals who deliberately misrepresent themselves to gain access to studies and associated incentives—has emerged as a significant challenge. These inauthentic participants threaten data validity, obscure treatment effects, and may lead to interventions being developed based on inaccurate representations of target populations. Despite the growing recognition of this issue, researchers have limited guidance on how to detect and respond to fraud when it occurs, particularly when committed by real people rather than automated systems. We present three case studies from our own research where participants engaged in deception to gain study incentives. We identify recurring patterns of behavior as “red” (clear signs of inauthenticity) and “yellow” (ambiguous behavior common among fraudulent participants) flags, describe how our team responded, and share lessons learned for future studies. This work aims to support researchers in identifying fraudulent participants more effectively, helping to ensure the validity and credibility of data collected in online research.


 Citation

Please cite as:

Hill JR, Hoel S, Caldwell C, Zuraw M, Elliott C, Pickett AC, Fields BE, Werner NE

Flagged for Fraud: Lessons From 3 Case Studies on Detecting Inauthentic Participants in Online Research

J Med Internet Res 2025;27:e78554

DOI: 10.2196/78554

PMID: 41071586

PMCID: 12552812

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