Data Verification and Respondent Validity for a Web-Based Sexual Health Survey: Tutorial.

Background: As technology continues to shape the landscape of health research, the utilization of web-based surveys for collecting sexual health information among adolescents and young adults has become increasingly prevalent. However, this shift toward digital platforms brings forth a new set of challenges, particularly the infiltration of automated bots that can compromise data integrity and the reliability of survey results. Objective: We aimed to outline the data verification process used in our study design, which employed survey programming and data cleaning protocols. Methods: A 26-item survey was developed and programmed with several data integrity functions, including reCAPTCHA scores, RelevantID fraud and duplicate scores, verification of IP addresses, and honeypot questions. Participants aged 15-24 years were recruited via social media advertisements over 7 weeks and received a US $15 incentive after survey completion. Data verification occurred through a 2-part cleaning process, which removed responses that were incomplete, flagged as spam by Qualtrics, or from duplicate IP addresses, or those that did not meet the inclusion criteria. Final comparisons of reported age with date of birth and reported state with state inclusion criteria were performed. Participants who completed the study survey were linked to a second survey to receive their incentive. Responses without first and last names and full addresses were removed, as were those with duplicate IP addresses or the exact same longitude and latitude coordinates. Finally, IP addresses used to complete both surveys were compared, and consistent responses were eligible for an incentive. Results: Over 7 weeks, online advertisements for a web-based survey reached 1.4 million social media users. Of the 20,585 survey responses received, 4589 (22.3%) were verified. Incentives were sent to 462 participants; of these, 14 responses were duplicates and 3 contained discrepancies, resulting in a final sample of 445 responses. Conclusions: Confidential web-based surveys are an appealing method for reaching populations-particularly adolescents and young adults, who may be reluctant to disclose sensitive information to family, friends, or clinical providers. Web-based surveys are a useful tool for researchers targeting hard-to-reach populations due to the difficulty in obtaining a representative sample. However, researchers face the ongoing threat of bots and fraudulent participants in a technology-driven world, necessitating the adoption of evolving bot detection software and tailored protocols for data collection in unique contexts.