Health research is crucial for developing policies and making clinical decisions that affect patient outcomes. However, a new warning from experts in The BMJ highlights the growing threat of impostor participants in health research. Eileen Morrow and colleagues at the University of Oxford emphasize the need for the research community to address this issue and implement safeguards to protect the integrity of data used in clinical care.
Impostor participants are individuals who provide deceptive or inaccurate data to participate in health research, or automated computer bots that mimic human behavior. The rise of online recruitment in health research has made it easier for impostor participants to infiltrate studies, from surveys to randomized controlled trials. While the motivations behind impostor participation are not fully understood, reports suggest that some may be driven by financial gain, while others may have different reasons such as boredom or a desire to disrupt research.
The impact of impostor participants is significant, with studies showing that a high percentage of research data may be compromised by impostors. To combat this threat, researchers are urged to integrate detection and prevention measures into their online research protocols. Safeguards such as identity verification procedures or CAPTCHA tests can help identify and prevent impostor participants from skewing study results.
Transparency in reporting the use of safeguards and acknowledging their limitations is also essential. Funders, institutions, clinicians, and policymakers are encouraged to invest in infrastructure and training to stay ahead of evolving tactics used by impostor participants. Without proper safeguards in place, health research integrity is at risk, and decisions based on compromised data may have serious implications for patient care.
In conclusion, impostor participants pose a systemic threat to health research and must be addressed proactively. By implementing robust detection and prevention measures, researchers can ensure that the data guiding clinical care accurately reflect the real patient voice. The warning from experts serves as a call to action for the research community to safeguard the integrity of health research and protect patient outcomes.

