How to Get the Most Valid Data from Hard-to-Reach Populations Miriam Boeri, David Gibson, Craig Rafuse, Ben Tyndall Kennesaw State University Suburban Conference 2010 Funding for this research was provided by the National Institute on Drug Abuse 1R21DA025298-01A1 University of Pennsylvania Arts and Sciences. 2009. “Next Door But Invisible: The World of Homelessness and Drug Addiction.” YouTube Web site. Retrieved April 23, 2010. (http://www.youtube.com/v/lT1PjDvL6cs). Study Maturing Out Theory Study on Older Drug Users © 2009 Focus 12 “Old Junkies” ad campaign http://www.focus12.co.uk/oldjunkies Methods Ethnographic fieldwork Face to face interviews Quality control Keith Richards Sample 100 older adults 45 and older in 2010 Sampling – Convenience – Snowball – Theoretical IRB approved Certificate of Confidentiality Consent 2-5 hour interview Craig Rafuse © Bill Waterson Miriam Boeri, PhD David Gibson Ben Tyndall Recruiting Hard to Reach and Hidden Populations Primary Recruitment - Researcher Initiated Secondary Recruitment - Referral Tertiary Recruitment - Passive Networks Family Friends Coworkers Former Users Gatekeepers Individuals who grant access to a larger network of users William S. Burroughs 1914-1997 Streets, Clubs, and Pubs Gain acceptance of manager, owner, or promoter TALK TO EVERYONE Fliers Must be IRB approved Approval of the property owner or manager Community Outreach, Ministries, and Harm Reduction Centers Methadone Clinics Atlanta Harm Reduction Center – “The Bluff” Must Ministries – Marietta Homeless Shelters Needle Exchanges Screening How old are you? How did you hear about the survey? What is/was your drug of choice? When was the last time you used a substance? What year were you born? “Fluff questions” or misdirecting questions Gaining the Confidence of Respondents Professional/academic association Certificate of confidentiality Secure storage of data Street cred Dress down Alfonso Ribeiro as Carlton Banks. The Fresh Prince of Bel-Air. © NBC Productions. The Interview Process: Juggling Time, Energy and Research Goals ar e Qui ckTi m e™ a nd a d eco mp r e sso r ne e de d to see thi s p i cture. What We Juggle High Energy ^ ^ Time > > > > > > > > > Research goals ^ ^ Low Energy © R. Crumb Setting the Stage Tuning In Cordial Atmosphere Respectful Attitude and Tone of Voice Soliciting Their Consent Putting Them in the Driver’s Seat The Qualitative Discussion Turning Points Matrix Letting It Happen or Strict Guidance? Use Confrontation Carefully Not An Interrogation The Quantitative Survey What, Why, Where, How and When Cloning Years Keeping Them Focused Collaboration Gift Exchange QuickTime™ and a decompressor are needed to see this picture. Management and Quality Control of the Data Data management – Survey creation and revision – Technology Quality control – Survey data – Interview recordings and transcripts Original Survey Long-form survey covered every year – Every year or missing data? – Cumbersome and time consuming Shorter survey still needs to capture entire life Born Started injecting heroin Started smoking cigarettes First child Married 12 Step Residential treatment Relapse Divorce Clean Yearly Survey Advantages: New survey for every year Skip forward and backward Speed of survey tends to outweigh disadvantages Survey Development Mandatory responses Question revisions Survey has some fluidity Technology Netbooks Recorders Encrypted USB drives Quality Control - Survey “Create Notes” Some problems Quality control Review interviews Quality Control - Survey Export data to SPSS Visualize drug/life history Check for mistakes/inconsistencies Quality Control - Survey Data triangulation INTERVIEWER NOTES SURVEY DATA RECORDING Quality Control - Transcription Transcribers have a tough job Interviewer listens to recording and follows along with transcript Final Thoughts on Quality Control Relive/re-experience interviews Rigorous triangulation Strengthens team skills Protects our investment of time, energy and money in each interview Conclusion Targeted recruitment for different types of users Finding a balance between quantitative and qualitative Time, space, and emotions Validity and reliability Keeping it organized QUESTIONS?